Skin diseases and sexually transmitted infection in a Hungarian prison

Abstract

Objective: The aim of the study was to assess the prevalence of the skin diseases, dermatological conditions, and sexually transmitted infections among male prisoners. Materials and methods: The medical data of 1800 inmates were analysed and a local sero-biological survey was performed in 2014. Moreover, after informed consent, dried blood spots were collected to identify recent hepatitis C virus (HCV) and HIV infections in case of homosexuality and intravenous drug use. Results: Prisoners (n = 1800) were included in this study and 200 inmates with high risk of sexually transmitted disorder (STD) participated in serological tests. The most common dermatological diseases and STDs were atopic dermatitis (n = 70), scabies (n = 42), allergic reactions after insect bites (bedbug, mosquito, fly, and wasp) (n = 39), fungal infections (n = 1), psoriasis vulgaris (n = 10), eczema herpeticum (n = 1), erysipelas (n = 2), vasculitis (n = 1), and HCV (n = 2), whereas there were not found any HIV or gonococcal infections. Six HCV infections and zero HIV infections were determined in the study period. Conclusion: The present study shows a relatively high prevalence of infectious or atopic dermatitis among these populations.

HIV seroprevalence in five key populations in Europe: a systematic literature review, 2009 to 2019

“…a One MSM study [ 23 ] was excluded from the plots because of a high risk of bias (summary bias score = 0). b This number includes studies of people belonging to multiple (overlapping) risk groups (five such studies for PWID [ 39 , 47 , 61 , 62 , 66 ], four for prisoners [ 68 , 72 , 73 , 79 ], and seven for sex workers [ 81 , 82 , 84 - 88 ]). c One PWID study [ 66 ] was excluded from the forest plots because the original dataset was reported in another study [ 43 ].…”

“…b This number includes studies of people belonging to multiple (overlapping) risk groups (five such studies for PWID [ 39 , 47 , 61 , 62 , 66 ], four for prisoners [ 68 , 72 , 73 , 79 ], and seven for sex workers [ 81 , 82 , 84 - 88 ]).…”

“…These findings indicate an urgent need for prevention, testing and care services, as well as additional studies, in this highly vulnerable population group. Hungary, 0.04% (0.01-0.15), n = 5,094, [71,72] Germany, 1.2% (1.0-1.4), n = 14,534, [70] France, 2.0% (1.0-4.2), n = 1,351, [73] Finland, 0.8% (0.3-2.1), n = 383, [69] Estonia, 15.6% (14.5-17.1), n = 3,289, [80] Croatia, 0.15% (0.05-0.35), n = 3,348, [68] Countries a Pooled prevalence estimates (combining data from multiple studies) were generated for three countries with two or more studies available (Hungary, Italy and Spain).…”

“…Studies were also excluded if the sample size was fewer than 100 participants, except for studies of transgender people and studies of any population group from countries with a population of 1 [23] was excluded from the plots because of a high risk of bias (summary bias score = 0). b This number includes studies of people belonging to multiple (overlapping) risk groups (five such studies for PWID [39,47,61,62,66], four for prisoners [68,72,73,79], and seven for sex workers [81,82,[84][85][86][87][88]). c One PWID study [66] was excluded from the forest plots because the original dataset was reported in another study [43].…”

“…Two thirds of the studies on prisoners were conducted in the western part of Europe. Simple or pooled HIV prevalence was < 2% in four countries (Croatia [68], Finland [69], Germany [70] and Hungary [71,72]), ≥ 2% to < 5% in France [73] and Italy [74][75][76] and ≥ 5% to < 10% in Portugal [77] and Spain [67,78,79], and highest at 15.6% in Estonia [80] (Figure 4).…”