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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Background and objectives</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Recent years have seen a resurgence of syphilis in Spain due to changes in sexual behavior&#46; Here we describe the incidence of the disease in our clinic and investigate its relationship with the sexual habits of men who have sex with men &#40;MSM&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A cross-sectional descriptive study of incident cases of syphilis in 2007 and 2008 was performed&#44; followed by a case-control study of sexual behavior in the previous year to compare MSM with and without syphilis&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">We recorded 26 new cases of syphilis&#44; 19 of which were diagnosed at early stages&#46; Eight patients were infected with human immunodeficiency virus and 15 were classed as MSM&#46; Sixty-five MSM without syphilis were selected as a control group&#46; MSM with syphilis had a larger number of sexual partners&#58; odds ratio &#40;OR&#41;&#44; 3&#46;98 &#40;95&#37; confidence interval &#91;CI&#93;&#44; 0&#46;90&#8211;17&#46;46&#41; for the category &#8220;2 to 5 sexual partners&#8221;&#59; OR&#44; 3&#46;22 &#40;95&#37; CI&#44; 0&#46;84&#8211;12&#46;43&#41; for the category &#8220;more than 5 sexual partners&#8221;&#46; The inconsistent use of condoms was significantly more common among MSM with syphilis than among those without syphilis &#40;OR&#44; 3&#46;96&#59; 95&#37; CI&#44; 1&#46;15&#8211;13&#46;61&#59; <span class="elsevierStyleItalic">P</span>&#61;&#46;02&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Syphilis continues to be a public health problem in our setting&#44; particularly among homosexual and bisexual men&#46; In this study&#44; inconsistent use of condoms and a greater number of sexual partners were risk factors for syphilis in MSM&#46; The development of prevention programs targeting this at-risk population should be considered a priority&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n y objetivos</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La s&#237;filis ha aumentado en Espa&#241;a en los &#250;ltimos a&#241;os&#44; debido a cambios en los h&#225;bitos sexuales&#46; Describimos la incidencia de s&#237;filis en nuestra consulta y estudiamos los h&#225;bitos sexuales de los hombres que tienen sexo con otros hombres &#40;HSH&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudio transversal descriptivo de los casos incidentes de s&#237;filis en los a&#241;os 2007 y 2008&#44; y estudio caso-control de los h&#225;bitos sexuales en el &#250;ltimo a&#241;o de los HSH diagnosticados o no de s&#237;filis&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Registramos 26 nuevos casos de s&#237;filis&#44; 19 de ellos en el estadio de s&#237;filis precoz&#46; 8 pacientes estaban infectados por el virus de la inmunodeficiencia humana y 15 eran HSH&#46; Como grupo control se seleccionaron 65 HSH sin s&#237;filis&#46; Demostramos un mayor n&#250;mero de parejas sexuales en los HSH afectos de s&#237;filis&#44; 3&#44;98 &#40;IC 95&#37; &#61; 0&#44;90&#8211;17&#44;46&#41; veces m&#225;s en la categor&#237;a &#171;entre 2 y 5 parejas&#187; y 3&#44;22 &#40;IC 95&#37; &#61; 0&#44;84&#8211;12&#44;43&#41; en la categor&#237;a de &#171;m&#225;s de 5 parejas&#187;&#46; En el apartado de uso de preservativo estas diferencias fueron significativas &#40;p &#61; 0&#44;02&#41;&#44; siendo 3&#44;96 veces superior &#40;IC 95&#37; &#61; 1&#44;15&#8211;13&#44;61&#41; el empleo inconstante del mismo en el grupo de HSH con s&#237;filis&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">La s&#237;filis contin&#250;a siendo un problema de salud p&#250;blica en nuestro medio&#44; particularmente entre homo y bisexuales&#46; El inconstante uso de preservativo y un mayor n&#250;mero de parejas sexuales son factores de riesgo de s&#237;filis en los HSH de nuestra serie&#46; Es prioritario desarrollar programas de prevenci&#243;n dirigidos a la poblaci&#243;n de riesgo&#46;</p>"
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                        "paginaInicial" => "94"
                        "paginaFinal" => "96"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The changing epidemiology of syphilis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "T&#46;A&#46; Peterman"
                            1 => "J&#46;D&#46; Heffelfinger"
                            2 => "E&#46;B&#46; Swint"
                            3 => "S&#46;L&#46; Groseclose"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Sex Transm Dis"
                        "fecha" => "2005"
                        "volumen" => "32"
                        "numero" => "10 Suppl"
                        "paginaInicial" => "4S"
                        "paginaFinal" => "10S"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reported sexually transmitted disease clinic attendance and sexually transmitted infections in Britain&#58; prevalence&#44; risk factors and proportionate population burden"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "K&#46;A&#46; Fenton"
                            1 => "C&#46;H&#46; Mercer"
                            2 => "A&#46;M&#46; Johnson"
                            3 => "C&#46;L&#46; Byron"
                            4 => "S&#46; McManus"
                            5 => "B&#46; Erens"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Infect Dis"
                        "fecha" => "2005"
                        "volumen" => "191"
                        "numero" => "1 Suppl"
                        "paginaInicial" => "127S"
