梅毒流行：2011 年至 2015 年间在一家三级医院诊断的患者的描述性研究。
Syphilis epidemics: a descriptive study of patients diagnosed in a tertiary hospital between 2011 and 2015.
机构信息
Servicio de Dermatología, Hospital Clínic de Barcelona, Universitat de Barcelona, Barcelona, España.
Centre d'Estudis Epidemiològics sobre les ITS i la Sida de Catalunya (CEEISCAT), Badalona, España.
出版信息
Med Clin (Barc). 2017 Dec 20;149(12):536-539. doi: 10.1016/j.medcli.2017.04.024. Epub 2017 Jun 13.
BACKGROUND AND OBJECTIVE
In the last decade, the incidence of syphilis has increased in our health area. Our objective is to describe the epidemiological and clinical characteristics of patients diagnosed with syphilis at our centre and their relationship with HIV.
PATIENTS AND METHODS
The clinical and epidemiological variables of patients diagnosed with syphilis in a third-level hospital over a period of 4.5 years, as well as their HIV status, were analysed through a descriptive study.
RESULTS
There was a significant increase in the incidence of syphilis in the period 2011-2015. We included 220 patients, 98% men (94% MSM). 62% were HIV+ and 89% came in early/infectious stages of the disease. 7% were concomitantly diagnosed with HIV. There was a high number of sexual partners and frequent use of drugs associated with sexual activity (46%).
CONCLUSIONS
The incidence of syphilis has increased in our centre in the last 2 years. The most affected group is MSM, with high HIV prevalence and risk behaviours for STI acquisition.
背景与目的
在过去十年中，我们的卫生区域梅毒发病率有所增加。我们的目的是描述在我们中心诊断出的梅毒患者的流行病学和临床特征及其与 HIV 的关系。
患者与方法
通过描述性研究，分析了一家三级医院在 4.5 年期间诊断出的梅毒患者的临床和流行病学变量及其 HIV 状况。
结果
在 2011 年至 2015 年期间，梅毒发病率显著增加。我们共纳入 220 名患者，其中 98%为男性（94%为男男性接触者）。62%的患者 HIV 阳性，89%处于疾病的早期/传染性阶段。7%的患者同时诊断出 HIV 感染。患者性伴侣数量较多，且经常发生与性行为相关的药物滥用（46%）。
结论
在过去 2 年中，我们中心的梅毒发病率有所增加。受影响最大的群体是男男性接触者，他们 HIV 感染率较高，且存在获得性传播感染的高危行为。
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