Sex
education and participation in self-care of sexual health are considered highly
effective procedures. Sexual abstinence during the presence of active lesions
or during the periods of treatment, both for the patient and for the sexual
partner, is a procedure that promotes healing and prevents transmission. The
correct use of the condom is an equally reliable alternative to prevent the transmission
of these infections.
On
the other hand, efforts are made to obtain some vaccines against STDs; however,
fieldwork does not allow us to predict when efficient vaccines will be
available, at least for the population that is most at risk of acquiring them.
Three
aspects have been crucial to increase and maintain interest in diseases
acquired through sexual contact: a) the presence of the acquired
immunodeficiency syndrome produced by HIV; b) the progressively increasing
resistance to antimicrobials mainly of N. gonorrhoeae, Haemophilus ducreyi and
some other urogenital pathogens, and c) strong evidence that STDs (ulcerative
and non-ulcerative) condition critical cofactors in the acquisition and
transmission of HIV, since that provide a more accessible gateway to contact
with genital secretions and HIV, as well as the recruitment of activated T
lymphocytes that work with their CD4 receptor markers. This situation has
allowed international health agencies to focus not only on attention but on
resources towards traditional STDs, with the purpose of reducing morbidity in
order to
influence the transmission of HIV.
There
is a need to ensure that the vaccine provides immunity through several
mechanisms: expression of antigens present in the cell; production of immunity
mediated by T and B cells, as well as the prolongation of immunity for a long
time. Recent advances use the vaccinia virus as a vector with the E6 and E7
proteins of the human papillomavirus. The preliminary results are flattering
and they speculate in the short term to obtain an immunogen of
optimal quality and potency.
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