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2019 年波兰梅毒疫情。

Syphilis in Poland in 2019.

机构信息

National Institute of Public Health NIH - National Research Institute, Department of Epidemiology of Infectious Diseases and Surveillance.

出版信息

Przegl Epidemiol. 2021;75(4):613-625. doi: 10.32394/pe.75.58.

DOI:10.32394/pe.75.58
PMID:35543572
Abstract

PURPOSE

The aim of the study was to assess the epidemiological situation of syphilis cases in Poland in 2019 in comparison to previous years.

MATERIAL AND METHODS

Analysis of the epidemiological situation was based on case-based data from reports of newly detected syphilis cases received from doctors and laboratories. Additionally aggregated data from MZ-56 reports on infectious diseases, infections and poisoning from 2013 to 2018 sent from Sanitary Inspections to NIPH NIH - NRI was used. Also, data about treatment patients in dermatology/venerology clinics in 2019 reported on MZ-14 forms and published in statistics bulletin on Ministry of Health on e-health system website (actually: https://e-zdrowie.gov.pl; https://cez.gov.pl) and NIPH NIH - NRI website were used.

RESULTS

In 2019 in Poland 1,511 syphilis cases were recognized (diagnosis rate was 3.96 per 100,000), including 79 cases among non-Polish citizens. The frequency of newly detected syphilis cases increased by 5% compared to the previous year and was higher by 13% compared to the median in 2013-2017 years. The syphilis cases were most often detected in the age group between 30 and 34 (20.7%) and among men (86.9%). Most cases were recognized among men who have sex with men (42%).

CONCLUSION

In 2019, the number of newly detected syphilis cases increased compared to the previous year. Preventive initiatives should be taken, especially among key population as young people, men who have sexual contact with men, and who have risky sexual behaviors. Low syphilis diagnosis rate compared to European countries and a huge difference in some regions in Poland for diagnosis rates indicate on problem with recognition and reporting. To improve the functioning of national surveillance is essential to adequate assessment of epidemiological situation.

摘要

目的

本研究旨在评估 2019 年波兰梅毒病例的流行病学情况,并与以往年份进行比较。

材料与方法

基于从医生和实验室收到的新发现梅毒病例报告的病例数据,对流行病学情况进行分析。此外,还使用了 2013 年至 2018 年从卫生监督机构向国家卫生研究所(波兰)传染病、感染和中毒监测中心(NIPH NIH - NRI)发送的 MZ-56 传染病报告的汇总数据。还使用了 2019 年在皮肤病/性病诊所报告的 MZ-14 表格中关于治疗患者的数据,这些数据发表在卫生部电子健康系统网站(实际网址为:https://e-zdrowie.gov.pl;https://cez.gov.pl)和 NIPH NIH - NRI 网站上的卫生统计公报中。

结果

2019 年,波兰共发现 1511 例梅毒病例(诊断率为每 10 万人 3.96 例),其中包括 79 例非波兰公民病例。与前一年相比,新发现梅毒病例的频率增加了 5%,与 2013-2017 年的中位数相比增加了 13%。梅毒病例最常发生在 30 至 34 岁年龄组(20.7%)和男性(86.9%)中。大多数病例发生在男男性行为者(42%)中。

结论

与前一年相比,2019 年新发现梅毒病例数量有所增加。应采取预防措施,特别是针对青年、男男性行为者和有风险性行为的重点人群。与欧洲国家相比,梅毒诊断率较低,以及波兰一些地区诊断率存在巨大差异,表明在识别和报告方面存在问题。为了改善国家监测系统的运行,必须对流行病学情况进行充分评估。

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