                        "paginaFinal" => "138S"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Relationship between syphilis and HIV infections among men who have sex with men in Beijing&#44; China"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "Y&#46; Ruan"
                            1 => "D&#46; Li"
                            2 => "X&#46; Li"
                            3 => "H&#46; Quian"
                            4 => "Woman Shi"
                            5 => "X&#46; Zhang"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/01.olq.0000253336.64324.ef"
                      "Revista" => array:6 [
                        "tituloSerie" => "Sex Transm Dis"
                        "fecha" => "2007"
                        "volumen" => "34"
                        "paginaInicial" => "592"
                        "paginaFinal" => "597"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17325622"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Risk factors for early syphilis among gay and bisexual men seen in an STD clinic&#58; San Francisco&#44; 2002&#8211;2003"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "Woman Wong"
                            1 => "J&#46;K&#46; Chaw"
                            2 => "C&#46;K&#46; Kent"
                            3 => "J&#46;D&#46; Klausner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Sex Transm Dis"
                        "fecha" => "2005"
                        "volumen" => "32"
                        "paginaInicial" => "458"
                        "paginaFinal" => "463"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15976605"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Increase in condom use and decline in HIV and sexually transmitted diseases among female sex workers in Abidjan&#44; C&#244;te d&#8217;Ivoire&#44; 1991&#8211;1998"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46;D&#46; Ghys"
                            1 => "M&#46;O&#46; Diallo"
                            2 => "V&#46; Etti&#232;gne-Traor&#233;"
                            3 => "K&#46; Kal&#233;"
                            4 => "O&#46; Tawil"
                            5 => "Man Cara&#235;l"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "AIDS"
                        "fecha" => "2002"
                        "volumen" => "16"
                        "paginaInicial" => "251"
                        "paginaFinal" => "258"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11807310"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prevention of sexually transmitted diseases &#40;STDS&#41; in female sex workers&#58; prospective evaluation of condom promotion and strengthened STD services"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; S&#225;nchez"
                            1 => "P&#46;E&#46; Campos"
                            2 => "B&#46; Courtois"
                            3 => "L&#46; Guti&#233;rrez"
                            4 => "C&#46; Carrillo"
                            5 => "J&#46; Alarc&#243;n"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Sex Transm Dis"
                        "fecha" => "2003"
                        "volumen" => "30"
                        "paginaInicial" => "273"
                        "paginaFinal" => "279"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12671544"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Transmission of primary and secondary syphilis by oral sex-Chicago&#44; Illinois&#44;1998&#8211;2002&#46; Morbidity &#38; Mortality Weekly Report&#46; 2004&#59;53&#40;41&#41;&#46; Centers for Disease Control and Prevention &#40;CDC&#41;&#46;"
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A Systematic Review of Epidemiologic Studies Assessing Condom Use and Risk of Syphilis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46;A&#46; Koss"
                            1 => "E&#46;F&#46; Dunne"
                            2 => "L&#46; Warner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/OLQ.0b013e3181a396eb"
                      "Revista" => array:6 [
                        "tituloSerie" => "Sex Transm Dis"
                        "fecha" => "2009"
                        "volumen" => "36"
                        "paginaInicial" => "401"
                        "paginaFinal" => "405"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19455075"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reported condom use is not associated with incidence of sexually transmitted diseases in Malawi"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "T&#46;E&#46; Taha"
                            1 => "J&#46;K&#46; Canner"
                            2 => "J&#46;D&#46; Chiphangwi"
                            3 => "G&#46;A&#46; Dallabeta"
                            4 => "L&#46;P&#46; Yang"
                            5 => "L&#46;A&#46; Mtimavalye"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "AIDS"
                        "fecha" => "1996"
                        "volumen" => "10"
                        "paginaInicial" => "207"
                        "paginaFinal" => "212"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8838710"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0016510711023315"
                          "estado" => "S300"
                          "issn" => "00165107"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "From epidemiological synergy to public health policy and practice&#58; the contribution of other sexually transmitted diseases to sexual transmission of HIV infection"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46; Fleming"
                            1 => "J&#46; Wasserheit"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Sex Transm Infect"
                        "fecha" => "1999"
                        "volumen" => "75"
