目的:SARS-CoV-2更容易通过密切接触传播,这是性交固有的。人们,或者有风险,因此,性传播感染(STIs)可能有更高的COVID-19发病率。这项研究的目的是估计SARS-CoV-2抗体的血清阳性率在一个专门的STI诊所看到的人,将我们的发现与当地普通人群的估计血清阳性率进行比较,并研究在这种情况下与SARS-CoV-2感染相关的因素。
方法:对尚未接种COVID-19疫苗并在2021年3月和4月在专门的市政STI诊所接受检查或筛查的18岁以上连续患者进行的横断面观察研究。我们订购了快速SARS-CoV-2血清学,并收集了有关人口学的信息,社会,和性变量,性传播感染诊断,和与SARS-CoV-2感染相符的症状史。
结果:我们研究了512例患者(37%为女性)。14例(24.2%)SARS-CoV-2检测呈阳性。与阳性相关的变量是使用FFP2面罩(赔率比,0.50)和高于平均水平的性伴侣数量(赔率比,1.80).FFP2掩模的使用在该样品中不是随机分布的。
结论:本研究人群中的性活跃成员SARS-CoV-2感染率高于普通人群。该组的主要感染途径似乎是呼吸道,与性接触期间的密切接触有关;病毒的性传播可能是有限的。
OBJECTIVE: SARS-CoV-2 is more easily spread by close contact, which is inherent to sexual intercourse. People with, or at risk for, sexually transmitted infections (STIs) may therefore have higher rates of COVID-19. The aim of this study was to estimate SARS-CoV-2 antibody seroprevalence in people seen at a dedicated STI clinic, compare our findings to the estimated seroprevalence in the local general population, and study factors associated with SARS-CoV-2 infection in this setting.
METHODS: Cross-sectional observational study including consecutive patients older than 18 years of age who had not yet been vaccinated against COVID-19 and who underwent examination or screening at a dedicated municipal STI clinic in March and April 2021. We ordered rapid SARS-CoV-2 serology and collected information on demographic, social, and sexual variables, STI diagnoses, and history of symptoms compatible with SARS-CoV-2 infection.
RESULTS: We studied 512 patients (37% women). Fourteen (24.2%) had a positive SARS-CoV-2 test. Variables associated with positivity were use of FFP2 masks (odds ratio 0.50) and a higher-than-average number of sexual partners (odds ratio 1.80). Use of FFP2 masks was not randomly distributed in this sample.
CONCLUSIONS: Sexually active members of the population in this study had a higher incidence of SARS-CoV-2 infection than the general population. The main route of infection in this group appears to be respiratory, linked to close contact during sexual encounters; sexual transmission of the virus is probably limited.