Email this article 
Post a Comment Influence of some socio-behavioral and medical factors on probability of developing gonococcal infection
- Authors: Rumyantseva M.A.1, Isaeva N.V.2
-
Affiliations:
- Regional Clinical Dermatovenerological Dispensary
- E.A. Vagner Perm State Medical University
- Issue: Vol 36, No 6 (2019)
- Pages: 64-71
- Section: Preventive and social medicine
- URL: https://journals.rcsi.science/PMJ/article/view/19249
- DOI: https://doi.org/10.17816/pmj36664-71
- ID: 19249
Cite item
Full Text
Abstract
Aim. To analyze and assess the influence of some socio-behavioral and medical factors on probability of developing gonococcal infection
Materials and methods. The study was carried out among the patients of State Budgetary Institution of Healthcare of Perm Krai “Regional Clinical Dermatovenerologic Dispensary”. It involved 292 persons. To evaluate the influence of socio-behavioral and medical factors on gonococcal infection sickness rate, the ratio of odds to 95% confidence interval was calculated. Multinominal logit and multi-factor correlation regression analysis were used. Nonparametric criteria χ² were applied to compare quantitative signs.
Results. The factors, influencing the development of gonococcal infection were determined. Socio-behavioral factors – absence of work, early onset of sexual life, use of psychoactive substances – elevate the risk of gonococcal infection development by 2.4–4.8 times. The most significant medical factors – untimely visit to a doctor, full elimination of causative agent after treatment – the first dispensary examination, on the day 14th after full elimination of causative agent – the second dispensary examination that increases risk for development of gonococcal infection by 1.15–7.65 times. Significance of the following factors was stated: age and family status; the younger is respondent, the higher is morbidity risk; the same situation is observed when there is no a constant sexual partner. When comparing persons with a single episode of disease and those who were ill twice and more frequently, the most essential factors were registration at detmatovenerologic dispensary, elimination of causative agent, deregistration on the day 42nd after elimination of causative agent, indication of source of disease, examination of sexual partners, treatment of sexual partners, examination and treatment of partners.
Conclusions. The priority risk factors were the following: socio-behavioral – nonworking persons, who started their sexual life early (under 16) and use psychoactive substances. Medical risk factors: full elimination of causative agent after antibiotic therapy (Clinical Recommendations of Russian Society of Dermatovenerologists and Cosmetologists) – the first dispensary examination, and the day 14th after confirmed full elimination of causative agent – the second dispensary examination.
Full Text
##article.viewOnOriginalSite##About the authors
M. A. Rumyantseva
Regional Clinical Dermatovenerological Dispensary
Author for correspondence.
Email: mashagreat@mail.ru
врач дерматовенеролог ГБУЗ ПК КККВД
Russian Federation, PermN. V. Isaeva
E.A. Vagner Perm State Medical University
Email: mashagreat@mail.ru
зав.каф. общественного здоровья и здравоохранения №1
Russian Federation, PermReferences
- Акимов В.Г. Дерматовенерология: нац. руководство. М.: ГЭОТАР-Медиа 2013; 896.
- Анисимова Е.Н. Диагностика гонококковой инфекции в Красноярском крае. Российский журнал кожных и венерических болезней 2013; 1: 59–61.
- Воробьев Д.В. NG-MAST-генотипирование штаммов Neisseria gonorrhoeae, выделенных на территории Российской Федерации в 2012–2015 годах. Журнал микробиологии, эпидемиологии и иммунологии 2016; 4: 42–50.
- Елькин В.Д. Анализ многолетней динамики заболеваемости гонореей в Пермском крае. Практическая медицина 2009; 37 (5): 106–108.
- Костюкова Н.Н., Бехало В.А. Молекулярно-биологические основы патогенности гонококков и особенности иммунного ответа. Журнал микробиологии, эпидемиологии и иммунобиологии 2006; 1: 105–112.
- Кубанов А.А. Разработка и оценка эффективности комплекса профилактических мероприятий по предупреждению распространения гонококковой инфекции в Архангельской области. Вестник дерматологии и венерологии 2014; 2: 16–25.
- Максимова А.А. Пути оптимизации диагностики и антибактериальной терапии гонококковой инфекции: дис. … канд. мед. наук. СПб. 2009; 151.
- Пивень Н.П., Галлямова Ю.А., Кардашова З.З. Проблемы этики и права с позиции больных ИППП. Российский журнал кожных и венерических болезней 2005; 3: 53–54.
- Рахматулина М.Р., Шашкова А.А. Инфекции, передаваемые половым путем, и их влияние на репродуктивное здоровье детей и подростков. Вестник дерматологии и венерологии 2013; 4: 30–37.
- Хрянин A.A. Распространенность хламидийной и гонококковой инфекций в зависимости от сексуального поведения женщин. Акушерство и гинекология 2004; 4: 44–47.
- Шпилевая М.В., Образцова О.А., Честков А.В. Использование методов генотипирования Neisseria gonorrhoeae. Вест- ник дерматологии и венерологии 2015; 6: 33–40.
- Яковлев С.В., Кисина В.И., Колиева Г.Л. Эпидемиология гонококковой инфекции и клиническое значение устойчивости Neisseria gonorrhoeae к фторхинолонам. Обзор литературы. Инфекции, передаваемые половым путем 2003; 2: 4–15.
Supplementary files
