Journal Mobile Options
Table of Contents
Vol. 212, No. 1, 2006
Issue release date: November 2005

Increased Incidence of Sexually Transmitted Infections in Geneva, Switzerland

Abraham S. · Toutous-Trellu L. · Pechère M. · Hugonnet S. · Liassine N. · Yerly S. · Rohner P. · Ninet B. · Hirschel B. · Piguet V.
To view the fulltext, log in and/or choose pay-per-view option

Individual Users: Register with Karger Login Information

Please create your User ID & Password





Contact Information











I have read the Karger Terms and Conditions and agree.

To view the fulltext, please log in

To view the pdf, please log in

Abstract

Background: Focal outbreaks of sexually transmitted infections (STIs) such as syphilis and gonorrhoea have been reported in the large cities of Western Europe over the past few years. The aim of our study was to determine whether a similar trend is observed in Geneva and the situation with regard to HIV infection. Methods: We review the incidence of syphilis, gonorrhoea, Chlamydia trachomatis and HIV in Geneva from 1999 to 2004. Results: Figures indicate a steady and sustained increase in the incidence of syphilis, gonorrhoea and Chlamydia trachomatis in Geneva since 1999 that is maintained into 2004. As for HIV, the number of positive testings in Switzerland has stabilised and primary infection figures do not indicate an increase in newly acquired infections in Geneva. Conclusion: The situation in Geneva is similar to that observed elsewhere in Western Europe and indicates the need of public health interventions.



