Maladies sexuellement transmissibles acquises en voyage, étude rétrospective monocentrique de 140 cas

Abstract : The incidence of sexually transmitted diseases (STDs) continues to increase, representing a global public health issue. Travel plays a major role in their diffusion. Few studies have focused on travelers' STDs. The objective of this work was to describe the spectrum of STDs among travelers, HIV infected or not, diagnosed between 2008 and 2016 in the department of Infectious and Tropical Diseases of the Pitié-Salpêtrière hospital in Paris, France. We retrospectively included the patients with a travel-related STD diagnosed during the study period via a search in 2 clinical databases followed by a systematic analysis of their clinical file. We included 140 travel-related STD episodes. They mainly affected men (89%), in particular men who have sex with men (MSM, 54%) and HIV infected men (40%). Among HIV negative travelers, the main STDs were primary HIV infections (38%), Neisseria gonorrhoeae (NG) infections (17%) and primary herpes infection (14%). Among HIV positive travelers, it was syphilis (43%), Chlamydiae trachomatis (CT) infections (22%), NG infections (13%) and acute hepatitis C (12%). In HIV positive travelers, anal forms predominated for both CT and NG infections, reflecting the high proportion of MSM. HIV negative travelers predominantly contracted STDs in sub-Saharan Africa, while HIV infected travelers contracted them in Latin America / Caribbean and Western Europe. This work provides a detailed description and analysis of 140 travel-related STD episodes, with a broad spectrum of diagnoses and clinical forms, and provides new data on HIV infected travelers.
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Master Thesis
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Agathe Nouchi. Maladies sexuellement transmissibles acquises en voyage, étude rétrospective monocentrique de 140 cas. Médecine humaine et pathologie. 2018. ⟨dumas-02135825⟩

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