INCIDENCE OF SEXUALLY TRANSMITTED INFECTIONS: LOCAL STUDY IN UKRAINE

Fedorych P. V.; Mavrov G. I.

doi:10.31435/rsglobal_ws/30082018/6059

Fedorych P. V. MD, PhD., Ukrainian Military Medical Academy, Kyiv, Ukraine
Mavrov G. I. MD, D.Sc., Institute of Dermatology and Venereology of the National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine

DOI: https://doi.org/10.31435/rsglobal_ws/30082018/6059

Keywords: sexually transmitted infections, genitourinary infections, prevalence, incidence

Abstract

Introduction.The structure of incidence of sexually transmitted infections is changing constantly. Information on such changes supports correct planning of clinical and diagnostic activities of institutions providing specialized medical care by qualified specialists.
Objective:to investigate the prevalence of sexually transmitted infections with pathogens clinically significant to the genitourinary system in Ukraine and at the local level.
Materials and methods. Polymerase chain reaction was used to test the biological material obtained from the genitourinary clinical specimens from subjects with sexually transmitted infections, who underwent clinical and laboratory examinations in Oleksandrivsk Clinical Hospital (Kyiv, Ukraine) for Chlamydia trachomatis, Mycoplasma hominis, Mycoplasma genitalium, Ureaplasma urealyticum, Trichomonas vaginalis, Human papillomavirus, and Neisseria gonorrhoea. During 2017, 607 subjects of both genders, including 295 (48.6%) females and 312 (51.4%) males, were examined. Their mean age was 32±3.5.
Findings. Chlamydia trachomatis was found in 159 (26.2%) of 607 examined subjects – 85 males and 74 females. Mycoplasma hominis was found in 122 of 585 (21.1%) examined subjects – 64 males and 58 females. Mycoplasma genitalium, respectively, in 17 (6.62%) of 258 subjects – 6 males and 11 females. Ureaplasma urealyticum was found in the largest number of subjects (305, i.e. in 48.77% of 601 examined subjects) – 157 males and 148 females. Trichomonas vaginalis was found in 28 (5.23%) of 535 subjects – 15 males and 13 females. Human papillomavirus was found in 158 of 297 (53.2%) examined subjects – 88 males and 70 females. Neisseria gonorrhea was found in 33 of 297 (8.45%) subjects – 8 males and 25 females.
Conclusions. As suggested by the local study of the sexually transmitted infections incidence in Ukraine, the most clinically significant for the genitourinary system are Human papillomavirus (53.2%), Ureaplasma urealyticum (48.77%), Chlamydia trachomatis (26.2%) and Mycoplasma hominis (21.1%). Therefore, tests for these pathogens in the specified region is currently the most appropriate during diagnostic examinations and counselling of subjects with genitourinary infections.

References

Adaskevich V. P. Sexually transmitted infections. / V. P. Adaskevich. – М.: Medical Book. – 2006. – 425 p.

Integrated treatment of genitourinary chlamydial and mycoplasma infection: guidelines/ SI Institute of Dermatology and Venereology of the National Academy of Medical Sciences of Ukraine [et al.]; originators: Mavrov G. I., Bondarenko G. M., Nikitenko I. M., Ivashchenko L. V. - К., 2010. - 20 p.:

Mavrov I. I. Sexually transmitted diseases. / I. I. Mavrov – М.: AST-PRESS BOOK, 2002. – 752 p.: fig. – (Medical Encyclopedia).

Mavrov I. I. Unification of laboratory research methods in the diagnosis of sexually transmitted diseases. / I. I. Mavrov, O. P. Belozorov, L. S. Tatska. – Kh.: Fact. – 2000. – 120 p

Mavrov G. I., Nagorniy A. Ye., Chinov G. P. Sexually Transmitted Infections and the Problem of Sexual

and Reproductive Health. Klinichna imunolohiya. Alerholohiya. Infektolohiya, - 2010.- No. 1.- P. 5-15.

Fedorych P. V. Specifics of sexually transmitted infections in Ukraine / P. V. Fedorych – Ukrainian Medical Journal Therapia. – 2013. – 7-8 (82). – P. 62 – 63.

Fedorych P. V. Determining the prevalence of genitourinary infections caused by Giardia lamblia in patients with mainly sexually transmitted infections / P. V. Fedorych, S. B. Zelenyi, L. Ya. Fedorych, Kh. I. Shekhovtsova – Ukrainian Journal of Dermatology, Venereology, Cosmetology. – 2015. – No. 2(5). – P. 67 – 70.

Fedorych P . V . Urogenital trichomoniasis: reconceptualization /P . V . Fedorych // Dermatology and venereology. - No. 4 (78). – 2017. – P. 12 – 16.

Development of PCR Assays for Detection of Trichomonas vaginalis in Urine Specimens / C. I. Bandea, K. Joseph, Secora, E. W., et al // Journal of Clinical Microbiology.-2013.- Vol.51.-No.4.- P.1298–1300).