Copyright / Drug Dosage

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

References

  1. http://www.bag.admin.ch. (accessed 03.05.05).
  2. General directorate of health, Geneva.
  3. Liassine N, Luescher D, Descombes MC: Infections due to Neisseria gonorrhoeae and susceptibility to antibiotics. 63rd Annual Assembly Swiss Society for Microbiology, Lugano, 2004.
  4. National Committee for Clinical Laboratory Standards: Methods for dilution antimicrobial susceptibility testing for bacteria that grow aerobically. Approved standard M100-S12. Wayne, National Committee for Clinical Laboratory Standards, 2002.
  5. EuroHIV: HIV/AIDS Surveillance in Europe. End-year report 2003. Saint-Maurice, Institut de veille sanitaire, 2004, No 70. www.eurohiv.org/reports/report_70/pdf/report_eurohiv_70.pdf (accessed 03.05.05).
  6. http://www.eurosurveillance.org/ew/2003/ 030508.asp. (accessed 03.05.05).
  7. Dodds JP, Mercey DE, Parry JV, Johnson AM: Increasing risk behaviour and high levels of undiagnosed HIV infection in a community sample of homosexual men. Sex Transm Infect 2004;80:236–240.
  8. Stolte IG, Dukers NH, Geskus RB, Coutinho RA, de Wit JB: Homosexual men change to risky sex when perceiving less threat of HIV/AIDS since availability of highly active antiretroviral therapy: a longitudinal study. AIDS 2004;18:303–309.
  9. Glass TR, Young J, Vernazza PL, Rickenbach M, Weber R, Cavassini M, Hirschel B, Battegay M, Bucher HC: Is unsafe sexual behaviour increasing among HIV-infected individuals? AIDS 2004;18:1707–1714.
  10. http://www.unaids.org/wad2004/EPI_1204_pdf_en/Chapter0–1_intro_en.pdf. (accessed 03.05.05).
  11. Hamers FF, Downs AM: The changing face of the HIV epidemic in western Europe: what are the implications for public health policies? Lancet 2004;364:83–94.
  12. Hopkins S, Lyons F, Mulcahy F, Bergin C: The great pretender returns to Dublin, Ireland. Sex Transm Infect 2001;77:316–318.
  13. Poulton M, Dean GL, Williams DI, Carter P, Iversen A, Fisher M: Surfing with spirochaetes: an ongoing syphilis outbreak in Brighton. Sex Transm Infect 2001;77:319–321.
  14. Dupin N, Jdid R, N’Guyen YT, Gorin I, Franck N, Escande JP: Syphilis and gonorrhoea in Paris: the return. Aids 2001;15:814–815.
  15. Ashton M, Sopwith W, Clark P, McKelvey D, Lighton L, Mandal D: An outbreak no longer: factors contributing to the return of syphilis in Greater Manchester. Sex Transm Infect 2003;79:291–293.
  16. Cusini M, Ghislanzoni M, Bernardi C, Carminati G, Zerboni R, Alessi E, Suligoi B: Syphilis outbreak in Milan, Italy. Sex Transm Infect 2004;80:154.
  17. http://www.eurosurveillance.org/ew/2002/ 021128.asp. (accessed 03.05.05).
  18. Giard M, Queyron PC, Ritter J, Peyramond D, Trepo C, Miailhes P, Chidiac C, Touraine JL, Livrozet JM, Boibieux A, Fabry J, Allard R, Vanhems P: The recent increase of syphilis cases in Lyon University hospitals is mainly observed in HIV-infected patients: descriptive data from a laboratory-based surveillance system. J Acquir Immune Defic Syndr 2003;34:441–443.
  19. Fennema JS, Cairo I, Spaargaren J, Dukers NH, Coutinho RA: Syphilis epidemic and an increase of the number of HIV infections among homosexual men attending the Amsterdam venereal disease clinic (in Dutch). Ned Tijdschr Geneeskd 2002;146:633–635.
  20. Halsos AM, Edgardh K: An outbreak of syphilis in Oslo. Int J STD AIDS 2002;13:370–372.
  21. Nicoll A, Hamers FF: Are trends in HIV, gonorrhoea, and syphilis worsening in western Europe? BMJ 2002;324:1324–1327.
  22. Fennema JS, Cairo I, Coutinho RA: Substantial increase in gonorrhea and syphilis among clients of Amsterdam Sexually Transmitted Diseases Clinic (in Dutch). Ned Tijdschr Geneeskd 2000;144:602–603.
  23. Brown AE, Sadler KE, Tomkins SE, McGarrigle CA, LaMontagne DS, Goldberg D, Tookey PA, Smyth B, Thomas D, Murphy G, Parry JV, Evans BG, Gill ON, Ncube F, Fenton KA: Recent trends in HIV and other STIs in the United Kingdom: data to the end of 2002. Sex Transm Infect 2004;80:159–166.
  24. Grassly NC, Fraser C, Garnett GP: Host immunity and synchronized epidemics of syphilis across the United States. Nature 2005;433:417–421.
  25. Spenatto N, Viraben R: Substantial increase in gonorrhoea among homosexual men attending an STD centre in Toulouse, France. Sex Transm Infect 2001;77: 391–392.
  26. Martin IM, Ison CA: Rise in gonorrhoea in London, UK. London Gonococcal Working Group. Lancet 2000;355:623.
  27. Fenton KA, Rogers PA, Simms I, Maguire H, Catchpole M: Increasing gonorrhoea reports – not only in London. Lancet 2000;355:1907.
  28. Fenton KA, Ison C, Johnson AP, Rudd E, Soltani M, Martin I, Nichols T, Livermore DM: Ciprofloxacin resistance in Neisseria gonorrhoeae in England and Wales in 2002. Lancet 2003;361:1867–1879.
  29. Bala M, Ray K, Kumari S: Alarming increase in ciprofloxacin- and penicillin-resistant Neisseria gonorrhoeae isolates in New Delhi, India. Sex Transm Dis 2003;30: 523–525.
  30. Katz AR, Lee MV, Ohye RG, Whiticar PM, Effler PV: Ciprofloxacin resistance in Neisseria gonorrhoeae: trends in Hawaii, 1997–2002. Lancet 2003;362:495.
  31. Bax CJ, Oostvogel PM, Mutsaers JA, Brand R, Craandijk M, Trimbos JB, Dorr PJ: Clinical characteristics of Chlamydia trachomatis infections in a general outpatient department of obstetrics and gynaecology in the Netherlands. Sex Transm Infect 2002;78:E6.

    External Resources

  32. Lautenschlager S: Sexually transmitted infections in Switzerland: return of the classics. Dermatology 2005;210:134–142.


Pay-per-View Options
Direct payment This item at the regular price: USD 38.00
Payment from account With a Karger Pay-per-View account (down payment USD 150) you profit from a special rate for this and other single items.
This item at the discounted price: USD 26.50