Suligoi B, Giuliani M, Binkin N
National AIDS Centre, Istituto Superiore di Sanità, Rome, Italy.
Int J STD AIDS. 1994 Mar-Apr;5(2):93-100. doi: 10.1177/095646249400500203.
A prospective STD surveillance system was developed in Italy in 1990. Newly diagnosed cases of sexually transmitted disease (STD) are reported by a network of 45 sentinel STD clinics throughout the country. A total of 10,253 patients were reported between September 1990 and December 1991. The most frequent diagnoses were genital warts (30.8%), non-specific genital infection (male) (12.8%), and non-specific genital infection (female) (11.5%). All patients were asked to undergo an HIV test; 68.4% accepted, of whom 9.3% were seropositive. During the 16-month study period HIV prevalence decreased among IDUs and homo-bisexuals, but increased among non-IDU heterosexuals. These data suggest that STD patients may represent a useful early warning system to detect changes in the epidemic and in the spread of the virus among low-risk heterosexuals. A better counselling programme is needed to improve the acceptance rate of HIV testing among STD patients, and to draw more attention to at-risk sexual behaviours.
1990年，意大利建立了一个前瞻性性传播疾病监测系统。全国45家哨点性传播疾病诊所组成的网络报告新诊断的性传播疾病（STD）病例。1990年9月至1991年12月期间，共报告了10253名患者。最常见的诊断是尖锐湿疣（30.8%）、非特异性生殖器感染（男性）（12.8%）和非特异性生殖器感染（女性）（11.5%）。所有患者均被要求进行HIV检测；68.4%的患者接受了检测，其中9.3%为血清阳性。在为期16个月的研究期间，注射吸毒者和同性恋-双性恋者中的HIV流行率下降，但在非注射吸毒者异性恋者中有所上升。这些数据表明，性传播疾病患者可能是一个有用的早期预警系统，可用于检测疫情变化以及病毒在低风险异性恋者中的传播情况。需要一个更好的咨询项目来提高性传播疾病患者中HIV检测的接受率，并更多地关注高危性行为。
