Systematic review and meta-analysis of the global prevalence of sexually transmitted infections in people living with HIV and associated risk factors.

IF 1.9 4区 医学 Q4 IMMUNOLOGY AIDS reviews Pub Date : 2023-01-01 DOI:10.24875/AIDSRev.23000008
Mina Ebrahimi, Nayer Mehdizad, Fatemeh Yeganeh-Sefidan, Hanie Safarpour, Abdol S Pagheh, Amir Pouremamali, Somayeh Shiralizadeh, Ali Ghodrati, Sana Jafari, Firooz Shahrivar, Siamak Heidarzadeh, Mahboobeh Montazeri, Mohammad Yousef-Memar, Sonia M Rodrigues-Oliveira, Maria de-Lourdes-Pereira, Apostolos Beloukas, Kareem Hatam-Nahavandi, Aleksandra Barac, Milad Shirvaliloo, Ehsan Ahmadpour
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Abstract

People living with HIV (PLWH) constitute a vulnerable population for acquiring additional sexually transmitted infections (STIs). This study was conducted to provide a summary of the evidence on the global prevalence of STIs in PLWH with an emphasis on infectious agents, diagnostic methods, and related risk factors. PubMed, Scopus, and Web of Science were systematically searched to include records published from January 01, 1990, to January 31, 2022, and the Google Scholar search engine was used to check the search strategy. In total, 132 eligible studies reporting STIs in PLWH were included, enrolling subjects from 35 countries across five continents. The pooled proportion of STIs was estimated to be 30.23% (95% CI, 26.1-34.45%) in PLWH and 20.01% (95% CI, 17.17-23.01%) in HIV-negative patients. Our meta-analysis indicated that in PLWH, the pooled OR of STIs compared to HIV-negatives was 1.77 (95% CI: 1.58-1.98) (p < 0.0001). The pooled OR of STIs by viral infectious agents was highest in PLWH (52.19% [95% CI: 43.88-60.43]) compared with fungal (22.19% [95% CI: 15.64-29.53]), bacterial (19.07% [95% CI: 13.59-26.63]), and parasitic (14.05% [95% CI: 11.88-16.38]) infections. Our findings show that there is a rather significant frequency of STIs among PLWH. This study highlights the need for new programs for the detection, treatment, and prevention of STIs in this at-risk population.

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艾滋病毒感染者性传播感染全球流行率及相关风险因素的系统综述和荟萃分析。
艾滋病毒感染者(PLWH)是易感染其他性传播感染(STIs)的人群。本研究旨在总结PLWH中性传播感染全球流行的证据,重点介绍传染源、诊断方法和相关风险因素。对PubMed、Scopus和Web of Science进行了系统搜索,以包括1990年1月1日至2022年1月31日发表的记录,并使用谷歌学者搜索引擎检查搜索策略。总共纳入了132项报告PLWH中性传播感染的合格研究,招募了来自五大洲35个国家的受试者。PLWH中性传播感染的合并比例估计为30.23%(95%CI,26.1-34.45%),HIV阴性患者中为20.01%(95%CI,17.17-23.01%)。我们的荟萃分析表明,在PLWH中,与HIV阴性相比,性传播感染的合并OR为1.77(95%CI:1.58-1.98)(p<0.0001)。与真菌(22.19%[95%CI:15.64-29.53])、细菌(19.07%[95%CI:12.59-26.63])和寄生虫(14.05%[95%CI[11.88-16.38])感染相比,PLWH中病毒感染源的性传播感染合并OR最高(52.19%[95%CI:43.88-60.43])。我们的研究结果表明,PLWH中性传播感染的频率相当高。这项研究强调了在这一高危人群中检测、治疗和预防性传播感染的新计划的必要性。
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来源期刊
AIDS reviews
AIDS reviews 医学-传染病学
CiteScore
3.40
自引率
4.50%
发文量
41
审稿时长
>12 weeks
期刊介绍: AIDS Reviews publishes papers reporting original scientific, clinical, epidemiologic and social research which contribute to the overall knowledge of the field of the acquired immunodeficiency syndrome and human retrovirology. Currently, the Journal publishes review articles (usually by invitation, but spontaneous submitted articles will also be considered). Manuscripts submitted to AIDS Reviews will be accepted on the understanding that the authors have not submitted the paper to another journal or published the material elsewhere.
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