Totten S, MacLean R, Payne E
Centre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa, ON.
Can Commun Dis Rep. 2015 Feb 5;41(2):26-29. doi: 10.14745/ccdr.v41i02a02.
Gonorrhea is the second most commonly reported sexually transmitted infection in Canada. Between 1991 and 1997, Canada experienced a sharp decline in the rates of reported cases of gonorrhea, followed by a steady incline.
To identify trends in reported cases of gonorrhea in Canada from January 1, 2003 to December 31, 2012.
Notifiable disease reports were submitted to the Public Health Agency of Canada by provincial and territorial epidemiological units and data were summarized by age and sex.
Between 2003 and 2012, the rate of reported cases of gonorrhea increased by 38.9%, from 26.0 to 36.2 per 100,000. Over this time frame, a greater relative rate increase was observed in females, though rates of gonorrhea increased in both sexes and across all age groups. In 2012, as in previous years, the rate of reported cases of gonorrhea was higher in males than females (41.4 vs. 31.0 per 100,000). Females between the ages of 15 and 24 years and males between the ages of 20 and 29 years accounted for the highest rates of gonorrhea in 2012.
In Canada, as in many countries, gonorrhea is on the rise, especially in young adults. This increase in rates of reported cases is in part due to improved diagnosis through nucleic acid amplification (NAAT) testing and may also be affected by growing gonococcal resistance to many available treatments.
淋病是加拿大报告的第二常见性传播感染疾病。1991年至1997年间，加拿大淋病报告病例率急剧下降，随后呈稳步上升趋势。
确定2003年1月1日至2012年12月31日加拿大淋病报告病例的趋势。
省级和地区流行病学单位向加拿大公共卫生署提交法定传染病报告，并按年龄和性别对数据进行汇总。
2003年至2012年期间，淋病报告病例率上升了38.9%，从每10万人26.0例增至36.2例。在此期间，女性的相对增长率更高，不过淋病发病率在男女两性以及所有年龄组中均有所上升。与往年一样，2012年男性淋病报告病例率高于女性（每10万人中分别为41.4例和31.0例）。2012年，15至24岁的女性和20至29岁的男性淋病发病率最高。
与许多国家一样，加拿大的淋病发病率呈上升趋势，尤其是在年轻人中。报告病例率的上升部分归因于核酸扩增（NAAT）检测诊断水平的提高，也可能受到淋病奈瑟菌对多种现有治疗方法耐药性增加的影响。
