A Study of Prevalence and Clinical Profile of Syphilis among Men who have Sex with Men (MSM)

Neikhrielie Khro, (2020) A Study of Prevalence and Clinical Profile of Syphilis among Men who have Sex with Men (MSM). Masters thesis, Coimbatore Medical College, Coimbatore.


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BACKGROUND: Men who have sex with men (MSM) are high risk group typically because of their polygamous sexual lifestyle and the pattern and route of sex they engage themselves in. Therefore they are prone to acquire and transmit all sexually transmitted diseases including syphilis. Lately there is a resurgence of syphilis among these group of people. If left untreated, syphilis can practically involve any organ in the body causing various complications so a thorough study is needed to estimate the prevalence of syphilis among these men and treat accordingly. AIM OF THE STUDY: To study the prevalence, epidemiology and various clinical features of syphilis in men who have sex with men (MSM). MATERIALS AND METHODS: 50 male patients above 18 years of age who have sexual intercourse with same sex were selected from STD clinic, Dermatology Department Coimbatore Medical College Hospital over one year from June 2018 to May 2019. A written informed consent followed by detailed history including age, sex, education, occupation, marital status, sexual behaviours, previous venereal diseases and treatment taken were recorded. General and a thorough clinical examination was also done in all the patients. Any skin lesions or genital ulcers were also recorded. All patients were screened with ICTC and RPR. All RPR positive cases were confirmed with TPHA serology. RESULTS: Out of 50 MSM patients included in the study, 62% patients were in the age group of 20-30 years and 33 patients (66%) were diagnosed as a case of syphilis. The most common age group affected by syphilis was again in the age group of 20-30 years (75.7%). Students (63.6%) were the most common affected occupation with syphilis in the study. Among the MSM affected with syphilis, partner status was unknown in 66.7% of the cases and unprotected oroanoinsertive sex was found to be the most common route of sexual intercourse. Papular syphilide was also found to be the most common skin rash of secondary stage of syphilis in this study. CONCLUSION: Syphilis is on the rise among MSM and there is a need for breaking this chain by early diagnosis and treatment. Partner notification, consistent and proper use of condom, and avoiding multiple partners also play very important role in preventing transmission of the disease. Today, a treating physician should always keep in mind the high prevalence rate of syphilis among this group and necessary steps should be taken as and when needed.

Item Type: Thesis (Masters)
Additional Information: 201730202
Uncontrolled Keywords: Men who have sex with men (MSM), Rapid plasma reagin test (RPR), Treponema pallidum haemagglutination assay (TPHA), ICTC.
Subjects: MEDICAL > Dermatology Venereology and Leprosy
Depositing User: Subramani R
Date Deposited: 05 Feb 2021 03:02
Last Modified: 05 Feb 2021 03:02
URI: http://repository-tnmgrmu.ac.in/id/eprint/13880

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