title: Sexually Transmitted Infections: Experience in a Multidisciplinary Clinic in a Tertiary Hospital (2010-2013).
abstract: BACKGROUND
  The number of consultations for sexually transmitted infections (STIs) is increasing in Spain. The aim of this study was to describe and analyze the epidemiological, behavioral, clinical, and microbiological characteristics of patients registered at the STI unit of a tertiary hospital.
  
  
  METHODS
  This was a retrospective, single-center descriptive study carried out between 2010 and 2013 in a multidisciplinary unit specialized in STIs, situated in a tertiary hospital. Epidemiological, clinical, and behavioral data were gathered using a face-to-face interview and a standardized questionnaire. Samples were collected for microbiology analysis.
  
  
  RESULTS
  The study included 546 patients: 96% were men, 41% had human immunodeficiency virus (HIV) infection, and 56% were men who have sex with men. The reasons for consultation were the following: urethritis; genital, anal, or perianal ulcers; proctitis; oral ulcers; sexual contact with a person with a known STI; and high-risk sexual contact. The most common microbiological diagnoses were Neisseria gonorrhoeae in urethritis, Treponema pallidum in genital and anal or perianal ulcers, and Chlamydia trachomatis lymphogranuloma venereum serovars in proctitis. The highest prevalences of the main STIs studied occurred in homosexual men with HIV infection.
  
  
  CONCLUSIONS
  This study confirms the increase in the incidence of STIs in recent years and the epidemiological characteristics of the HIV/STI epidemic in Spain.
authors.affiliation: Servicio de Dermatología, Hospital Clínic, Universitat de Barcelona, Barcelona, España.
authors.forename: N
authors.initials: N
authors.lastname: Moreno-Ribera
authors.affiliation: Servicio de Dermatología, Hospital Clínic, Universitat de Barcelona, Barcelona, España.
authors.forename: I
authors.initials: I
authors.lastname: Fuertes-de Vega
authors.affiliation: Servicio de Enfermedades Infecciosas, Hospital Clínic, Universitat de Barcelona, Barcelona, España.
authors.forename: J L
authors.initials: JL
authors.lastname: Blanco-Arévalo
authors.affiliation: Servicio de Microbiología, Hospital Clínic, Universitat de Barcelona, Barcelona, España.
authors.forename: J
authors.initials: J
authors.lastname: Bosch-Mestres
authors.affiliation: Servicio de Enfermedades Infecciosas, Hospital Clínic, Universitat de Barcelona, Barcelona, España.
authors.forename: A
authors.initials: A
authors.lastname: González-Cordón
authors.affiliation: Servicio de Dermatología, Hospital Clínic, Universitat de Barcelona, Barcelona, España.
authors.forename: T
authors.initials: T
authors.lastname: Estrach-Panella
authors.affiliation: Servicio de Epidemiología, Agencia de Salud Pública de Barcelona, Barcelona, España.
authors.forename: P
authors.initials: P
authors.lastname: García-de Olalla
authors.affiliation: Servicio de Dermatología, Hospital Clínic, Universitat de Barcelona, Barcelona, España. Electronic address: malsina@clinic.ub.es.
authors.forename: M
authors.initials: M
authors.lastname: Alsina-Gibert
mesh_terms: D002690:Chlamydia Infections / Q000453:epidemiology; D005260:Female; D006069:Gonorrhea / Q000453:epidemiology; D015658:HIV Infections / Q000453:epidemiology; D006716:Homosexuality; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D012307:Risk Factors; D012749:Sexually Transmitted Diseases / Q000175:diagnosis / Q000453:epidemiology*; D013030:Spain / Q000453:epidemiology; D013587:Syphilis / Q000453:epidemiology; D062606:Tertiary Care Centers
keywords: Human immunodeficiency virus; Infecciones de transmisión sexual; Sexually transmitted infections; Sexually transmitted infections clinic; Syphilis; Sífilis; Unidad de infecciones de transmisión sexual; Virus de la inmunodeficiencia humana