Scientific Institute of Public Health, Operational Direction Public Health and Surveillance, Brussels, Belgium.
Int J Public Health. 2011 Apr;56(2):169-74. doi: 10.1007/s00038-010-0209-5. Epub 2010 Dec 3.
Surveillance of sexually transmitted infections (STI) among HIV patients in AIDS Reference Centers aims at identifying risk groups and detecting specific STI emerging in this population.
Seven of the nine AIDS Reference Centers in Belgium participate in this surveillance. The reported STI include Chlamydia, gonorrhea, syphilis, Lymphogranuloma venereum, hepatitis B virus and newly acquired hepatitis C in men who have sex with men (MSM).
In 2008, 252 HIV patients (250 men, 2 women) were reported with a new STI episode. Sexual orientation was known for 245 men: 241 were MSM, 4 were heterosexual men. In total, 279 new STI episodes were reported. More than half of the diagnoses were syphilis. In 78% of the syphilis cases, the motive of the consultation was not related to an STI complaint.
The results underline the importance of regular STI screening among HIV-positive persons, and show a particular sexual health problem among MSM. We estimate that the proportion of HIV-positive MSM acquiring an STI in 2008 was 8.8%.
在艾滋病参考中心对 HIV 患者进行性传播感染 (STI) 的监测，旨在识别风险群体并检测该人群中出现的特定 STI。
比利时的 9 个艾滋病参考中心中有 7 个参与了这项监测。报告的性传播感染包括衣原体、淋病、梅毒、腹股沟淋巴肉芽肿、乙型肝炎病毒和新感染的丙型肝炎病毒，对象是男男性行为者（MSM）。
2008 年，报告了 252 名 HIV 患者（250 名男性，2 名女性）出现新的 STI 感染。245 名男性的性取向已知：241 名是 MSM，4 名是异性恋男性。总共报告了 279 例新的 STI 感染。超过一半的诊断是梅毒。在 78%的梅毒病例中，就诊的动机与 STI 无关。
这些结果强调了对 HIV 阳性者进行定期 STI 筛查的重要性，并显示 MSM 存在特定的性健康问题。我们估计，2008 年 HIV 阳性 MSM 中获得 STI 的比例为 8.8%。
