SEXUALLY TRANSMITTED INFECTIONS: A PRIORITY PUBLIC HEALTH CHALLENGE
Sexually Transmitted Infections (STIs) continue to represent a significant challenge to public health worldwide. Despite advances in prevention, diagnosis, and treatment, their prevalence remains high, with a substantial impact on morbidity, quality of life, and healthcare systems. Continuous updating of scientific knowledge is essential to improve strategies for early detection and control of these infections.
STIs affect millions of people each year around the world, with a higher burden among sexually active populations. During pregnancy, they pose a serious risk to both mother and baby, potentially causing preterm birth, low birth weight, infertility, or the transmission of severe diseases to the newborn.
Among the most prevalent infections are chlamydia, gonorrhea, syphilis, and trichomoniasis, which are considered curable STIs, as well as chronic viral infections such as human immunodeficiency virus (HIV), human papillomavirus (HPV), herpes simplex virus, and hepatitis B.
A particularly concerning issue is the sustained increase of certain bacterial STIs in various regions, associated with changes in sexual behavior, reduced condom use, and limited access to healthcare services among specific population groups. In addition, a significant proportion of infected individuals remain asymptomatic, which promotes silent transmission and makes it difficult to accurately estimate true prevalence.
Timely diagnosis of STIs is essential to initiate appropriate treatment, prevent complications, and reduce the chain of transmission. Traditionally, diagnosis has relied on clinical evaluation, serological testing, microbiological cultures, and antigen detection techniques. However, these methodologies have limitations in terms of sensitivity, specificity, and turnaround time.
Molecular panels have transformed STI diagnosis in recent years. These tools, primarily based on nucleic acid amplification techniques, allow the simultaneous detection of multiple pathogens from a single clinical sample, such as urine or genital, rectal, or pharyngeal swabs.
Their main advantages include high sensitivity (detection of true positive cases) and specificity (detection of true negative cases), rapid turnaround time, and the ability to identify mixed infections, which are common but often underdiagnosed. Molecular panels facilitate the detection of pathogens such as Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium, Trichomonas vaginalis, and various sexually transmitted viruses.
In addition, some advanced platforms allow the identification of antimicrobial resistance markers, which is especially relevant given the growing emergence of resistant strains, particularly in the case of gonorrhea. This information supports the selection of more effective treatments and the rational use of antibiotics.
Public Health Implications
The incorporation of molecular panels into sexual health programs represents an opportunity to improve epidemiological surveillance, optimize early diagnosis, and reduce STI transmission. However, their implementation must consider factors such as cost, technological availability, staff training, and integration with prevention strategies and sexual health education.
In conclusion, updating the approach to Sexually Transmitted Infections, with an emphasis on prevalence and molecular panel–based diagnosis, is essential to effectively address this public health issue. Strengthening diagnostic capabilities, along with promoting prevention and equitable access to healthcare services, constitutes a fundamental pillar for STI control within the population.
Dorado Laboratory – QBF Martha Dorado del Río
We offer services in molecular biology, flow cytometry, microbiology, and clinical laboratory testing.
Central Laboratory Address:
Av. Álvaro Obregón #1500, Col. Nueva,
Mexicali, B.C., Mexico
Phone: +52 (686) 552 3230
WhatsApp: +52 (686) 279 6009
Branch Location:
Hospital de la Familia – Grupo MAC Hospitales
Circuito Brasil #82, Col. Parque Industrial Álamo,
Mexicali, B.C., Mexico
Phone: +52 (686) 582 4660
Instagram: @laboratoriodoradomx
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