Impacto de la pandemia de COVID-19 en las pruebas de infecciones de transmisión sexual en un entorno universitario

Autores/as

DOI:

https://doi.org/10.22267/rus.222403.280

Palabras clave:

Infecciones de transmisión sexual, Servicios de salud estudiantil, Pandemia por COVID-19

Resumen

Introducción: La pandemia de COVID-19 ha tenido un gran impacto en los sistemas de salud. Muchas citas no urgentes se hicieron virtualmente para limitar riesgos de exposición. Objetivo: Evaluar el impacto de la pandemia en las pruebas para infecciones de transmisión sexual en servicios de salud universitarios. Materiales y métodos: Estudio cuantitativo del número de pruebas de infecciones de transmisión sexual realizadas, tasas de positividad y porcentaje de “cumplimiento de seguimiento” en el diagnóstico, desde marzo a septiembre del 2020 y su comparación con datos históricos (2015-2019) en los Servicios de Salud de UW-Madison. Resultados: Se encontró una reducción significativa en el número de pruebas realizadas y aumento de la tasa positiva, comparado con datos históricos para la muestra total y por sexo. Hubo disminución en el porcentaje de seguimiento para toda la muestra y para mujeres, y un incremento para hombres. Conclusiones: El análisis muestra reducciones significativas en pruebas para infecciones de transmisión sexual y seguimiento durante 2020, comparado con años anteriores y un incremento en la tasa de positividad. El hallazgo de una mayor positividad con un bajo número de pruebas se debe probablemente a la clasificación de los pacientes, facilitando así pruebas en aquellos con mayor riesgo.

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Haldane V, De Foo C, Abdalla SM, Jung AS, Tan M, Wu S, et al. Health systems resilience in managing the COVID-19 pandemic: lessons from 28 countries. Nat Med [Online]. 2021 Jun; 27(6):964-80. DOI: 10.1038/s41591-021-01381-y.

National Academy of Social Insurance. The Impact of the COVID-19 Pandemic on Access to Health Care [Online]. Washington (USA): NPEU; 2020. Available from: https://www.nasi.org/research/medicare-health-policy/the-impact-of-the-covid-19-pandemic-on-access-to-health-care/

Yaffee AQ, Peacock E, Seitz R, Hughes G, Haun P, Ross M, et al. Preparedness, Adaptation, and Innovation: Approach to the COVID-19 Pandemic at a Decentralized, Quaternary Care Department of Emergency Medicine. West J Emerg Med [Online]. 2020 Sep 25; 21(6):63-70. DOI: 10.5811/westjem.2020.8.48624.

Czeisler MÉ, Marynak K, Clarke KE, Salah Z, Shakya I, Thierry JM, et al. Delay or Avoidance of Medical Care Because of COVID-19-Related Concerns — United States, June 2020. Morb Mortal Wkly Rep [Online]. 2020 Sep 11; 69(36):1250-7. DOI: 10.15585/mmwr.mm6936a4.

Mehrotra A, Chernew ME, Linetsky D, Hatch H, Cutler DA, Schneider EC. The Impact of COVID-19 on Outpatient Visits in 2020: Visits Remained Stable, Despite a Late Surge in Cases. The Commonwealth Fund; 2021 Feb 22. DOI: 10.26099/bvhf-e411.

CDC. Sexually Transmitted Disease Surveillance [Online]. Centers for Disease Control and Prevention. 2018 [cited 2021 Apr 23]. Available from: https://www.cdc.gov/std/stats18/STDSurveillance2018-full-report.pdf

Habel MA, Leichliter JS, Torrone E. Exploring chlamydia positivity among females on college campuses, 2008-2010. J Am Coll Health [Online]. 2016 Sep; 64(6):496-501. DOI: 10.1080/07448481.2015.1117470.

