Ciesielski Carol, Kahn Richard H, Taylor Melanie, Gallagher Kathleen, Prescott Larry J, Arrowsmith Susan
Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Sex Transm Dis. 2005 Oct;32(10 Suppl):S37-42. doi: 10.1097/01.olq.0000181148.80193.91.
To quantify the scope and yield of targeted syphilis screening in nonmedical settings in 7 US cities affected by recent syphilis outbreaks among men who have sex with men (MSM).
Data were collected from syphilis screening activities targeting MSM between 1999 and 2004, conducted in bathhouses or other commercial sex venues, MSM-oriented bars, mobile vans, and other nonmedical settings by the public health departments of Chicago, Houston, Miami/Fort Lauderdale, Los Angeles, NY, and San Francisco.
Of 14,143 syphilis screening tests (STS) conducted during community outreach campaigns at a variety of MSM oriented venues, 132 (0.9%) new cases of syphilis were identified. One hundred five (0.8%) new cases of early syphilis were found, including 23 cases of symptomatic syphilis. Screening in jails produced the highest prevalence of early syphilis (1.3%, 51 cases/3853 STS), followed by sex venues, including bathhouses (1.2%, 29 cases/2511 STS).
These data suggest that even nontraditional, highly targeted screening programs conducted during outbreak situations do not detect many persons with syphilis, even though many of the screening venues were locations where men with syphilis met their sex partners. The low prevalence of infectious syphilis identified during these screening events suggests that the direct impact of these programs on decreasing syphilis transmission may be negligible. However, the secondary benefits, such as increasing awareness of syphilis and prompting earlier treatment due to symptom recognition, may be substantial.
量化美国7个城市在男男性行为者（MSM）中近期梅毒疫情爆发期间，非医疗机构针对性梅毒筛查的范围和产出。
收集了1999年至2004年期间针对MSM的梅毒筛查活动数据，这些活动由芝加哥、休斯顿、迈阿密/劳德代尔堡、洛杉矶、纽约和旧金山的公共卫生部门在澡堂或其他商业性场所、面向MSM的酒吧、流动货车及其他非医疗机构开展。
在针对各类面向MSM场所的社区外展活动中进行的14143次梅毒筛查试验（STS）里，确诊了132例（0.9%）梅毒新病例。发现105例（0.8%）早期梅毒新病例，包括23例有症状梅毒病例。监狱筛查的早期梅毒患病率最高（1.3%，51例/3853次STS），其次是性场所，包括澡堂（1.2%，29例/2511次STS）。
这些数据表明，即使在疫情爆发期间开展非传统、针对性强的筛查项目，也未检测出许多梅毒患者，尽管许多筛查场所是梅毒患者与性伴侣相遇的地方。这些筛查活动中确诊的感染性梅毒患病率较低，表明这些项目对减少梅毒传播的直接影响可能微不足道。然而，诸如提高梅毒认知度以及因症状识别促使更早治疗等次要益处可能很大。
