Epidemic infectious syphilis in inner Sydney - strengthening enhanced surveillance
Epidemic infectious syphilis in inner Sydney - strengthening enhanced surveillance
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DOI：
10.1111/j.1467-842x.2006.tb00781.x
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发表时间：
2006-12-01
影响因子：
3.5
通讯作者：
Ferson, Mark J.
中科院分区：
文献类型：
--
作者：
Botham, Susan J.;Ressler, Kelly-Anne;Ferson, Mark J.
目的：报告的结果，2001-04增强梅毒监测计划在悉尼东南部和一个子集的情况下，从悉尼性健康中心（SSHC）。方法：所有实验室梅毒通知，问卷调查被发送到转诊医生要求人口统计数据，有关疾病分类和症状的存在的临床信息。性伴侣/s和艾滋病病毒感染状况收集从一个子集的情况下看到SSHC.Results：在2001-04年期间，收到1,275梅毒通知和1,112（87%）能够被归类为361（28%）例感染性梅毒，221（17%）非感染性梅毒和530（42%）治疗梅毒。自2002年年中起，传染性梅毒的呈报数字有所增加。在361例传染性梅毒病例中，大多数为男性（348例，97%）。从一个子集的47例传染性梅毒从SSHC，43（91%）是在男同性恋者和9（21%）并发HIV infection.Conclusions：内悉尼最近经历了一个快速增长的传染性梅毒影响一个定义的人群：男性，年龄在30-39岁，讲英语和澳大利亚出生。这些结果支持最近的报告中爆发的男性谁与男性发生性关系，但没有常规收集的额外的风险因素控制程序可能会misguided.Implications：在光的审查新南威尔士州公共卫生法1991年，建议减少障碍，收集艾滋病毒的状态和性别的性伴侣在去识别梅毒的通知作为一个紧迫的问题进行探讨。
Objective: To report the results of a 2001-04 enhanced syphilis surveillance program in south-eastern Sydney and a subset of cases from the Sydney Sexual Health Centre (SSHC).Methods: For all laboratory syphilis notifications, a questionnaire was sent to the referring doctor requesting demographic data, clinical information about disease classification and the presence of symptoms. Sex of partner/s and HIV status were collected from a subset of cases seen at SSHC.Results: During 2001-04, 1,275 syphilis notifications were received and 1,112 (87%) were able to be classified as 361 (28%) cases of infectious syphilis, 221 (17%) non-infectious syphilis and 530 (42%) treated syphilis. From mid 2002, an increase in the number of infectious syphilis notifications was noted. Of the 361 cases of infectious syphilis, most were in men (348, 97%). From a subset of 47 cases of infectious syphilis from SSHC, 43 (91%) were in gay men and nine (21%) had concurrent HIV infection.Conclusions: Inner Sydney has recently experienced a rapid increase in infectious syphilis affecting a defined population: men, aged 30-39, English speaking and Australian born. These results support recent reports of outbreaks among men who have sex with men, but without routine collection of additional risk factors control programs may be misguided.Implications: In light of the review of the NSW Public Health Act 1991, it is recommended that reducing barriers to the collection of HIV status and sex of sexual partners in de-identified syphilis notifications be explored as a matter of urgency.