Olsen SJ, Winn AK, Budd AP, Prill MM, Steel J, Midgley CM, et al. Changes in Influenza and Other Respiratory Virus Activity During the COVID-19 Pandemic - United States, 2020-2021. MMWR Morb Mortal Wkly Rep [Online]. 2021 Jul 23; 70(29):1013-9. DOI: 10.15585/mmwr.mm7029a1.

Emergency Order #12 Safer at Home Order (Wis). 2020. Available from: https://evers.wi.gov/Documents/COVID19/EMO12-SaferAtHome.pdf

Lindberg LD, Bell DL, Kantor LM. The Sexual and Reproductive Health of Adolescents and Young Adults During the COVID-19 Pandemic. Perspect Sex Reprod Health [Online]. 2020; 52(2):75-9. DOI: 10.1363/psrh.12151.

Crane MA, Popovic A, Stolbach AI, Ghanem KG. Reporting of sexually transmitted infections during the COVID-19 pandemic. Sex Transm Infect [Online]. 2021; 97(2):101-2. DOI: 10.1136/sextrans-2020-054805.

Craig-Kuhn MC, Schmidt N, Scott Jr G, Gomes G, Kissinger P. Influence of the COVID-19 stay-at-home orders on sexual behaviors among young Black men in New Orleans. Tulane University. Available from: https://s6.goeshow.com/ncsd/prevention/2020/profile.cfm?profile_name=download&xtemplate&handout_key=C73B0E18-F493-91C4-30F8-069D8E620D9C&poster=1

Tao J, Napoleon SC, Maynard MA, Almonte A, Silva E, Toma E, et al. Impact of the COVID-19 Pandemic on Sexually Transmitted Infection Clinic Visits. Sex Transm Dis [Online]. 2021 Jan; 48(1):e5-7. DOI: 10.1097/OLQ.0000000000001306.

de Miguel Buckley R, Trigo E, de la Calle-Prieto F, Arsuaga M, Díaz-Menéndez M. Social distancing to combat COVID-19 led to a marked decrease in food-borne infections and sexually transmitted diseases in Spain. J Travel Med [Online]. 2020; 27(8):taaa134. DOI: 10.1093/jtm/taaa134.

Steffen R, Lautenschlager S, Fehr J. Travel restrictions and lockdown during the COVID-19 pandemic-impact on notified infectious diseases in Switzerland. J Travel Med [Online]. 2020 Dec 23; 27(8):taaa180. DOI: 10.1093/jtm/taaa180.

University of Wisconsin- Madison. About UW [Online]. Wisconsin (USA). Available from: https://www.wisc.edu/about/

University of Wisconsin- Madison. 2020-2021 Data Digest [Online]. Academic Planning and Institutional Research, Office of the Provost, Vice Chancellor for Finance and Administrator. 2021 Mar. Available from: https://apir.wisc.edu/data-digest/

Marconi A, Falk-Hanson E, Gage J. Adherence to chlamydia and gonorrhea follow up testing in a college population. J Am Coll Health [Online]. 2021 Jan; 5:1-7. DOI: 10.1080/07448481.2020.1851232.

Barbee LA, Dombrowski JC, Kerani R, Golden MR. Effect of nucleic acid amplification testing on detection of extragenital gonorrhea and chlamydial infections in men who have sex with men sexually transmitted disease clinic patients. Sex Transm Dis [Online]. 2014; 41(3):168-72. DOI: 10.1097/OLQ.0000000000000093.

Patton ME, Kidd S, Llata E, Stenger M, Braxton J, Asbel L, et al. Extragenital gonorrhea and chlamydia testing and infection among men who have sex with men-STD Surveillance Network, United States, 2010-2012. Clin Infect Dis [Online]. 2014; 58(11):1564-70. DOI: 10.1093/cid/ciu184.

Kent CK, Chaw JK, Wong W, Liska S, Gibson S, Hubbard G, et al. Prevalence of rectal, urethral, and pharyngeal chlamydia and gonorrhea detected in 2 clinical settings among men who have sex with men: San Francisco, California, 2003. Clin Infect Dis [Online]. 2005; 41(1):67-74. DOI: 10.1086/430704.

