Evidence map›Paper›PMID 41436942›Full record

ArticleBMC infectious diseases2025

Retrospective analysis of sexually transmitted infections among people living with HIV and pre-exposure prophylaxis users in Spain.

María Del Mar Arcos-Rueda, Luis Ramos-Ruperto, Carmen Busca, Alejandro de Gea Grela, Fernando Fernández-Hinojal, Ana Delgado Hierro, Inmaculada Quiles-Melero, Alfredo Maldonado-Barrueco, Rafael Mican, Luz Martin-Carbonero and 1 more

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Article in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

María Del Mar Arcos-Rueda *HIV Unit, Internal Medicine Department, Hospital Universitario La Paz-Carlos IIIIdiPAZ, Madrid, Spain. mariadelmar.arcos@salud.madrid.org.
Luis Ramos-Ruperto *HIV Unit, Internal Medicine Department, Hospital Universitario La Paz-Carlos IIIIdiPAZ, Madrid, Spain.
Carmen BuscaHIV Unit, Internal Medicine Department, Hospital Universitario La Paz-Carlos IIIIdiPAZ, Madrid, Spain.
Alejandro de Gea GrelaHIV Unit, Internal Medicine Department, Hospital Universitario La Paz-Carlos IIIIdiPAZ, Madrid, Spain.
Fernando Fernández-HinojalHIV Unit, Internal Medicine Department, Hospital Universitario La Paz-Carlos IIIIdiPAZ, Madrid, Spain.
Ana Delgado HierroHIV Unit, Internal Medicine Department, Hospital Universitario La Paz-Carlos IIIIdiPAZ, Madrid, Spain.
Inmaculada Quiles-MeleroClinical Microbiology Department, Hospital Universitario La Paz-Carlos III. IdiPAZ, Madrid, Spain.
Alfredo Maldonado-BarruecoClinical Microbiology Department, Hospital Universitario La Paz-Carlos III. IdiPAZ, Madrid, Spain.
Rafael MicanHIV Unit, Internal Medicine Department, Hospital Universitario La Paz-Carlos IIIIdiPAZ, Madrid, Spain.
Luz Martin-CarboneroHIV Unit, Internal Medicine Department, Hospital Universitario La Paz-Carlos IIIIdiPAZ, Madrid, Spain.
Jose Ignacio BernardinoHIV Unit, Internal Medicine Department, Hospital Universitario La Paz-Carlos IIIIdiPAZ, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to compare the frequency and characteristics of sexually transmitted infections (STI) between people with HIV (PWH) and pre-exposure prophylaxis (PrEP) users.

methodsA retrospective analysis was conducted using nucleic acid amplification techniques (NAAT) for Neisseria gonorrhoeae, Chlamydia trachomatis, and Mycoplasma genitalium in rectal, urine, and pharyngeal samples, as well as serological tests for syphilis. The samples were collected and analysed as part of routine clinical care and sent to the microbiology department between Jan 1 2023, and May 31 2023. Multivariable logistic regression was performed to identify factors associated with STI diagnosis; adjusted odds ratios (aOR) and 95% confidence intervals (CI) were reported.

resultsA total of 459 samples from 450 participants (277 PWH and 173 on PrEP) were included in the analysis. Overall, 144 (32%) participants tested positive for at least one STI. PrEP users had a lower median age (35 vs. 42 years; p < 0.01), were more frequently born in Spain (77.5% vs. 57.6%; p < 0.01), had a higher level of education (university 62.4% vs. 48.4%; p < 0.01), and had a higher prevalence of chemsex use (18.4% vs. 12.9%; p < 0.01). The prevalence of STIs was significantly higher among the PrEP users (38.2% vs. 28.2%; p = 0.027). However, this difference was insignificant after multivariable adjustment (aOR 1.09, 95% CI 0.6–1.7). Neisseria gonorrhoeae was the most common pathogen among PrEP users, while Chlamydia trachomatis and Mycoplasma genitalium were more frequent in PWH. Independent factors associated with STI diagnosis included chemsex use (aOR 1.9, 95% CI 1.1–3.3) and higher educational level (aOR 2.4, 95% CI 1.7–3.4).

conclusionSTIs were commonly diagnosed among PWH and PrEP users, particularly in individuals engaging in chemsex. The different bacterial profiles of STI between PWH and PrEP users underline the importance of continuous STI surveillance. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

HIV InfectionsPre-Exposure ProphylaxisSexually Transmitted DiseasesAdultChemsexChlamydia trachomatisFemaleHumansMaleMiddle AgedMycoplasma genitaliumNeisseria gonorrhoeaeRetrospective StudiesSpainYoung Adult

Identifiers

PMID41436942
PMCPMC12837009

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