EPIDEMIOLOGICAL ASPECTS OF SYPHILIS
Abstract
Syphilis is the main venereal disease globally and one of the main problems of modern medicine, although its incidence is continuously declining. Aim: to gather data regarding the incidence of syphilis over the last 5-6 years in North-eastern Romania. Material and methods: Retrospective study on the main forms of syphilis (primary syphilis, secondary syphilis, latent syphilis, congenital syphilis, neurosyphilis) which included a total of 304 patients admitted and treated to the Clinic of Dermatovenerology of the Iasi County “Sf. Spiridon” Emergency Hospital between 2013-2018. Results: The incidence of the different clinical forms of syphilis was as follows: primary syphilis 1%, secondary syphilis 16%, recent latent syphilis 37%, late latent syphilis 22%, early congenital syphilis 3%, late congenital syphilis 11%, results on agreement with literature data. Conclusions: Our study demonstrates a linear decrease in the incidence of syphilis over the last 5-6 years in Northeastern Romania, but it still ranks first among EU countries. Further research is needed to understand the social determinants that lead to the spread of sexually transmitted diseases in Romania.
References
2. Wangh M. The centenary of Treponema pallidum on the discovery of Spirocheta pallida. Int J AIDS 2005; 16(9): 594-595.
3. Petrescu Z, Brănișteanu D, Țăranu T, Statescu C, Statescu L. Dermatologie și infecții transmise sexual. Ed Junimea, Iasi, 2008, 446-460.
4. Wolff K, Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ. Fitzpatrick’ s Dermatology in Generale Medicine, 7th ed. New York (NY): McGraw-Hill; 2007.
5. Mindel A, Dwyer D, Herring B, Cunningham A. Global Epidemiology of Sexually Transmitted Dis-eases. Sexually Transmitted Diseases: Vaccines, Prevention, and Control 2013, 3-43.
6. Herbert LJ, Middleton SI. An estimate of syphilis incidence in Eastern Europe. J Glob Health 2012; 2(1): 010402.
7. Sălăvăstru C, Rușinoiu A, Pârvu A, et al. Epidemiological surveillance of syphilis patients in Colentina Hospital (Bucharest, Romania). Roum Arch Microbiol Immunol 2007; 66(3-4): 80-84.
8. Kojima K, Klausner J. An Update on the Global Epidemiology of Syphilis, Infectious Disease Epi-demiology. Curr Epidemiol Rep 2018; 5(1): 24-38.
9. Neghina R, Neghina AM. Epidemiology of syphilis, gonorrhea and chlamydia in Romania, 1980-2009. J Infect 2011; 63(1): 54-59.
10. Daoud M, Duca E, Petrescu Z. Syphilis in pregnancy. Rev Med Chir Soc Med Nat Iasi 2011; 115(4): 1097-1101.
11. Wangh M. The centenary of Treponema pallidum on the discovery of Spirocheta pallida. Int J AIDS 2005; 16(9):594-595
12. Oanță A.Irimie M, Peres M. Curs de Dermatologie, Curs bibliografiat Brașov, 2007.
13. Ambros M, Maier N. Epidemiologia sifilisului. Revista Asociației Dermatologilor Transilvăneni 2002, 13-22.
14. Ho El, Lukehart SA. Syphilis: using modern approaches to understand an old disease. J Clin Invest 2011; 121: 4584-4592.
15. Bjekic M, Sipetic-Grunjicic S, Begovic-Vuksanovic B, et al. Syphilis resurgence in Belgrade, Serbia, in the new millennium: An outbreak in 2014. Cent Eur J Public Health 2017; 25(4): 277-281.
16. Rada C, Albu A, Petrariu FD. Age at initiation of sexual life, protection at first intercourse and sources of information regarding sexual and reproductive health. Rev Med Chir Soc Med Nat Iasi 2013; 117(4): 994-1001.
17. Chesson HW, Owusu-Edusei K Jr, Leichliter JS, et al. Violent crime rates as a proxy for the social determinants of sexually transmissible infection rates: The consistent state-level correlation between violent crime and reported sexually transmissible infections in the United States, 1981-2010. Sex Health 2013; 10: 419-423.
18. Rodríguez de Mingo E, Martín Peña N, Sánchez González R. Características de las infecciones de transmisión sexual diagnosticadas en un centro de saludCharacteristics of sexually transmitted infections diagnosed in a health centre. Medicine 2010; 72(7): 398-400.
19. Motyka A, Wierzejska E, Wasniowski A, et al. Current trends in epidemiology of chlamydia tracho-matis infections, gonorrhea and syphilis in Poland and Europe. Medical News 2013, 82(6): 467-471.
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