Sexually transmitted diseases and its de terminants

four years of sentinel Surveillanceina medical centerin The State of Amazonas–Brazil

Abstract

Introduction: although they achieve enormous magnitude and transcendence, the information about STD other than HIV/aids available is very limited in most countries, so, one needs to seek information in sentinel surveillance centers or get them through prevalence surveys. Presents the experience of 4 years of a sentinel surveillance center. Objective: the aim of this study was to describe the epidemiological profile of the main sexually transmitted diseases in a sentinel surveillance center. Methods: cross-sectional study using a secondary analytical component of the database SIVADST. The study included 14,338 people who were seen at Fundação Alfredo da Matta between 2005-2008, and evaluated using the syndromic approach to etiology and to the nine most common STD. The diagnosis of genital warts and genital herpes were performed by clinical examination. All patients underwent testing VDRL and HIV testing was offered. Results: 9,346 individuals were diagnosed with at least one STD. Men predominated (58.5%). Genital warts were the most common STD (41.2%) and viral infections accounted for 73%. The trend was downward for gonorrhea, chancroid and trichomoniasis; stable for syphilis, herpes and warts and increased to HIV. The main predictors were: adolescence, being male, brown skin and not residing in Manaus. Conclusion: the study highlights the importance of investing these activities, to have reliable information about STD, the load they present to health services and needs in response to its prevention and control.