Jones J, Weiss K, Mermin J, Dietz P, Rosenberg ES, Gift TL, et al. Proportion of incident human immunodeficiency virus cases among men who have sex with men attributable to gonorrhea and chlamydia: a modeling analysis. Sex Transm Dis [Online]. 2019; 46(6):357-63. DOI: 10.1097/OLQ.0000000000000980.

Centers for disease Control and Prevention (CDC). STD Treatment Options [Online]. Atlanta (USA): National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. 2020 Apr 6. Available from: https://www.cdc.gov/nchhstp/dear_colleague/2020/dcl-040620-std-treatment-options.html

Vital Strategies, World Health Organization. Revealing the Toll of COVID-19: A Technical Package for Rapid Mortality Surveillance and Epidemic Response. New York (USA): Vital Strategies; 2020. Available from: https://www.who.int/publications/i/item/revealing-the-toll-of-covid-19

Pinto CN, Niles JK, Kaufman HW, Marlowe EM, Alagia DP, Chi G, et al. Impact of the COVID-19 Pandemic on Chlamydia and Gonorrhea Screening in the U.S. Am J Prev Med [Online]. 2021 Sep; 61(3):386-93. DOI: 10.1016/j.amepre.2021.03.009.

Simões D, Stengaard AR, Combs L, Raben D. The EuroTEST COVID-19 impact assessment consortium of partners. Impact of the COVID-19 pandemic on testing services for HIV, viral hepatitis and sexually transmitted infections in the WHO European Region, March to August 2020. Euro Surveill [Online]. 2020; 25(47):pii=2001943. DOI: 10.2807/1560-7917.ES.2020.25.47.2001943.

Urrie DW, Moreno GK, Delahoy MJ, Pray IW, Jovaag A, Braun KM, et al. Interventions to Disrupt Coronavirus Disease Transmission at a University, Wisconsin, USA, August-October 2020. Emerg Infect Dis [Online]. 2021 Nov; 27(11):2776-85. DOI: 10.3201/eid2711.211306.

Lang AS, An der Heiden M, Jansen K, Sailer A, Bremer V, Dudareva S, et al. Not again! Effect of previous test results, age group and reason for testing on (re-)infection with Chlamydia trachomatis in Germany. BMC Infect Dis [Online]. 2018 Aug 25; 18(1):424. DOI: 10.1186/s12879-018-3323-2.

Bachman LH. Dear colleague letter - clarification. HHS, Public Health Service, Centers for Disease Control and Prevention, Washington. 2020 May 13. Available from: https://www.cdc.gov/std/dstdp/dcl-clarification-may2020.pdf

Lindberg LD, Bell DL, Kantor LM. The Sexual and Reproductive Health of Adolescents and Young Adults During the COVID-19 Pandemic. Perspect Sex Reprod Health [Online]. 2020; 52(2):75-9. DOI: 10.1363/psrh.12151.

Carnevale C, Richards P, Cohall R, Choe J, Zitaner J, Hall N, et al. At-Home Testing for Sexually Transmitted Infections During the COVID-19 Pandemic. J Sex Transm Dis [Online]. 2021 Jan; 48(1):e11-4. DOI: 10.1097/OLQ.0000000000001313.

Publicado

2022-08-30

Cómo citar

1.
Marconi AM, Falk-Hanson EC, Crass ME, Campbell P. Impacto de la pandemia de COVID-19 en las pruebas de infecciones de transmisión sexual en un entorno universitario. Univ. Salud [Internet]. 30 de agosto de 2022 [citado 28 de marzo de 2024];24(3):256-6. Disponible en: https://revistas.udenar.edu.co/index.php/usalud/article/view/6936

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Sección

Artículo de investigación científica y tecnológica