Opposite trends in the incidence of gonorrhea and syphilis in the East Bohemian Region – 30 years of surveillance

Czech version

Authors: M. Salavec ¹; V. Boštíková ²; P. Prášil ³; J. Smetana ²; M. Špliňo ²; R. Chlíbek ²; M. Louda ⁴; R. Sleha ^2,5; V. Štěpánová ⁶; 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; Klinika infekčních nemocí, Fakultní nemocnice a LF UK, Hradec Králové ³; Urologická klinika, Fakultní nemocnice a LF UK, Hradec Králové ⁴; Univerzita Pardubice a oddělení epidemiologie, Univerzita obrany, Hradec Králové ⁵; Ústav klinické mikrobiologie, Fakultní nemocnice a LF UK, Hradec Králové ⁶
Published in: Epidemiol. Mikrobiol. Imunol. 63, 2014, č. 3, s. 213-219
Category: Review articles, original papers, case report

Overview

The epidemiology of selected sexually transmitted diseases in the Czech Republic has been carefully evaluated for many years. Data from 1981-2011 for eastern Bohemia shows a sharp decrease in the incidence of gonorrhea in 1993-1994 and a very low incidence thereafter with a slightly higher prevalence in males. However, syphilis and genitourinary infections with Chlamydia trachomatis show entirely opposite trends. Also, for the similar number of diagnostic tests performed, Chlamydia had a 10 fold higher rate of positive results. This underscores the changing epidemiology of sexually transmitted infections (STI) and necessity for adapting the reporting algorithms accordingly.

Keywords:
gonorrhoea – syphilis – Chlamydia trachomatis – prevalence – incidence – Czech Republic

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