Araştırma Makalesi
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Evaluation of Patients Who were Referred to Our Outpatient Clinic with Suspicious Sexual Contact

Yıl 2021, Cilt: 11 Sayı: 3, 396 - 401, 20.09.2021
https://doi.org/10.33631/duzcesbed.866119

Öz

Aim: Sexually transmitted infections are preventable, common diseases with serious complications and high morbidity. Patients with suspicious sexual contact in Turkish society, find it difficult to consult a physician due to public pressure. Patients with suspicious sexual contact who applied to the Infectious Diseases and Clinical Microbiology outpatient clinic were analyzed.
Material and Methods: Patients (62 patients) over the age of 18, who applied to Infectious Diseases and Clinical Microbiology outpatient clinic with suspicious sexual contact, between March 2018-January 2019, were included in the study. The demographic characteristics of the patients such as age, gender, marital status; also complaints, using of condom, physical examination findings, and all examinations during the six-month follow-up were recorded.
Results: In this study, 56 (90%) male and 6 (10%) female patients with a mean age of 33.40 ± 14.11 years were included. High percentage (58;93%) of patients didn’t use condoms during sexual contact, 21(34%) of the patients had more than one partner, the most common diagnosis was urethritis (21; 34%), one patient in a bisexual relationship was diagnosed with acute HIV infection, and was observed that the diagnosis of syphilis (9; 15%) was quite high.
Conclusion: Results such as the low rate of use of condoms made us think that there is a lack of knowledge about sexually transmitted diseases in the society. Considering the possibility of increasing infection rates in the coming years; we think that the necessary importance should be given to sexually transmitted diseases and frequent public trainings should be provided.

Destekleyen Kurum

Yok

Proje Numarası

Yok

Teşekkür

Due to their contribution, the author would like to thank the employees of .... State Hospital Center Laboratory employees.

Kaynakça

  • Ünal S, Zarakolu P. Sexually transmitted diseases. In: Wilke Topçu A, Söyletir G, Doğanay M, editors. Infectious diseases and microbiology. Istanbul: Nobel Medical Bookstore; 2002. p. 1111-23.
  • Paavonen J, Eggert-Kruse W. Chlamydia trachomatis: impact on human reproduction. Human Reproduction Update. 1999; 5(5): 433-47.
  • World Health Organization. Global incidence and prevalence of selected curable sexually transmitted infections 2008. [Updated: 2012; Cited: 2021January 21 ]. Available from: https://apps.who.int/iris/bitstream/handle/10665/75181/9789241503839_eng.pdf;jsessionid=40175AFD447C9018E0B60B382CE10687?sequence=1
  • Siyez DM, Siyez E. Investigation of university students' knowledge of sexually transmitted diseases. Turkish Journal of Urology. 2009; 35(1): 49-55.
  • Özek B. Sexually transmitted diseases and genital tract infections. In: Fundamentals of family planning. Human resource development foundation. Ankara; 1997.
  • Pirinççi N, Ozan T, Çarkçı S. Current treatment of sexually transmitted viral diseases: Urological approach. Andrology Bulletin. 2016; 18(66): 150-5.
  • Doğan S, Altındağ E. Counseling about sexually transmitted diseases. Clinical Medicine Family Medicine-Current and Scientific Medical Journal. 2017; 9(2): 32-6.
  • Workowski KA, Bolan GA. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recommandations and Reports. 2015; 64(RR-03): 1-137.
  • CDC. Sexually transmitted disease surveillance 2018. [Updated: 2018; Cited: 2021 January 21]. Available from: https://www.cdc.gov/std/stats18/default.htm
  • T.C. Ministry of Health General Directorate of Public Health. Syphilis statistics. [Updated: 2019 December 31; Cited: 2021 January 21]. Available from: https://hsgm.saglik.gov.tr/tr/bulasici-hastaliklar/sifiliz/sifiliz-liste/sifiliz-istatistik.html
  • T.C. Ministry of Health General Directorate of Public Health. HIV-AIDS statistics. [Updated: 2020 November 30; Cited: 2021 January 21]. Available from: https://hsgm.saglik.gov.tr/tr/bulasici-hastaliklar/hiv-aids/hiv-aids-liste/hiv-aids-istatislik.html
  • Davis KR, Weller SC. The effectiveness of condoms in reducing heterosexual transmission of HIV. Family Planning Perspectives. 1999; 31: 272-9.
  • Pinkerton SD, Abramson PR. Occasional condom use and HIV risk reduction. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology. 1996; 13: 456-60.
  • Wallin J. Gonorrhea in 1972: A 1-year study of patients attending the VD unit in Uppsala. British Journal of Venereal Diseases. 1974; (51): 41-7.
  • Farley TA, Cohen DA, Elkins W. Asymptomatic sexually transmitted diseases: The case for screening. Preventive Medicine. 2003; 36: 502-9.
  • Korenromp EL, Sudaryo MK, de Vlas SJ, Gray RH, Sewankambo NK, Serwadda D, et al. What proportion of episodes of gonorrhoea and chlamydia becomes symptomatic? International Journal of STD & AIDS. 2002; 13: 91-101.
  • Forhan SE, Gottlieb SL, Stenberg MR, Xu Fujie, Datta SD, McQuillan GM, et al., Prevalence of sexually transmitted infections among female adolescents aged 14 to 19 in the United States. Pediatrics. 2009; 124(6): 1505-12.
  • Weinstock H, Berman S, Cates W Jr. Sexually transmitted diseases among American youth: incidence and prevalence estimates, 2000. Perspectives on Sexual and Reproductive Health. 2004; 36(1): 6-10.
  • Decker CF. Sexually transmitted diseases: An overview. Disease-a-Month. 2016; 62: 258-9.
  • Yazganoğlu KD, Özarmağan G, Tozeren A, Özgülnar N. Knowledge, behavior and attitudes of university students toward sexually transmitted infections. Turkish Archives of Dermatology and Venereology. 2012; 46(1): 20-5.
  • Demir G, Şahin TK. Knowledge of students of Selçuk University about sexually transmitted infections. Journal of Duzce University Health Sciences Institute. 2014; 4(3): 19-24.

