摘要
La tricomoniasis es transmitida sexualmente y favorecida por la promiscuidad. Para conocer la frecuencia de infección por Trichomonas vaginalis en atención primaria, se realizó un análisis descriptivo retrospectivo de los resultados de flujos vaginales (1994-1995, 1998-2004). El 6,8 por ciento de las consultantes resultó positiva, la mayor frecuencia se presentó en los rangos de edad: 21-30 años (30,4 por ciento) y 11-20 años (24,6 por ciento). El 2,9 por ciento de los flujos vaginales positivos correspondió a menores de edad (0-10 años). Enero y Julio son los meses de mayor frecuencia de infección. El motivo de consulta más frecuente fue leucorrea (29,9 por ciento) y la etiología tricomoniásica se presentó en 7,8 por ciento de ellas. Se observa un descenso progresivo de la tricomoniasis a diferencia del aumento general de las enfermedades de transmisión sexual en Chile.
Subject(s)
Adolescent , Adult , Humans , Female , Infant, Newborn , Infant , Child, Preschool , Child , Middle Aged , Primary Health Care , Trichomonas Vaginitis/epidemiology , Age Distribution , Chile/epidemiology , Sexually Transmitted Diseases/epidemiology , Sexually Transmitted Diseases/microbiology , Retrospective Studies , Seasons摘要
Background: Twenty to twenty two percent of work related accidents have a direct or indirect relationship with recent alcohol use. Aim: To detect recent alcohol or drug use in patients who required hospitalization for severe work related accidents. Patients and methods: Blood and urine samples were obtained from patients admitted to a hospital within 6 hours of an accident severe enough to require hospitalization. Blood alcohol and urinary metabolites of cocaine, marijuana, amphetamines and benzodiazepines were measured. Patient identity was kept confidential throughout the study. Once patients were stabilized, they were interviewed by a psychologist that was blind to laboratory results. Results: Two hundred thirty men and 18 women were studied and 29 percent (30 percent of men and 17 percent of women) had recent use of alcohol or drugs. The most common substances were alcohol in 15 percent and benzodiazepines in 13 percent. Use of alcohol or drugs was found in 21 percent of professionals, in 33 percent of other occupational levels, half of agricultural workers and 25 percent of commerce workers. Only two of 60 positive cases, admitted substance use during the interview. Most of negative cases admitted the use of alcohol or other drugs during the month prior to the accident. Conclusions: Recent use of alcohol and drugs is frequent among severe work related accident victims. Probably, a high proportion of these subjects are problem drinkers. The combination of alcohol and benzodiazepines is an additional risk factor