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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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European Centre for Disease Prevention and Control (ECDC)
2016
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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. |
format | Online Article Text |
id | pubmed-5114722 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | European Centre for Disease Prevention and Control (ECDC) |
record_format | MEDLINE/PubMed |
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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