Psutka Rebecca, Dickson Nigel, Azariah Sunita, Coughlan Edward, Kennedy Jane, Morgan Jane, Perkins Nicky
Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.
Int J STD AIDS. 2013 Oct;24(10):791-8. doi: 10.1177/0956462413483251. Epub 2013 Jul 15.
Following a rise in cases of infectious syphilis in New Zealand, national enhanced surveillance at sexual health clinics was initiated. All public sexual health clinics reported monthly on the number of cases seen, and completed a coded questionnaire on each case. Monthly reports to routine surveillance were compared and discrepancies reconciled. During 2011, 72 cases of infectious syphilis were reported. The majority (83%) were among men who have sex with men who were mainly infected in New Zealand and had an ethnic profile similar to all New Zealanders. Most heterosexual infections occurred overseas, among people of non-European non-Maori ethnicity. About half the cases had symptoms on presentation. Overall, 18% of men who have sex with men were HIV positive. Resurgent syphilis in New Zealand disproportionally affects men who have sex with men, amongst whom HIV is prevalent. Men who have sex with men should be aware of the risks and symptoms of syphilis and encouraged to have regular sexual health checks including serology testing. Control of syphilis should be included in the strategy to check HIV spread. Syphilis serology should continue to be part of routine immigration and antenatal screening, and where clinically indicated. Enhanced surveillance was easily initiated for an uncommon condition seen at sexual health clinics, and provided valuable information.
在新西兰传染性梅毒病例数上升之后，启动了性健康诊所的全国强化监测。所有公共性健康诊所每月报告所诊治的病例数，并针对每个病例填写一份编码问卷。将每月向常规监测的报告进行比较，并对差异进行核对。2011年期间，报告了72例传染性梅毒病例。大多数（83%）病例发生在男男性行为者中，这些人主要在新西兰感染，其种族特征与所有新西兰人相似。大多数异性传播感染发生在海外，感染人群为非欧洲非毛利族裔。大约一半的病例在就诊时出现症状。总体而言，18%的男男性行为者艾滋病毒呈阳性。新西兰梅毒疫情的死灰复燃对男男性行为者的影响尤为严重，而艾滋病毒在这些人群中也很普遍。男男性行为者应了解梅毒的风险和症状，并鼓励他们定期进行性健康检查，包括血清学检测。梅毒控制应纳入遏制艾滋病毒传播的战略中。梅毒血清学检测应继续作为常规移民筛查和产前筛查的一部分，并在有临床指征时进行检测。针对性健康诊所中出现的一种罕见疾病，强化监测很容易启动，并提供了有价值的信息。
