Between 2006 and 2008, she studied a group of 101 HIV-positive gay men (the majority from Berlin) - 34, which infected with hepatitis C, and 67 as a control group. The study was recently published online in the open access journal 'PLoS One' (Public Library of Science).
Independently proved in the study group the following risk factors than with hepatitis C - associated infection:
- Sex associated with rectal bleeding (rectal = in the rectum / anus; "anorectal trauma with subsequent bleeding visible")
- receptive fisting ("let the fist") without the use of gloves,
- Group sex, and
- Snort cocaine or amphetamines (sniefen / inhale through the nose "consumption of nasally-administered drugs (NAD) ").
The researchers showed a strong correlation between reported by the participants proctological (anal) surgery, high sex-partner numbers, group sex, use of PDE5 inhibitors (Viagra ®, etc.) with this long time period, anal sex and receptive anal sex ("get fucked") out. You suspect that some of the surgical procedures associated with anal warts or genital warts (condyloma) is available. All surgeries were common proctological with wounds from the ano-rectal mucosa and increased likelihood of bleeding related to surgery.
Researchers concluded that there are sex practices that lead to rectal bleeding, and the use of drugs through the nose in settings with high prevalence (morbidity) of hepatitis C risk factors for acute hepatitis C. You suspect that both the sharing of equipment for Sniefen / receiving drugs through the nose (nasal mucosa is also a battered transmission of blood-particles possible) as well as the sharing of sex partners, sexual transmission of hepatitis C could be.
The researchers point clearly in their report that their view of blood and semen that was not for transmission of hepatitis C-critical medium.
They stress that condoms would offer protection and gloves only when they are changed each partner. If you use the same condom or glove with multiple sexual partners they could almost serve as a 'vector' of the transmission of hepatitis C from a receptive sexual partner to the next (vector-hypothesis). This means, also, the (active) sex partners could possibly hepatitis C transmitted by a (passive) sexual partners in a second (passive) sex partners - without being infected with hepatitis C to be.
The common use of lubricants may also constitute a risk (blood particles in the lubricant used by others and so get a transfer to be possible). Owners of sex clubs should ensure that lubricants (including containers for lubricants) are no longer used by multiple sex partners.
First results of the study were already in a winning poster at the 12th been European AIDS conference in November 2009 in Cologne. Now, the study was published and is available online.
How to deal with acute hepatitis C new recommendations were published as the result of a European consensus conference in December 2010.
Many gay men, especially many HIV-positive gay men are concerned about the risks of infection with hepatitis C, especially as the way of sexual transmission was unclear, long time. The study by Schmidt and colleagues could now not only provide information on how sexual transmission of hepatitis C occurs - it could also be the basis for practical ways to avoid infection:
As practical results could be out of work for efforts to reduce the risk of transmission of hepatitis C deduced:
- when fucking sex partner a new condom for each (no use of condoms with multiple sexual partners),
- when fisting for each sex partner, a new glove (no use of gloves with multiple partners Fist)
- Wash with every change of partners or hand tail before (to reduce the risk of transmission of blood-particles from a passive partner in the nights),: for sex without a condom or without gloves
- each his own lubricant - sex not used by more lubricants (lubricants and containers),
- with use of drugs through the nose for each his own utensils / tubes for Sniefen.
Source: Ondamaris.de
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