Document Detail


Surveillance of sexually transmitted diseases in Switzerland, 1973-1994: evidence of declining trends in gonorrhoea and syphilis.
MedLine Citation:
PMID:  9085536     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The HIV/AIDS epidemic has led to growing interest in the epidemiology of sexually transmitted diseases (STDs) in Switzerland. STD surveillance data from three sources are presented: reports from six policlinics of dermatovenereology since 1973, laboratory reports of Neisseria gonorrhoeae, Treponema pallidum and Chlamydia trachomatis since 1988, and reports by the Swiss Sentinel Network between June 1991 and December 1993. The data indicate that there has been a decline in the number of cases of syphilis and, in particular, gonorrhoea since the early 1980s in Switzerland. Since many factors could explain the declines (e.g. more effective treatments, more widespread use of antibiotics, marked changes in behaviour such as increased levels of condom use) it is difficult to identify their exact causes. Evidence for two of the before-mentioned factors exists and these probably played important roles in the declines. Firstly, as a result of the emergence of penicillinase producing strains of N. gonorrhoeae, the introduction of new treatments for gonorrhoea in the early 1980s which were simpler to administer and more effective (in particular the use of spectinomycin). Secondly, the national AIDS prevention campaign which began in 1987 and has been associated with major increases in condom use in the Swiss population.
Authors:
W J Paget; H P Zimmermann
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  Sozial- und Präventivmedizin     Volume:  42     ISSN:  0303-8408     ISO Abbreviation:  Soz Praventivmed     Publication Date:  1997  
Date Detail:
Created Date:  1997-06-16     Completed Date:  1997-06-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7502479     Medline TA:  Soz Praventivmed     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  30-6     Citation Subset:  IM    
Affiliation:
Swiss Federal Office of Public Health, Division of Epidemiology and Infectious Diseases, Liebefeld-Bern.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Chlamydia Infections / epidemiology
Chlamydia trachomatis
Female
Gonorrhea / epidemiology
Humans
Male
Population Surveillance
Prevalence
Sexually Transmitted Diseases / epidemiology*
Switzerland / epidemiology
Syphilis / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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