Şüpheli Cinsel Temas ile Polikliniğimize Başvuran Hastaların Değerlendirilmesi

Yıl 2021, Cilt: 11 Sayı: 3, 396 - 401, 20.09.2021
https://doi.org/10.33631/duzcesbed.866119

Öz

Amaç: Cinsel yolla bulaşan enfeksiyonlar önlenebilir, ciddi komplikasyonları ve yüksek morbiditesi olan yaygın hastalıklardır. Türk toplumunda şüpheli cinsel temasta bulunan hastalar, toplum baskısı nedeniyle bir hekime başvurmakta zorlanmaktadırlar. Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji polikliniğine başvuran şüpheli cinsel temaslı hastalar incelenmiştir.
Gereç ve Yöntemler: Mart 2018 ve Ocak 2019 tarihleri arasında şüpheli cinsel temas öyküsü ile Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji polikliniğine başvuran, 18 yaş üstü olan, 62 hasta çalışmaya dahil edildi. Hastaların yaş, cinsiyet, medeni durum gibi demografik özellikleri; ayrıca şikayetleri, kondom kullanımı, fizik muayene bulguları ve altı aylık takipteki tüm fizik muayene bulguları kaydedildi.
Bulgular: Bu çalışmaya; yaş ortalaması 33,40 ± 14,11 yıl olan, 56 (% 90) erkek ve 6 (% 10) kadın hasta alındı. Yüksek oranda hasta (58; 93%) cinsel temas sırasında kondom kullanmamıştı; hastaların 21'inin (% 34) birden fazla partneri vardı; en sık tanı üretritti (21; %34); biseksüel ilişkisi olan bir hastaya akut HIV enfeksiyonu tanısı konuldu ve sifiliz tanısının oldukça yüksek olduğu görüldü (9; %15).
Sonuç: Kondom kullanım oranının düşük olması, toplumda cinsel yolla bulaşan hastalıklar hakkında bilgi eksikliği olduğunu bize düşündürdü. Önümüzdeki yıllarda enfeksiyon oranlarının artma olasılığı göz önüne alındığında; cinsel yolla bulaşan hastalıklara gerekli önemin verilmesi ve sık sık halk eğitimlerinin yapılması gerektiğini düşünüyoruz.

