Sexually transmitted infections and screening for chlamydia in England, 2017
This report details a spike in cases of syphilis and gonorrhoea in 2017 in England. There was a 20% rise in syphilis cases, and a 22% rise in gonorrhoea cases. The overall rates of sexually transmitted infections remained stable in 2016-17.
[The Conversation Africa] Sexually transmitted infections (STIs) are a serious public health issue. It's estimated that globally, more than a million people are diagnosed with one or more sexually transmitted infections like gonorrhoea, chlamydia or syphilis every day. What's more concerning is that the prevalence of infection with chlamydia for example, have remained unchanged over the past 10 years despite better screening in developed countries.
CONCLUSIONS: STIs were extremely common among HIV-positive MSM prior to and after ART. ART effectively reduced HIV RNA in all compartments. The correlation between STIs and anogenital HIV RNA, especially prior to ART and likely until complete HIV RNA suppression from ART is achieved, points to the importance of integrating asymptomatic STIs screening into Treatment as Prevention programme for MSM. PMID: 30225927 [PubMed - in process]
Christopher Bourne, Meeyin Lam, Christine Selvey, Rebecca Guy, Denton Callander Easy access to testing and treatment is central to sexually transmitted infections (STI) and HIV control efforts. We assessed the contribution made by NSW public sexual health clinics (PSHC) to STI/HIV diagnoses and in which populations from 2010 through 2014. Increasing proportions of chlamydia, gonorrhoea, infectious syphilis and HIV were diagnosed in PSHC where an increasing majority of infections were in gay and bisexual men.
Sexually transmitted infections (STIs) can manifest as urethritis, proctitis, pharyngitis or cervicitis, depending on the site of infection, although asymptomatic infections are frequent particularly at extragenital sites. Classical STIs such as gonorrhoea and chlamydia are well-recognized causes, but many other STIs such as trichomoniasis, lymphogranuloma venereum, syphilis and herpes simplex can infect these mucosal sites. In the UK, there is a high burden of infection in specific populations, including young people, men who have sex with men and individuals from black and minority ethnic populations.
Authors: Apers L, Florence E, Crucitti T, Anwar N Abstract Objective of this study was to describe the patient characteristics and clinical presentation of laboratory confirmed lymphogranuloma venereum (LGV) cases, diagnosed at the Institute of Tropical Medicine (ITM), Antwerp, Belgium. Demographic and biomedical characteristics of all patients with chlamydia-positive sample results were retrieved for the years 2013 and 2014. Samples were obtained from both symptomatic and asymptomatic patients who consulted at the HIV/STI clinic. Fifty four patients with laboratory confirmed LGV were detected among 3885 nucleic ac...
ConclusionsA high prevalence of STIs/BV was found in this rural setting with high HIV prevalence in South Africa. Most STIs and HIV infections were asymptomatic and would not have been identified or treated under national syndromic management guidelines. A nested STI/BV survey within a HDSS proved acceptable and feasible. This is a proof of concept for population-based STI surveillance in low- and middle-income countries that could be utilised in the evaluation of STI/HIV prevention and control programmes.
In 2012, the World Health Organization (WHO) estimated that 357 million new infections were diagnosed, and 1 in 4 were sexually-transmitted infections (STIs), including chlamydia (131 million), gonorrhoea (78 million), syphilis (5.6 million) and trichomoniasis (143 million) . Among the 78 million estimated new Neisseria gonorrhoeae infections, the highest number was in the WHO Western Pacific Region, which had up to 35.2 million cases . In Taiwan, the number of N. gonorrhoeae infections has increased gradually, from 2291 reported cases in 2010 (9.79 cases per 100 000 population) to 4475 reported cases in 2016 (19.00 ...
Background Female sex workers in Australia have achieved some of the lowest documented prevalences of human immunodeficiency virus (HIV) and other sexually transmissible infections globally but rates overall are increasing in Australia and warrant closer investigation. Methods We constructed a retrospective cohort using repeat testing data extracted from a network of 42 sexual health clinics. Poisson and Cox regression were used to determined trends in incidence and risk factors for HIV, chlamydia, gonorrhoea, and infectious syphilis among female sex workers. Results From 2009 to 2015, 18,475 women reporting sex wo...
Conclusion: Increased rates of STIs among individuals after initiation of PrEP may suggest greater risk behaviours during the first year on PrEP. Further studies are needed to measure long-term trends in STI acquisition following PrEP initiation.
STIs - or sexually transmitted infections - can be passed on via unprotected sex. These are the symptoms of gonorrhoea - commonly misspelt gonorrhea - chlamydia and syphilis to look out for.