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Analysis of Causes of Rising Syphilis Incidence in the Prague Population


Authors: I. Kuklová 1;  P. Velčevský 1;  M. Kojanová 1;  V. Kaštánková 1;  R. Trýzna 1;  R. Pánková 1;  K. Sedláková 1;  J. Běláček 1,2
Authors place of work: Dermatovenerologická klinika 1. LF UK a VFN přednosta prof. MUDr. Jiří Štork, CSc. 1;  Ústav biofyziky a informatiky 1. LF UK přednosta prof. MUDr. RNDr. Jiří Beneš, CSc. 2
Published in the journal: Čes-slov Derm, 84, 2009, No. 6, p. 350-355
Category: Venereology

Summary

Clinical, epidemological and demographic data of syphilis patients hospitalized at the Dermatovenereology Clinic of the 1st Faculty of Medicine in Prague were evaluated and statistically significant gender differences were compared.

A total of 174 patients (59.8 % men and 40.2 % women) were hospitalized during the year 2008. 20.7 % of patients suffered from primary and 24.1 % of secondary syphilis. Heterosexual transmission remains the most common mode of transmission.

In the male group, the number of patients with homo/bisexual orientation has increased (47.1 % of all males hospitalized). They suffered from primary and secondary syphilis (p<0.001), were single (p<0.001) and reported a history of gonorrhoea more often; four men were HIV positive.

Most females were admitted for therapy during pregnancy (62.8 %), 24.3 % pregnant females were firstly admitted in relation to the prenatal screening; 37.1 % were admitted repeatedly for protective treatment. The patients’ age structure has not changed in the long term view, most patients were aged between 30 and 40. The percentage of foreigners is approximately the same as it was in the past (23 %), most of them coming from Ukraine. The number of foreigners is higher in the female group (p<0.001). From the epidemiologic point of view, the increase of manifest forms is significant, especially in the male group (65.4 %).

Key words:
syphilis – hospital records – epidemiology – risk groups


Zdroje

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Štítky
Dermatology & STDs Paediatric dermatology & STDs
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