<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-386X</journal-id>
<journal-title><![CDATA[Revista Facultad Nacional de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Fac. Nac. Salud Pública]]></abbrev-journal-title>
<issn>0120-386X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Antioquia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-386X2022000100003</article-id>
<article-id pub-id-type="doi">10.17533/udea.rfnsp.e343212</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Prevalencia de infección por Treponema pallidum en individuos atendidos en un centro especializado de Medellín, Colombia]]></article-title>
<article-title xml:lang="en"><![CDATA[Prevalence of Treponema pallidum infection in individuals treated in a specialized center in Medellín, Colombia]]></article-title>
<article-title xml:lang="pt"><![CDATA[Prevalência de infecção por Treponema pallidum em indivíduos atendidos em um centro especializado em Medellín, Colômbia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cardona-Arias]]></surname>
<given-names><![CDATA[Jaiberth Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Higuita-Gutiérrez]]></surname>
<given-names><![CDATA[Luis Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cataño-Correa]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Cooperativa de Colombia  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Antioquia Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<volume>40</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-386X2022000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-386X2022000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-386X2022000100003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Describir la prevalencia de infección por Treponema pallidum en individuos atendidos en un centro especializado de Medellín, Colombia, 2019.  Metodología: Estudio de corte, con 776 sujetos de población general (aparentemente sanos-asintomáticos y sin factores de riesgo para sífilis), 126 hombres que tienen sexo con hombres (hsh) y 190 jóvenes vulnerables (estrato socioeconómico bajo, desempleados y sin finalizar educación básica), captados intramural y extramuralmente en espacios de concentración de hsh y organizaciones no gubernamentales. Se empleó fuente de información primaria basada en un encuesta y prueba de detección de anticuerpos IgG, IgM e IgA específicos para T. pallidum,  Resultados: La prevalencia de infección por T. pallidum fue 0,53 % en jóvenes vulnerables, 2,19 % en población general y 16,67 % en hsh. La razón de odds de infección en los sujetos con edad entre 51-60 años fue 13,8 (ic 95 % = 3,5-51,5) respecto a la hallada en los jóvenes entre 21-30 años; 12,0 (ic 95 % = 1,8-79,2) en quienes no tienen escolaridad frente a los universitarios; 3,3 (ic 95 % = 1,1-9,9) en las personas sin afiliación en salud, comparadas con las del régimen contributivo, y 8,1 (ic 95 % = 2,8-23,0) en quienes tiene relaciones sexuales con grupos clave versus quienes no refieren estas prácticas.  Conclusión: Se halló una menor prevalencia de infección por T. pallidum en los jóvenes, seguida de los sujetos de población general y fue mayor en hsh. Se identificaron los grupos de mayor riesgo (entre los tres subgrupos estudiados), que incluyen sujetos excluidos de los programas de prevención, con confluencia de factores de riesgo sexual y privación socioeconómica]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: To describe the prevalence of Treponema pallidum infection in individuals treated in a specialized medical center in Medellín, Colombia in 2019.  Methodology: A cross-sectional study was conducted, including 776 subjects of the general population (apparently healthy-asymptomatic and without risk factors for syphilis), 126 men who have sex with men (msm) and 190 vulnerable young people (low socioeconomic strata, unemployed and low educational level) which were identified within and beyond spaces of concentration of msm and non-governmental organizations. A survey and a detection test for IgG, IgM and IgA for T. pallidum specific antibodies were used as the primary information source.  Results: Prevalence of T. pallidum infection was 0.53 % in vulnerable young participants, 2.19% in the general population and 16.67 % in msm. The odds ratio of infection in subjects aged between 51 and 60 years was 13.8 (95% ci = 3.5-51.5) compared to that found in young people aged between 21 and 30 years; 12.0 (95% ci = 1.8-79.2) comparing those with low educational level to university students; 3.3 (95% ci = 1.1-9.9) for people without health insurance compared to those belonging to the contributory health insurance regime; and 8.1 (ci 95 % = 2.8- 23.0) in those who have sex with key groups versus those who do not report these practices.  Conclusion: A low prevalence of T. pallidum infection was found in young participants, followed by subjects belonging to the general population and was higher in msm. Groups with the highest risk were identified (among the three subgroups studied), including subjects excluded from prevention programs, with a confluence of sexual risk factors and socioeconomic deprivation.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivo: Descrever a prevalência de infecção por Treponema pallidum em indivíduos atendidos num centro especializado de Medellín, Colômbia, 2019.  Metodologia: Estudo de coorte, com 776 pessoas da população em geral (aparentemente saudáveis-assintomáticos e sem fatores de risco para sífilis), 126 homens que fazem sexo com outros homens (HSH) e 190 jovens vulneráveis (classe socioeconômica baixa, desempregados e sem finalizar o ensino fundamental I e II), captados intramural e extramuralmente em espaços de concentração de HSH e organizações não governamentais. Foi usada uma fonte de informação primária baseada numa pesquisa e teste de detecção de anticorpos IgG, IgM e IgA específicos para T. pallidum.  Resultados: A prevalência de infecção por T. pallidum foi de 0,53% em jovens vulneráveis, 2,19% na população geral e 16,67% em HSH. A razão de odds ratio de infecção nos indivíduos na faixa etária de 51-60 anos foi 13,8 (IC95% = 3,5-51,5) em relação a que foi encontrada nos jovens entre 21-30 anos; 12,0 (IC95% = 1,8-79,2) em quem não tem escolaridade comparada com os universitários; 3,3 (IC95% = 1,1-9,9) nas pessoas sem acesso aos serviços de saúde comparadas com as do regime contributivo, e 8,1 (IC95% = 2,8-23,0) em quem tem relações sexuais com grupos-chave vs. quem não tem estas preferências.  Conclusão: Foi encontrada uma menor prevalência de infecção por T. pallidum nos jovens seguida dos indivíduos da população geral e foi maior em HSH. Foram identificados os grupos de maior risco (entre os três subgrupos estudados), que incluem sujeitos excluídos dos programas de prevenção, com confluência de fatores de risco sexual e privação socioeconômica.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Colombia]]></kwd>
<kwd lng="es"><![CDATA[factores de riesgo]]></kwd>
<kwd lng="es"><![CDATA[prevalencia]]></kwd>
<kwd lng="es"><![CDATA[sífilis]]></kwd>
<kwd lng="es"><![CDATA[Treponema pallidum]]></kwd>
<kwd lng="en"><![CDATA[risk factors]]></kwd>
<kwd lng="en"><![CDATA[prevalence]]></kwd>
<kwd lng="en"><![CDATA[syphilis]]></kwd>
<kwd lng="en"><![CDATA[Treponema pallidum]]></kwd>
<kwd lng="pt"><![CDATA[Colômbia]]></kwd>
<kwd lng="pt"><![CDATA[Fatores de risco]]></kwd>
<kwd lng="pt"><![CDATA[Prevalência]]></kwd>
<kwd lng="pt"><![CDATA[Sífilis]]></kwd>
<kwd lng="pt"><![CDATA[Treponema pallidum]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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