Patterson-Rose Sherine, Mullins Tanya L Kowalczyk, Hesse Elizabeth A, Lehmann Corinne, Widdice Lea E
Cincinnati Children's Hospital Medical Center, Division of Adolescent and Transition Medicine, 3333 Burnet Avenue, MLC 4000, Cincinnati, OH 45229, USA.
Sex Health. 2015 Apr;12(2):179-80. doi: 10.1071/SH15008.
Little is known about the epidemiology of syphilis among adolescents and young adults. This study examined, among more than 17000 young people aged 13-22 years old, trends in rates of syphilis testing and infection; characteristics of infected adolescents; and agreement about syphilis staging and treatment between provider and chart reviewer. Rates of syphilis testing increased but rates of syphilis infection did not increase significantly over a 5-year period. A majority of infected men reported only opposite-sex sexual contact. High agreement between providers and chart reviewers was found. These findings demonstrate the need for complete assessment of risk factors and use of local epidemiology in screening practices.
关于青少年和青年梅毒的流行病学情况,人们了解甚少。本研究调查了17000多名13至22岁的年轻人,分析梅毒检测率和感染率的趋势;受感染青少年的特征;以及医疗服务提供者与病历审核员之间关于梅毒分期和治疗的一致性。在5年期间,梅毒检测率上升,但梅毒感染率没有显著增加。大多数受感染男性仅报告有异性性接触。医疗服务提供者与病历审核员之间的一致性较高。这些发现表明,在筛查实践中需要全面评估风险因素并运用当地的流行病学数据。