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Master Thesis

Prévalence et étude des connaissances des infections sexuellement transmissibles en milieu carcéral à l'île de La Réunion

Abstract : Background: The literature review identifies prison populations as being at risk for sexually transmitted infections (STIs). The main objective of our study was to determine the prevalence of STIs among adult prisoners entering prison on Reunion Island. Method: This was a monocentric and prospective study. It consisted of offering to take a genito-urinary sample and also giving a questionnaire to all adults who took part in the study at the time of the medical examination upon entry into the St Denis penitentiary. Testing by Polymerase Chain Reaction (PCR) screened for urogenital Chlamydia trachomatis (Ct), Neisseria gonorrhoeae (Ng) and Mycoplasma genitalium (Mg) infections by taking urine samples from men and vaginal swabs from women. HIV, syphilis and hepatitis B and C serologies were also proposed. Results: Between June 2018 and June 2019, 426 prisoners, were included in the study. Of the 78.9% (n=336) of prisoners who had performed genitourinary sampling, 2.7% (n=9) were Ng positive, 8.0% (n=27) were Ct positive, and 10.7% (n=36) were Mg positive. Of those inmates who had a blood sample taken, 1.9% (n=7) were seropositive for syphilis. One inmate had a positive HIV serology and another had an active hepatitis B. None of the serologies returned positive for hepatitis C. Conclusion: The prison population in Reunion Island is among the populations at risk of STIs. The results are consistent with those observed nationally except for hepatitis C, probably related to the low prevalence of intravenous drug addiction on the island. The implementation of systematic screening of urogenital infections upon entering into prisons should be considered.
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Master Thesis
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Submitted on : Monday, November 9, 2020 - 8:04:49 AM
Last modification on : Wednesday, June 30, 2021 - 9:40:16 PM
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Angélique Gorlin. Prévalence et étude des connaissances des infections sexuellement transmissibles en milieu carcéral à l'île de La Réunion. Sciences du Vivant [q-bio]. 2020. ⟨dumas-02995120⟩



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