                        "paginaInicial" => "3"
                        "paginaFinal" => "17"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10448335"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A case- control study of syphilis among men who have sex with men in New York City&#58; Association with HIV infection"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "G&#46; Paz-Bailey"
                            1 => "A&#46; Meyers"
                            2 => "S&#46; Blank"
                            3 => "J&#46; Brown"
                            4 => "S&#46; Rubin"
                            5 => "J&#46; Braxton"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Sex Transm Dis"
                        "fecha" => "2004"
                        "volumen" => "31"
                        "paginaInicial" => "581"
                        "paginaFinal" => "587"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15388994"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Syphilis among female sex workers in Southwestern China&#58; potential for HIV transmission"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "Y&#46; Ruan"
                            1 => "X&#46; Cao"
                            2 => "H&#46; Qian"
                            3 => "L&#46; Zhang"
                            4 => "G&#46; Qin"
                            5 => "Z&#46; Jiang"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/01.olq.0000218881.01437.99"
                      "Revista" => array:7 [
                        "tituloSerie" => "Sex Transm Dis"
                        "fecha" => "2006"
                        "volumen" => "33"
                        "paginaInicial" => "719"
                        "paginaFinal" => "723"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16708055"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0016510710023035"
                          "estado" => "S300"
                          "issn" => "00165107"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Syphilis epidemics and human immunodeficiency virus &#40;HIV&#41; incidence among men who have sex with men in the United States&#58; Implications for HIV prevention"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "K&#46; Buchacz"
                            1 => "A&#46; Greenberg"
                            2 => "I&#46; Onorato"
                            3 => "R&#46; Janssen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Sex Transm Dis"
                        "fecha" => "2005"
                        "volumen" => "32"
                        "numero" => "10 Suppl"
                        "paginaInicial" => "73S"
                        "paginaFinal" => "79S"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Use of the serologic testing algorithm for recent HIV seroconversion&#40;STARHS&#41; to identify recently acquired HIV infections in men with early syphilis in Los Angeles County"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46;M&#46; Taylor"
                            1 => "K&#46; Hawkins"
                            2 => "A&#46; Gonz&#225;lez"
                            3 => "K&#46; Buchacz"
                            4 => "G&#46; Aynalem"
                            5 => "L&#46;V&#46; Smith"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Acquir Immune Defic Syndr"
                        "fecha" => "2005"
                        "volumen" => "38"
                        "paginaInicial" => "505"
                        "paginaFinal" => "508"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15793359"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "An outbreak of early syphilis&#58; cases from North Manchester General Hospital"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "H&#46;B&#46; Lacey"
                            1 => "S&#46;P&#46; Higgins"
                            2 => "D&#46; Graham"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Sex Transm Infect"
                        "fecha" => "2001"
                        "volumen" => "77"
                        "paginaInicial" => "311"
                        "paginaFinal" => "313"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11588269"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0016510708028472"
                          "estado" => "S300"
                          "issn" => "00165107"
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                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Outbreak of syphilis among men who have sex with men in Houston&#44;Texas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "G&#46; D&#8217;Souza"
                            1 => "J&#46;H&#46; Lee"
                            2 => "J&#46;M&#46; Paffel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/01.OLQ.0000091144.72555.13"
                      "Revista" => array:6 [
                        "tituloSerie" => "Sex Transm Dis"
                        "fecha" => "2003"
                        "volumen" => "30"
                        "paginaInicial" => "872"
                        "paginaFinal" => "873"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14646631"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
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Vol. 101. Núm. 10.
Páginas 847-852 (diciembre 2010)
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Vol. 101. Núm. 10.
Páginas 847-852 (diciembre 2010)
Original Article
Acceso a texto completo
Condom Use and Number of Sexual Partners among Male Syphilis Patients who Report Having Sex with Men
Uso de preservativo y número de parejas sexuales en hombres que tienen sexo con hombres con sífilis
Visitas
6071
B. Repisoa,
Autor para correspondencia
Brepiso@aedv.es

