Michaud Joshua M, Ellen Jonathan, Johnson Sheridan M, Rompalo Anne
Department of Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Sex Transm Dis. 2003 Jul;30(7):533-8. doi: 10.1097/00007435-200307000-00001.
Effective syphilis control and elimination require community effort and innovative case-finding techniques, especially to identify infected persons from core transmission groups.
To summarize the implementation and outcomes of a community-oriented response to a localized outbreak of syphilis directed at sex partner meeting places.
Syphilis surveillance and rapid response data from a 7-month period were analyzed for risk behaviors, sex partner meeting locations, field investigation outcomes, and social and sexual network connections.
Four (6%) of the sixty-nine persons tested were confirmed syphilis reactors, of whom three were new cases. A sexual and needle-sharing network of 15 persons was identified that included two of the new syphilis cases. These two had not been found through standard field investigation.
Targeting interventions to sex partner meeting places may effectively complement traditional syphilis control tools and find previously unidentified syphilis cases in high-morbidity areas.
有效的梅毒控制和消除需要社区的努力以及创新的病例发现技术，特别是要从核心传播群体中识别出感染者。
总结针对梅毒局部暴发，以性伴侣会面场所为目标的社区导向应对措施的实施情况和结果。
分析了7个月期间梅毒监测和快速反应数据中的风险行为、性伴侣会面地点、现场调查结果以及社会和性网络联系。
69名接受检测的人员中有4人（6%）被确认为梅毒反应者，其中3例为新病例。识别出一个由15人组成的性传播和共用针头网络，其中包括两例新梅毒病例。这两例新病例并非通过标准现场调查发现的。
针对性伴侣会面场所开展干预措施可能有效补充传统的梅毒控制手段，并在高发病率地区发现此前未被识别的梅毒病例。
