Zwahlen Marcel, Spoerri Adrian, Gebhardt Martin, Mäusezahl Mirjam, Boubaker Karim, Low Nicola
Department of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
Sex Transm Dis. 2007 Feb;34(2):76-80. doi: 10.1097/01.olq.0000223248.96376.3b.
In Switzerland (population 7.4 million), 3 different systems contribute to surveillance for sexually transmitted infections.
The goal of this study was to compare time trends from surveillance systems for chlamydia, gonorrhea, and syphilis.
We studied surveillance data (1997-2003) from laboratory reports in women and men, men attending dermatology clinics, and women attending gynecologists.
Laboratory reports of episodes of Chlamydia trachomatis and Neisseria gonorrhoeae increased by 31% (from 2573 to 3449 cases) and 104% (from 259 to 528 cases), respectively. Over the same period, chlamydia reports from men attending dermatology clinics and women attending gynecologists did not change and dermatology clinic-based reports of gonorrhea in men increased only slightly. Syphilis reports from dermatology clinics increased by 127% (from 22 to 50 cases).
Increases in laboratory reports of chlamydia and gonorrhea were not consistently detected in sentinel populations. Numbers of cases reported to all 3 systems were low. The performance of surveillance systems for sexually transmitted infections should be evaluated regularly.
在瑞士（人口740万），有3种不同系统用于性传播感染监测。
本研究的目标是比较衣原体、淋病和梅毒监测系统的时间趋势。
我们研究了1997 - 2003年来自男女实验室报告、皮肤科门诊男性以及妇科门诊女性的监测数据。
沙眼衣原体和淋病奈瑟菌感染病例的实验室报告分别增加了31%（从2573例增至3449例）和104%（从259例增至528例）。同期，皮肤科门诊男性和妇科门诊女性的衣原体报告未变化，皮肤科门诊男性淋病报告仅略有增加。皮肤科门诊梅毒报告增加了127%（从22例增至50例）。
在哨点人群中，衣原体和淋病实验室报告增加的情况未得到一致监测。向所有3个系统报告的病例数都很低。性传播感染监测系统的性能应定期评估。
