Detección molecular de Chlamydia trachomatis y Neisseria gonorrhoeae en muestras de orina de pacientes adultos VIH positivo. Hospital Roosevelt 2019 al 2021

Abstract

Objectives To determine the positivity of C. trachomatis and N. gonorrheae by molecular testing in urine samples from HIV-positive adult patients, in the Comprehensive Care and Chronic Infections Unit of the Roosevelt Hospital from 2019 to 2021. Methodology Descriptive, non-probabilistic cross-sectional study of consecutive cases in 810 HIV-positive patients with medical indication or baseline screening study for CT/NG molecular testing, from 2019 to 2021. Data analysis was performed in the Jamovi statistical software V 2.3.21 The results are presented in frequencies and percentages. For the association between variables, chi square was applied with a significance of 5%. Results C. trachomatis was detected in 4.7% and N. gonorrheae; at 1.6%. The highest C. trachomatis positivity was detected in men in the age range of 40 to 49 years, while N. gonorrhoeae was more prevalent in men in the age range of 20 to 29. The male sex presented a higher frequency of positivity with 27 and 13 cases of each infection, respectively. C. trachomatis occurred in 13 patients aged 13 to 49 years and gonorrhea in 6 patients aged 20 to 29 years. Conclusion The findings of this study demonstrate the importance of performing molecular testing for detection of CT/NG as part of the annual control in asymptomatic HIV-positive patients, as part of STI screening in patients with a recent diagnosis of HIV, and for clinical indication including the sites anatomical according to risk.