Vlajinac H, Sipetic S, Bjekic M, Savcic G, Marinkovic J
Institute of Epidemiology, School of Medicine, Belgrade University, Serbia and Montenegro.
Epidemiol Infect. 2006 Jun;134(3):585-8. doi: 10.1017/S0950268805005558. Epub 2005 Nov 17.
This paper describes the features of an outbreak of early syphilis in an institution for the care of adults with mental disorders. A case-note review was performed. In the period June to November 2001, 87 cases of syphilis were diagnosed [25 primary, 21 secondary and 41 early latent syphilis in 983 inmates (crude attack rate 8.9%)]. Among them 82 were heterosexual, four were homosexual or bisexual, and for one case sexual preference was not established. About half the cases were known to be promiscuous. The initial case was not identified. Penicillin therapy was administered to all cases and all known or suspected sexual contacts. Sporadic cases of syphilis have, however, continued to emerge from time to time. Institutions for patients with mental disorders are vulnerable to sexually transmitted diseases, and special strategies should be devised for their control.
本文描述了一家成人精神障碍护理机构中一期梅毒暴发的特征。进行了病例记录回顾。在2001年6月至11月期间，诊断出87例梅毒病例[983名 inmates 中有25例一期、21例二期和41例早期潜伏梅毒（粗发病率8.9%）]。其中82例为异性恋，4例为同性恋或双性恋，1例性取向未明确。约一半病例已知有滥交行为。最初病例未查明。对所有病例以及所有已知或疑似性接触者均给予了青霉素治疗。然而，梅毒散发病例仍不时出现。精神障碍患者机构易患性传播疾病，应制定特殊策略对其进行控制。
