An increase in the prevalence of syphilis in women in Eastern Bohemia – 30 years of surveillance

Czech version

Authors: M. Salavec ¹; V. Boštíková ²; J. Smetana ²; R. Chlíbek ²; M. Špliňo ²; P. Boštík ²
Authors‘ workplace: Klinika nemocí kožních a pohlavních, Fakultní nemocnice a LF UK, Hradec Králové ¹; Fakulta vojenského zdravotnictví, Univerzita obrany, Hradec Králové ²
Published in: Epidemiol. Mikrobiol. Imunol. 63, 2014, č. 2, s. 95-98
Category: Review articles, original papers, case report

Overview

Epidemiological data on sexually transmitted infections in the Czech Republic has been carefully reported for many years. Here we present an analysis of regional data on syphilis spanning more than 30 years in eastern Bohemia. The epidemiological data were derived from the mandatory reporting of sexually transmitted diseases covering the period 1981–2011. The data showed a minimal incidence of cases in 1990 and an increasing trend thereafter. Two peaks in the incidence are apparent - within years 1995–1999 and 2003–2007. Interestingly, while before 1990 the numbers of positive men always exceeded those of women, their numbers equalized or even reversed within the two peaks. The results may also reflect trends in social change in the country after 1989. The analysis showed that the regional prevalence of syphilis in eastern Bohemia still remains low compared to some other regions of the Czech Republic.

Keywords:
syphilis – Treponema pallidum – Czech Republic

Sources

1. Ficarra G, Carolos R. Syphilis: the renaissance of an old disease with oral implications. Head and Neck Patholology, 2009;3:195–206.

2. Theler B, Lauchli S. Sexually transmitted infections (STI). Therapeutische Umschau 2010;67:187–194.

3. Tucker JD et al. Accelerating worldwide syphilis screening through rapid testing: a systematic review. Lancet Infectious Diseases, 2010;10:381–386.

4. Uuskula A et al. Trends in the epidemiology of bacterial sexually transmitted infections in Eastern Europe. Sexually Transmitted Infections, 2010;86:6–14.

5. Sena AC, White BL, Sparling PF. Novel Treponema pallidum serologic tests: a paradigm shift in syphilis screening for the 21st century. Clinical Infectious Diseases, 2010;51:700–708.

6. Ljubojevic S, Lipozencic. Sexually transmitted infections and adolescence. Acta Dermatovenerologica Croatica, 2010;18:305–310.

7. Costa MC et al. Sexually transmitted diseases during pregnancy: a synthesis of particularities. Brasilian Annals of Dermatology, 2010;85:7676–782.

8. Celum CL. Sexually transmitted infections and HIV: epidemiology and interventions. Topics in HIV Medicine, 2010;18:138–142.

9. Resl V, Salavec M, Kumpova M. Sexual risk behaviours, nine decades of positive experience with venereal prevention, follow-up and epidemiological tracing in Czechoslovakia and the Czech Republic respectively. In: Passero L, Sgariglia C eds, Sexual Risk Behaviors. Nova: Public Health in the 21st Century, 2010, pp. 95–109.

10. Marcus U, Bremer V, Hamouda O. Syphilis surveillance and trends of the syphilis epidemic in Germany since the mid-90s. Eurosurveillance, 2004;9:494.

11. Tucker JD, Chen XS, Peeling RW. Syphilis and social upheaval in China. Ew England Journal of Medicine, 2010;362:1658–1661.

12. Nakashima AK et al. Epidemiology of syphilis in the United States, 1941–1993. Sexually Transmitted Diseases, 1996;23:16–23.

13. Singh AE, Romanowski B. Syphilis: review with emphasis on clinical, epidemiologic, and some biologic features, Clinical Microbiology Reviews, 1999;12:187–209.

14. Kaštánková V. Sexuálně přenosné nemoci – aktuální problematika. Trendy v medicíně, 2001;3(3):64–70.

15. Fenton K. Epidemiology of STI15’s, Worldwide perspectives, Book of abstracts, Oral communications and co-opted speakers abstracts, 21st World Congress of Dermatology, 1425: 252, 2007.