Three years' experience of sexually transmitted diseases in Seville, Spain.

Abstract

In a report of the first 3 yr experience in an STD [sexually transmitted disease] diagnostic center between 1977-1979, 879 patients (534 men and 345 women) were seen. They consisted mainly of university students; the mean age was 22 yr in 1977 and 23 yr in the following 2 yr. All the patients were examined for syphilis and all women for gonorrhea and trichomoniasis. Investigations for Chlamydia trachomatis, Mycoplasma hominis, Ureaplasma urealyticum, Candida albicans, and Herpesvirus hominis infections were carried out according to the presenting symptoms. Non-specific genital infections occurred most commonly (25.7%); Chlamydia were isolated from 30% of the patients with non-gonococcal urethritis (NGU). The 2nd most common infection was candidosis (13.5%). Gonorrhea, which was found in 10.6% of the patients, was diagnosed more frequently in men (13.5%) than in women (6%). No strains of .beta.-lactamase-producing Neisseria gonorrhoeae were detected; all were sensitive to penicillin. Syphilis was diagnosed in 4.4% of patients (25 women and 5% men). Condylomata acuminata were diagnosed in 2.8% of patients and more frequently in men (4%). Herpes genitalis and venereophobia were uncommon (1.9% and 1.2%, respectively) and were diagnosed only in men.