Circuncisión masculina y la utilidad en la prevención de infección por VIH

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DOI: https://doi.org/10.21676/2389783X.204
Palabras clave:
Circuncision, VIH, Prevencion, Revision

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Adalberto Campo-Arias
Edwin Herazo

Resumen

El comportamiento sexual y reproductivo de las personas recibe historicamente influencias sociales, politicas y religiosas. Recientemente, se propuso la circuncision masculina como estrategia de salud publica para disminuir la transmision del Virus de Inmunodeficiencia Humana (VIH). El objetivo del presente articulo es revisar en un contexto historico las implicaciones de la circuncision masculina y el impacto en la prevencion de la transmisión del VIH. Se realizo una revision no sistematica de la bibliografia disponible sobre el tema hasta la fecha, en las bases de datos Pubmed y Bireme. Los primeros registros de la circuncision masculina datan de hace mas de 4000 años. El uso se dio mayoritariamente en el contexto religioso. Tradicionalmente, se cuestiona la practica de la circuncision femenina, mas no asi la masculina. La indicacion terapeutica de circuncision incluye fimosis, parafimosis e infecciones repetitivas del glande; no obstante, la recomendacion profilactica es cuestionada. Es frecuente la aparicion de complicaciones medicas y psicologicas asociadas a la circuncision masculina. La evidencia disponible muestra disminucion consistente de la transmision del Virus de Papiloma Humano (VPH) y la Clamidia tracomatis, pero no del Virus de Inmunodeficiencia Humana (VIH). Existen cuestionamientos eticos y medicos asociados a la practica sistematica de la circuncision masculina, sobre todo en menores de edad. La circuncision masculina es una practica milenaria, efectiva para disminuir la transmision del VPH y la Clamidia tracomatis, pero no del VIH. Se requiere de un mayor debate acerca de las implicaciones medicas y eticas de la practica de la circuncisión masculina. (DUAZARY 2013 No. 1, 33 - 40).

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Campo-Arias, A., & Herazo, E. (2013). Circuncisión masculina y la utilidad en la prevención de infección por VIH. Duazary, 10(1), 33–40. https://doi.org/10.21676/2389783X.204
Número
Vol. 10 Núm. 1 (2013): (enero - junio)
Sección
Revisión de tema

No se permite un uso comercial de la obra original ni de las posibles obras derivadas, la distribución de las cuales se debe hacer con una licencia igual a la que regula la obra original.

Biografía del autor/a

Adalberto Campo-Arias

MD, epidemiólogo, MSc en salud sexual y reproductiva, Grupo de Investigación del Comportamiento Humano, Instituto de Investigación del Comportamiento Humano,Carrera 15 No 99-13, oficina 405 (código postal 110221), Bogotá, Colombia

Edwin Herazo

MD, MSc en bióetica, estudiante de doctorado en salud pública de la Universidad Nacional de Colombia, Grupo de Investigación del Comportamiento Humano, Instituto de Investigación del Comportamiento Humano, Bogotá, Colombia.

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