Narain Jai Prakash, Mohan Nithya, Vedhanaygam Mohankumar, Swamiappan Murugan, Rajagopalan Rajesh
Communicable Diseases WHO Regional Office for South-East Asia, Madurai, Tamil Nadu, India.
Department of DVL, Madurai Medical College, Madurai, Tamil Nadu, India.
Indian J Sex Transm Dis AIDS. 2024 Jul-Dec;45(2):102-109. doi: 10.4103/ijstd.ijstd_120_24. Epub 2024 Dec 13.
Sexually transmitted infections (STIs) are increasing throughout the world including India at present. In 1960s and 70s, the bacterial STIs were predominant than the viral STIs. The discovery of human immunodeficiency virus (HIV) and its rampant spread changed the situation with the increase of viral STIs in 1980s and 90s. There was a declining trend of viral and bacterial STIs in late 1990s to 2010. During the past two decades, HIV infection is on the declining trend, but other viral STIs are widely prevalent with insufficient decline. Currently, there is resurgence of syphilis and emergence of drug-resistant The interplay of various factors may have a role in this resurgence and this may act as an alarming sign of an impending epidemic. Hence, stringent monitoring of the trend of STIs including antibiotic resistance, appropriate management of STIs, and proper implementation of STI control program is needed. This will tackle the current situation and prevent the further spread of STIs.
目前，包括印度在内，性传播感染（STIs）在全球范围内呈上升趋势。在20世纪60年代和70年代，细菌性性传播感染比病毒性性传播感染更为普遍。人类免疫缺陷病毒（HIV）的发现及其猖獗传播改变了这一局面，在20世纪80年代和90年代病毒性性传播感染有所增加。在20世纪90年代末至2010年期间，病毒性和细菌性性传播感染呈下降趋势。在过去二十年中，艾滋病毒感染呈下降趋势，但其他病毒性性传播感染广泛流行，下降幅度不足。目前，梅毒有所死灰复燃，且出现了耐药性。各种因素的相互作用可能在这种死灰复燃中起作用，这可能是即将爆发疫情的一个警示信号。因此，需要对性传播感染的趋势进行严格监测，包括抗生素耐药性、性传播感染的适当管理以及性传播感染控制项目的妥善实施。这将应对当前形势并防止性传播感染的进一步传播。
