Teter Zbigniew, Majkut Gabriela, Wierzba Waldemar, Śliwczyński Andrzej, Brzozowska Melania, Jacyna Andrzej, Marczak Michał, Myśliwiec Michał
Dermatology Clinic, Military Institute of Medicine, Warsaw, Poland.
National Health Fund, Warsaw, Poland.
Postepy Dermatol Alergol. 2019 Apr;36(2):192-195. doi: 10.5114/ada.2019.84595. Epub 2019 May 14.
Despite the availability of diagnostic tests and effective treatment, there has been a problem with vigilance and reporting of that infectious disease in many countries including Poland.
To compare the incidence of syphilis in Poland in years 2010-2016 according to the mandatory epidemiological surveillance system with the data of the National Health Fund (NHF).
Data of the NHF in Poland were collected. The total number of patients with syphilis (all forms) was estimated on the basis of their unique identifying numbers (PESEL).
The steady increase in the incidence of syphilis in Poland throughout 2010-2016 was found, apart from the congenital form of the disease, which decreased since 2010. The higher prevalence of syphilis was noted in men. The number of hospitalized patients remained constant. According to the data of the NHF, the number of cases of syphilis in Poland was twofold higher as compared to the statistics of the mandatory epidemiological surveillance system (National Institute of Public Health - National Institute of Hygiene, NIPH-NIH), which was the basis of reports published up to date.
Our work shows that there is a remarkable underreporting of syphilis in the mandatory epidemiological surveillance system in Poland, involving also hospitalized patients. The use of the data of NHF in the surveillance of syphilis in Poland is proposed.
尽管有诊断测试和有效治疗方法，但包括波兰在内的许多国家在该传染病的监测和报告方面存在问题。
根据强制性流行病学监测系统，将2010 - 2016年波兰梅毒发病率与国家卫生基金（NHF）的数据进行比较。
收集波兰国家卫生基金的数据。根据梅毒患者的唯一识别号码（个人身份号码，PESEL）估算梅毒患者（所有类型）的总数。
发现2010 - 2016年波兰梅毒发病率稳步上升，但先天性梅毒自2010年以来有所下降。男性梅毒患病率更高。住院患者数量保持不变。根据国家卫生基金的数据，波兰梅毒病例数比强制性流行病学监测系统（国家公共卫生研究所 - 国家卫生研究所，NIPH - NIH）的统计数据高出两倍，而该监测系统是迄今为止发布报告的依据。
我们的研究表明，波兰强制性流行病学监测系统中梅毒报告存在严重漏报情况，住院患者也包括在内。建议在波兰梅毒监测中使用国家卫生基金的数据。