Corresponding author.
, M. Frieyroa, F. Rivas-Ruizb, M. De Troyaa
a Servicio de Dermatología, Empresa Pública Hospital Costa del Sol, Marbella, Málaga, Spain
b Unidad de Investigación, Empresa Pública Hospital Costa del Sol, Marbella, Málaga, Spain
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Abstract
Background and objectives

Recent years have seen a resurgence of syphilis in Spain due to changes in sexual behavior. Here we describe the incidence of the disease in our clinic and investigate its relationship with the sexual habits of men who have sex with men (MSM).

Patients and methods

A cross-sectional descriptive study of incident cases of syphilis in 2007 and 2008 was performed, followed by a case-control study of sexual behavior in the previous year to compare MSM with and without syphilis.

Results

We recorded 26 new cases of syphilis, 19 of which were diagnosed at early stages. Eight patients were infected with human immunodeficiency virus and 15 were classed as MSM. Sixty-five MSM without syphilis were selected as a control group. MSM with syphilis had a larger number of sexual partners: odds ratio (OR), 3.98 (95% confidence interval [CI], 0.90–17.46) for the category “2 to 5 sexual partners”; OR, 3.22 (95% CI, 0.84–12.43) for the category “more than 5 sexual partners”. The inconsistent use of condoms was significantly more common among MSM with syphilis than among those without syphilis (OR, 3.96; 95% CI, 1.15–13.61; P=.02).

Conclusions

Syphilis continues to be a public health problem in our setting, particularly among homosexual and bisexual men. In this study, inconsistent use of condoms and a greater number of sexual partners were risk factors for syphilis in MSM. The development of prevention programs targeting this at-risk population should be considered a priority.

Keywords:
Syphilis
Homosexuality
Sexual partners
Male condoms
Resumen
Introducción y objetivos

La sífilis ha aumentado en España en los últimos años, debido a cambios en los hábitos sexuales. Describimos la incidencia de sífilis en nuestra consulta y estudiamos los hábitos sexuales de los hombres que tienen sexo con otros hombres (HSH).

Pacientes y métodos

Estudio transversal descriptivo de los casos incidentes de sífilis en los años 2007 y 2008, y estudio caso-control de los hábitos sexuales en el último año de los HSH diagnosticados o no de sífilis.

