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Sexually transmitted infections in the elderly: A 6-year retrospective study in a tertiary care hospital in New Delhi
BACKGROUND: Worldwide, a steady rise in the incidence of sexually transmitted infections (STIs) in the elderly has been reported and is attributed to aging, unsafe sexual practices, and delayed health-care seeking behavior, leading to a delayed diagnosis and persistence of infection in the community...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8628091/ https://www.ncbi.nlm.nih.gov/pubmed/34909619 http://dx.doi.org/10.4103/ijstd.IJSTD_60_20 |
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author | Relhan, Vineet Bansal, Anuva Hegde, Pallavi Sahoo, Bijaylaxmi |
author_facet | Relhan, Vineet Bansal, Anuva Hegde, Pallavi Sahoo, Bijaylaxmi |
author_sort | Relhan, Vineet |
collection | PubMed |
description | BACKGROUND: Worldwide, a steady rise in the incidence of sexually transmitted infections (STIs) in the elderly has been reported and is attributed to aging, unsafe sexual practices, and delayed health-care seeking behavior, leading to a delayed diagnosis and persistence of infection in the community. The aim of this study was to assess the demographic profile, risk factors, and clinical pattern of geriatric STIs. AIMS: The aim of the study was to assess the demographic profile, risk factors, and clinical pattern of STIs among patients aged ≥60 years presenting to the STI clinic in the dermatology outpatient department at a large tertiary care hospital in New Delhi, over a period of 6 years. MATERIALS AND METHODS: This was a retrospective observational study. Data collection was done for all patients of 60 years and above age group who visited the STI clinic in the dermatology outpatient department, over a period of past 6 years, with symptoms/signs suggestive of an STI, irrespective of whether the final evaluation demonstrated an STI. RESULTS: A total number of 123 patients above 60 years of age presented to the STI clinic between 2013 and 2018. The cases presenting annually demonstrated a rising trend and increased from 17 cases in 2013 to 33 in 2018. The most common complaints were ulcers over the genitalia and genital discharge noted in 28.4% of cases each. The most common syndromic diagnosis was vaginal discharge in 25% of cases. Other STDs diagnosed were candidial balanoposthitis in 19.5%, herpes genitalis and genital warts in 16.2% each, and genital scabies in 6.5% cases. LIMITATIONS: The limitations included a small sample size, retrospective analysis, and categorization of the STDs as syndromes, following standard guidelines developed by the National Aids Control Organization (NACO) and the WHO. CONCLUSION: It is necessary to destigmatize STDs among the elderly, encourage inclusion in screening programs, and offer prompt diagnosis and treatment. |
format | Online Article Text |
id | pubmed-8628091 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-86280912021-12-13 Sexually transmitted infections in the elderly: A 6-year retrospective study in a tertiary care hospital in New Delhi Relhan, Vineet Bansal, Anuva Hegde, Pallavi Sahoo, Bijaylaxmi Indian J Sex Transm Dis AIDS Original Article BACKGROUND: Worldwide, a steady rise in the incidence of sexually transmitted infections (STIs) in the elderly has been reported and is attributed to aging, unsafe sexual practices, and delayed health-care seeking behavior, leading to a delayed diagnosis and persistence of infection in the community. The aim of this study was to assess the demographic profile, risk factors, and clinical pattern of geriatric STIs. AIMS: The aim of the study was to assess the demographic profile, risk factors, and clinical pattern of STIs among patients aged ≥60 years presenting to the STI clinic in the dermatology outpatient department at a large tertiary care hospital in New Delhi, over a period of 6 years. MATERIALS AND METHODS: This was a retrospective observational study. Data collection was done for all patients of 60 years and above age group who visited the STI clinic in the dermatology outpatient department, over a period of past 6 years, with symptoms/signs suggestive of an STI, irrespective of whether the final evaluation demonstrated an STI. RESULTS: A total number of 123 patients above 60 years of age presented to the STI clinic between 2013 and 2018. The cases presenting annually demonstrated a rising trend and increased from 17 cases in 2013 to 33 in 2018. The most common complaints were ulcers over the genitalia and genital discharge noted in 28.4% of cases each. The most common syndromic diagnosis was vaginal discharge in 25% of cases. Other STDs diagnosed were candidial balanoposthitis in 19.5%, herpes genitalis and genital warts in 16.2% each, and genital scabies in 6.5% cases. LIMITATIONS: The limitations included a small sample size, retrospective analysis, and categorization of the STDs as syndromes, following standard guidelines developed by the National Aids Control Organization (NACO) and the WHO. CONCLUSION: It is necessary to destigmatize STDs among the elderly, encourage inclusion in screening programs, and offer prompt diagnosis and treatment. Wolters Kluwer - Medknow 2021 2021-09-24 /pmc/articles/PMC8628091/ /pubmed/34909619 http://dx.doi.org/10.4103/ijstd.IJSTD_60_20 Text en Copyright: © 2021 Indian Journal of Sexually Transmitted Diseases and AIDS https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Relhan, Vineet Bansal, Anuva Hegde, Pallavi Sahoo, Bijaylaxmi Sexually transmitted infections in the elderly: A 6-year retrospective study in a tertiary care hospital in New Delhi |
title | Sexually transmitted infections in the elderly: A 6-year retrospective study in a tertiary care hospital in New Delhi |
title_full | Sexually transmitted infections in the elderly: A 6-year retrospective study in a tertiary care hospital in New Delhi |
title_fullStr | Sexually transmitted infections in the elderly: A 6-year retrospective study in a tertiary care hospital in New Delhi |
title_full_unstemmed | Sexually transmitted infections in the elderly: A 6-year retrospective study in a tertiary care hospital in New Delhi |
title_short | Sexually transmitted infections in the elderly: A 6-year retrospective study in a tertiary care hospital in New Delhi |
title_sort | sexually transmitted infections in the elderly: a 6-year retrospective study in a tertiary care hospital in new delhi |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8628091/ https://www.ncbi.nlm.nih.gov/pubmed/34909619 http://dx.doi.org/10.4103/ijstd.IJSTD_60_20 |
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