Proje Numarası

Yok

Kaynakça

  • Ünal S, Zarakolu P. Sexually transmitted diseases. In: Wilke Topçu A, Söyletir G, Doğanay M, editors. Infectious diseases and microbiology. Istanbul: Nobel Medical Bookstore; 2002. p. 1111-23.
  • Paavonen J, Eggert-Kruse W. Chlamydia trachomatis: impact on human reproduction. Human Reproduction Update. 1999; 5(5): 433-47.
  • World Health Organization. Global incidence and prevalence of selected curable sexually transmitted infections 2008. [Updated: 2012; Cited: 2021January 21 ]. Available from: https://apps.who.int/iris/bitstream/handle/10665/75181/9789241503839_eng.pdf;jsessionid=40175AFD447C9018E0B60B382CE10687?sequence=1
  • Siyez DM, Siyez E. Investigation of university students' knowledge of sexually transmitted diseases. Turkish Journal of Urology. 2009; 35(1): 49-55.
  • Özek B. Sexually transmitted diseases and genital tract infections. In: Fundamentals of family planning. Human resource development foundation. Ankara; 1997.
  • Pirinççi N, Ozan T, Çarkçı S. Current treatment of sexually transmitted viral diseases: Urological approach. Andrology Bulletin. 2016; 18(66): 150-5.
  • Doğan S, Altındağ E. Counseling about sexually transmitted diseases. Clinical Medicine Family Medicine-Current and Scientific Medical Journal. 2017; 9(2): 32-6.
  • Workowski KA, Bolan GA. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recommandations and Reports. 2015; 64(RR-03): 1-137.
  • CDC. Sexually transmitted disease surveillance 2018. [Updated: 2018; Cited: 2021 January 21]. Available from: https://www.cdc.gov/std/stats18/default.htm
  • T.C. Ministry of Health General Directorate of Public Health. Syphilis statistics. [Updated: 2019 December 31; Cited: 2021 January 21]. Available from: https://hsgm.saglik.gov.tr/tr/bulasici-hastaliklar/sifiliz/sifiliz-liste/sifiliz-istatistik.html
  • T.C. Ministry of Health General Directorate of Public Health. HIV-AIDS statistics. [Updated: 2020 November 30; Cited: 2021 January 21]. Available from: https://hsgm.saglik.gov.tr/tr/bulasici-hastaliklar/hiv-aids/hiv-aids-liste/hiv-aids-istatislik.html
  • Davis KR, Weller SC. The effectiveness of condoms in reducing heterosexual transmission of HIV. Family Planning Perspectives. 1999; 31: 272-9.
  • Pinkerton SD, Abramson PR. Occasional condom use and HIV risk reduction. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology. 1996; 13: 456-60.
  • Wallin J. Gonorrhea in 1972: A 1-year study of patients attending the VD unit in Uppsala. British Journal of Venereal Diseases. 1974; (51): 41-7.
  • Farley TA, Cohen DA, Elkins W. Asymptomatic sexually transmitted diseases: The case for screening. Preventive Medicine. 2003; 36: 502-9.
  • Korenromp EL, Sudaryo MK, de Vlas SJ, Gray RH, Sewankambo NK, Serwadda D, et al. What proportion of episodes of gonorrhoea and chlamydia becomes symptomatic? International Journal of STD & AIDS. 2002; 13: 91-101.
  • Forhan SE, Gottlieb SL, Stenberg MR, Xu Fujie, Datta SD, McQuillan GM, et al., Prevalence of sexually transmitted infections among female adolescents aged 14 to 19 in the United States. Pediatrics. 2009; 124(6): 1505-12.
  • Weinstock H, Berman S, Cates W Jr. Sexually transmitted diseases among American youth: incidence and prevalence estimates, 2000. Perspectives on Sexual and Reproductive Health. 2004; 36(1): 6-10.
  • Decker CF. Sexually transmitted diseases: An overview. Disease-a-Month. 2016; 62: 258-9.
  • Yazganoğlu KD, Özarmağan G, Tozeren A, Özgülnar N. Knowledge, behavior and attitudes of university students toward sexually transmitted infections. Turkish Archives of Dermatology and Venereology. 2012; 46(1): 20-5.
  • Demir G, Şahin TK. Knowledge of students of Selçuk University about sexually transmitted infections. Journal of Duzce University Health Sciences Institute. 2014; 4(3): 19-24.
Toplam 21 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makaleleri
Yazarlar

Dilek Yekenkurul 0000-0002-4456-7485

Proje Numarası Yok
Yayımlanma Tarihi 20 Eylül 2021
Gönderilme Tarihi 22 Ocak 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 11 Sayı: 3

Kaynak Göster

APA Yekenkurul, D. (2021). Evaluation of Patients Who were Referred to Our Outpatient Clinic with Suspicious Sexual Contact. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 11(3), 396-401. https://doi.org/10.33631/duzcesbed.866119
AMA Yekenkurul D. Evaluation of Patients Who were Referred to Our Outpatient Clinic with Suspicious Sexual Contact. DÜ Sağlık Bil Enst Derg. Eylül 2021;11(3):396-401. doi:10.33631/duzcesbed.866119
Chicago Yekenkurul, Dilek. “Evaluation of Patients Who Were Referred to Our Outpatient Clinic With Suspicious Sexual Contact”. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 11, sy. 3 (Eylül 2021): 396-401. https://doi.org/10.33631/duzcesbed.866119.
EndNote Yekenkurul D (01 Eylül 2021) Evaluation of Patients Who were Referred to Our Outpatient Clinic with Suspicious Sexual Contact. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 11 3 396–401.
IEEE D. Yekenkurul, “Evaluation of Patients Who were Referred to Our Outpatient Clinic with Suspicious Sexual Contact”, DÜ Sağlık Bil Enst Derg, c. 11, sy. 3, ss. 396–401, 2021, doi: 10.33631/duzcesbed.866119.
ISNAD Yekenkurul, Dilek. “Evaluation of Patients Who Were Referred to Our Outpatient Clinic With Suspicious Sexual Contact”. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 11/3 (Eylül 2021), 396-401. https://doi.org/10.33631/duzcesbed.866119.
JAMA Yekenkurul D. Evaluation of Patients Who were Referred to Our Outpatient Clinic with Suspicious Sexual Contact. DÜ Sağlık Bil Enst Derg. 2021;11:396–401.
MLA Yekenkurul, Dilek. “Evaluation of Patients Who Were Referred to Our Outpatient Clinic With Suspicious Sexual Contact”. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, c. 11, sy. 3, 2021, ss. 396-01, doi:10.33631/duzcesbed.866119.
Vancouver Yekenkurul D. Evaluation of Patients Who were Referred to Our Outpatient Clinic with Suspicious Sexual Contact. DÜ Sağlık Bil Enst Derg. 2021;11(3):396-401.