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Increased incidence of syphilis in men who have sex with men and risk management strategies, Germany, 2015

In Germany, the number of reported syphilis cases increased between 11% and 22% per year between 2010 and 2014. We analysed syphilis surveillance data and data of four behavioural surveys on men who have sex with men (MSM) in Germany (2003, 2007, 2010, 2013) to assess if this rise is ongoing and to...

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Autores principales: Jansen, Klaus, Schmidt, Axel J., Drewes, Jochen, Bremer, Viviane, Marcus, Ulrich
Formato: Online Artículo Texto
Lenguaje:English
Publicado: European Centre for Disease Prevention and Control (ECDC) 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5114722/
https://www.ncbi.nlm.nih.gov/pubmed/27813472
http://dx.doi.org/10.2807/1560-7917.ES.2016.21.43.30382
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author Jansen, Klaus
Schmidt, Axel J.
Drewes, Jochen
Bremer, Viviane
Marcus, Ulrich
author_facet Jansen, Klaus
Schmidt, Axel J.
Drewes, Jochen
Bremer, Viviane
Marcus, Ulrich
author_sort Jansen, Klaus
collection PubMed
description In Germany, the number of reported syphilis cases increased between 11% and 22% per year between 2010 and 2014. We analysed syphilis surveillance data and data of four behavioural surveys on men who have sex with men (MSM) in Germany (2003, 2007, 2010, 2013) to assess if this rise is ongoing and to find possible explanations for it. Syphilis notifications increased in 2015 by 19% to a total of 6,834. This was mainly due to increasing notifications in MSM of all age groups in larger German cities. Data from the behavioural surveys on MSM in Germany showed a simultaneous increase of selective condom use as HIV-status-bases risk management strategy and the number of syphilis cases. MSM diagnosed with HIV reported condomless anal intercourse with non-steady partners more frequent than MSM not diagnosed with HIV or untested for HIV, but the latter also reported higher frequencies of this behaviour in the more recent surveys. Transmission in HIV-positive MSM probably plays an important, but not exclusive role, for the syphilis dynamics in Germany. A risk adapted routine screening for sexually active MSM and potentially innovative approaches to increase early screening and treatment of syphilis such as internet counselling, home sampling, home testing and broadening venue-based (rapid) testing, should be critically evaluated to effectively reduce syphilis infections.
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spelling pubmed-51147222016-11-21 Increased incidence of syphilis in men who have sex with men and risk management strategies, Germany, 2015 Jansen, Klaus Schmidt, Axel J. Drewes, Jochen Bremer, Viviane Marcus, Ulrich Euro Surveill Surveillance and Outbreak Report In Germany, the number of reported syphilis cases increased between 11% and 22% per year between 2010 and 2014. We analysed syphilis surveillance data and data of four behavioural surveys on men who have sex with men (MSM) in Germany (2003, 2007, 2010, 2013) to assess if this rise is ongoing and to find possible explanations for it. Syphilis notifications increased in 2015 by 19% to a total of 6,834. This was mainly due to increasing notifications in MSM of all age groups in larger German cities. Data from the behavioural surveys on MSM in Germany showed a simultaneous increase of selective condom use as HIV-status-bases risk management strategy and the number of syphilis cases. MSM diagnosed with HIV reported condomless anal intercourse with non-steady partners more frequent than MSM not diagnosed with HIV or untested for HIV, but the latter also reported higher frequencies of this behaviour in the more recent surveys. Transmission in HIV-positive MSM probably plays an important, but not exclusive role, for the syphilis dynamics in Germany. A risk adapted routine screening for sexually active MSM and potentially innovative approaches to increase early screening and treatment of syphilis such as internet counselling, home sampling, home testing and broadening venue-based (rapid) testing, should be critically evaluated to effectively reduce syphilis infections. European Centre for Disease Prevention and Control (ECDC) 2016-10-27 /pmc/articles/PMC5114722/ /pubmed/27813472 http://dx.doi.org/10.2807/1560-7917.ES.2016.21.43.30382 Text en This article is copyright of The Authors, 2016. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.
spellingShingle Surveillance and Outbreak Report
Jansen, Klaus
Schmidt, Axel J.
Drewes, Jochen
Bremer, Viviane
Marcus, Ulrich
Increased incidence of syphilis in men who have sex with men and risk management strategies, Germany, 2015
title Increased incidence of syphilis in men who have sex with men and risk management strategies, Germany, 2015
title_full Increased incidence of syphilis in men who have sex with men and risk management strategies, Germany, 2015
title_fullStr Increased incidence of syphilis in men who have sex with men and risk management strategies, Germany, 2015
title_full_unstemmed Increased incidence of syphilis in men who have sex with men and risk management strategies, Germany, 2015
title_short Increased incidence of syphilis in men who have sex with men and risk management strategies, Germany, 2015
title_sort increased incidence of syphilis in men who have sex with men and risk management strategies, germany, 2015
topic Surveillance and Outbreak Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5114722/
https://www.ncbi.nlm.nih.gov/pubmed/27813472
http://dx.doi.org/10.2807/1560-7917.ES.2016.21.43.30382
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