Resultados

Registramos 26 nuevos casos de sífilis, 19 de ellos en el estadio de sífilis precoz. 8 pacientes estaban infectados por el virus de la inmunodeficiencia humana y 15 eran HSH. Como grupo control se seleccionaron 65 HSH sin sífilis. Demostramos un mayor número de parejas sexuales en los HSH afectos de sífilis, 3,98 (IC 95% = 0,90–17,46) veces más en la categoría «entre 2 y 5 parejas» y 3,22 (IC 95% = 0,84–12,43) en la categoría de «más de 5 parejas». En el apartado de uso de preservativo estas diferencias fueron significativas (p = 0,02), siendo 3,96 veces superior (IC 95% = 1,15–13,61) el empleo inconstante del mismo en el grupo de HSH con sífilis.

Conclusiones

La sífilis continúa siendo un problema de salud pública en nuestro medio, particularmente entre homo y bisexuales. El inconstante uso de preservativo y un mayor número de parejas sexuales son factores de riesgo de sífilis en los HSH de nuestra serie. Es prioritario desarrollar programas de prevención dirigidos a la población de riesgo.

Palabras clave:
Sífilis
Homosexualidad
Parejas sexuales
Preservativo masculino
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References
[1.]
Vigilancia Epidemiológica de las Infecciones de Transmisión Sexual 1995–2006.Publicación del Instituto Carlos III, Dic 2007. Available from: http://www.isciii.es/htdocs/pdf/its.pdf.
[2.]
Las infecciones de transmisión sexual. Informe 2007. Monografia Vol 13, n.o 1. Publicación del Sistema de Vigilancia Epidemiológica de Andalucía. Available from: http://www.juntadeandalucia.es/salud/servicios/contenidos/andaluciaessalud/docs/73/MONOGRAFIA20ITS20200820vol201320n201.pdf.
[3.]
M.V. Barrera, R.J. Bosch, Man Mendiola, Man Frieyro, R Castillo.
Reactivación de la sífilis en Málaga.
Actas Dermosifiliogr, 97 (2006), pp. 323-326
[4.]
Instituto Nacional de Estadística. Revisión del Padrón municipal 2008. [cited 2009 Jul 7]. Available from: http://www.ine.es/taxi/tabla.do.
[5.]
E. Perea-Milla, S.M. Pons, F. Rivas-Ruiz, A. Gallofre, E.N. Jurado, M.A. Ales, et al.
Estimation of the real population and its impact on the utilisation of healthcare services in Mediterranean resort regions: an ecological study.
BMC Health Serv Res, 7 (2007), pp. 13
[6.]
Informe Semanal SVEA (Sistema de Vigilancia Epidemiológica de Andalucía). Vol 13, no. 13. Available from: http://www.csalud.junta-andalucia.es/principal/documentos.asp?pagina=profesionales_vigilancia.
[7.]
Man Vall Mayans, Man Casals, A. Vives, E. Loureiro, P. Armengol, B. Sanz.
Reemergencia de la sífilis infecciosa en varones homosexuales y coinfección por el virus de la inmunodeficiencia humana en Barcelona, 2002–2003.
Med Clin (Barc), 126 (2006), pp. 94-96
[8.]
T.A. Peterman, J.D. Heffelfinger, E.B. Swint, S.L. Groseclose.
The changing epidemiology of syphilis.
Sex Transm Dis, 32 (2005), pp. 4S-10S
[9.]
K.A. Fenton, C.H. Mercer, A.M. Johnson, C.L. Byron, S. McManus, B. Erens, et al.
Reported sexually transmitted disease clinic attendance and sexually transmitted infections in Britain: prevalence, risk factors and proportionate population burden.
J Infect Dis, 191 (2005), pp. 127S-138S
[10.]
Y. Ruan, D. Li, X. Li, H. Quian, Woman Shi, X. Zhang, et al.
