Warszawski J, Spira A
Santé publique, épidémiologie, reproduction humaine Hôpital de Bicêtre, Le Kremlin-Bicêtre.
Rev Prat. 1996 Oct 15;46(16):1940-7.
Epidemiologic trends in sexually transmitted diseases strongly vary in the world. The situation is worrying in the developing countries. Both the incidences and prevalences are very high antibiotic resistance is expanding and interactions between sexually transmitted diseases and human immunodeficiency virus contribute to AIDS epidemic. In western Europe, the decline of some sexually transmitted diseases is likely to be linked with successful control programmes and gonorrhea and syphilis now are rare diseases. The USA situation is contrasted. Some inner-city minority population still have high level of gonorrhea and are concerned with resurgence of syphilis and chancroid. Chlamydia trachomatis infections, which are a major, cause of infertility and ectopic pregnancy, have become the most prevalent sexually transmitted disease in industrialized world.
性传播疾病的流行病学趋势在全球差异很大。发展中国家的情况令人担忧。发病率和患病率都非常高，抗生素耐药性不断扩大，性传播疾病与人类免疫缺陷病毒之间的相互作用加剧了艾滋病的流行。在西欧，一些性传播疾病的减少可能与成功的防控计划有关，淋病和梅毒现在已属罕见疾病。美国的情况则有所不同。一些市中心的少数族裔人群淋病感染率仍然很高，梅毒和软下疳有再度流行的趋势。沙眼衣原体感染是导致不孕和宫外孕的主要原因，已成为工业化国家最普遍的性传播疾病。