Relationship between syphilis and HIV infections among men who have sex with men in Beijing, China.
Sex Transm Dis, 34 (2007), pp. 592-597
[11.]
Woman Wong, J.K. Chaw, C.K. Kent, J.D. Klausner.
Risk factors for early syphilis among gay and bisexual men seen in an STD clinic: San Francisco, 2002–2003.
Sex Transm Dis, 32 (2005), pp. 458-463
[12.]
P.D. Ghys, M.O. Diallo, V. Ettiègne-Traoré, K. Kalé, O. Tawil, Man Caraël, et al.
Increase in condom use and decline in HIV and sexually transmitted diseases among female sex workers in Abidjan, Côte d’Ivoire, 1991–1998.
AIDS, 16 (2002), pp. 251-258
[13.]
J. Sánchez, P.E. Campos, B. Courtois, L. Gutiérrez, C. Carrillo, J. Alarcón, et al.
Prevention of sexually transmitted diseases (STDS) in female sex workers: prospective evaluation of condom promotion and strengthened STD services.
Sex Transm Dis, 30 (2003), pp. 273-279
[14.]
Transmission of primary and secondary syphilis by oral sex-Chicago, Illinois,1998–2002. Morbidity & Mortality Weekly Report. 2004;53(41). Centers for Disease Control and Prevention (CDC).
[15.]
C.A. Koss, E.F. Dunne, L. Warner.
A Systematic Review of Epidemiologic Studies Assessing Condom Use and Risk of Syphilis.
Sex Transm Dis, 36 (2009), pp. 401-405
[16.]
T.E. Taha, J.K. Canner, J.D. Chiphangwi, G.A. Dallabeta, L.P. Yang, L.A. Mtimavalye, et al.
Reported condom use is not associated with incidence of sexually transmitted diseases in Malawi.
AIDS, 10 (1996), pp. 207-212
[17.]
D. Fleming, J. Wasserheit.
From epidemiological synergy to public health policy and practice: the contribution of other sexually transmitted diseases to sexual transmission of HIV infection.
Sex Transm Infect, 75 (1999), pp. 3-17
[18.]
G. Paz-Bailey, A. Meyers, S. Blank, J. Brown, S. Rubin, J. Braxton, et al.
A case- control study of syphilis among men who have sex with men in New York City: Association with HIV infection.
Sex Transm Dis, 31 (2004), pp. 581-587
[19.]
Y. Ruan, X. Cao, H. Qian, L. Zhang, G. Qin, Z. Jiang, et al.
Syphilis among female sex workers in Southwestern China: potential for HIV transmission.
Sex Transm Dis, 33 (2006), pp. 719-723
[20.]
K. Buchacz, A. Greenberg, I. Onorato, R. Janssen.
Syphilis epidemics and human immunodeficiency virus (HIV) incidence among men who have sex with men in the United States: Implications for HIV prevention.
Sex Transm Dis, 32 (2005), pp. 73S-79S
[21.]
M.M. Taylor, K. Hawkins, A. González, K. Buchacz, G. Aynalem, L.V. Smith, et al.
Use of the serologic testing algorithm for recent HIV seroconversion(STARHS) to identify recently acquired HIV infections in men with early syphilis in Los Angeles County.
J Acquir Immune Defic Syndr, 38 (2005), pp. 505-508
[22.]
H.B. Lacey, S.P. Higgins, D. Graham.
An outbreak of early syphilis: cases from North Manchester General Hospital.
Sex Transm Infect, 77 (2001), pp. 311-313
[23.]
G. D’Souza, J.H. Lee, J.M. Paffel.
Outbreak of syphilis among men who have sex with men in Houston,Texas.
Sex Transm Dis, 30 (2003), pp. 872-873
Copyright © 2010. Academia Española de Dermatología y Venereología and Elsevier España, S.L.
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