New research reveals elevated dangerous sexual behavior and STI despite the COVID-19 pandemic

Lugano, October 31, 2020-A new study initiated at the 29th EADV Conference (1), EADV Virtual is a sexually transmitted disease (Despite restricted blockade of COVID-19 (SARS-CoV-2)) I found a diagnosis of STI). Gonorrhea, secondary syphilis, and mycoplasma genitalium (MG) are on the rise.

A study conducted at two major STI centers in Milan, Italy, confirmed the most common STI diagnosis in symptomatic patients between March 15, 2020 and April 14, 2020. Compared the number of. The epidemic of the same period in 2019.

As a result, despite a more than one-third reduction in total attendance (37%, 233 in 2019, 147 in 2020), it is most relevant to men who have sex with men (MSM). The number of acute bacterial infections that occur has been revealed. Increased during the observation period, including secondary syphilis and gonorrhea. However, the number of cases decreased in non-acute cases such as genital warts and infectious edema.

The COVID-19 pandemic concludes that despite the blockade and social / physical distance advice, it did not interfere with dangerous behavior and that acute infections actually increased.

Dr. Marco Cusini of La Fondazione IRCCS Ca’Granda Ospedale Maggiore di Milano Policlinico, Milano and Italy explains: Infections are diagnosed in this short period of time. Gonhorea and Siphilis are commonly found in people in their thirties. As a result, the prevalence and mortality of COVID-19 is concentrated in the elderly, which may have increased infections as they felt that the young and active cohort was protected. Although it is impractical to prevent people from having sex, even in this unusual pandemic, close contact during sexual intercourse inevitably involves an increased risk of SARS-CoV-2 infection. The findings show the importance of continuous screening. The real benefit of having STI and these types of services open and available at these unprecedented times. “

Gonorrhea remains highly susceptible to ceftriaxone, the flagship antibiotic treatment option, but the emergence of antimicrobial-resistant gonorrhea remains a concern. Recommended combinations with antibiotics such as azithromycin should be avoided in consideration of antibiotic management and new treatment guidelines are needed. Dr. Henry JC de Vries of Health Service, STI Outpatient Clinic in Amsterdam, announced the threat of antimicrobial-resistant gonorrhea at 12: 00-12: 15 CET on Thursday, October 29, 2020.

Gonorrhea is caused by the bacterium Neisseria gonorrhoeae (2). In many cases, but not always, women are asymptomatic and men are almost asymptomatic (3). Common symptoms in men include urethral secretions and pain during urination (dysuria), and women may develop odorless vaginal secretions, dysuria, and pain during sexual intercourse (3). Symptoms usually appear 1 to 10 days after infection (4). Gonorrhea is on the rise throughout Europe, with more than 89,000 confirmed cases (240 per day) in 2017 alone, of which MSM accounts for almost half (47%) of all cases (5). The United Kingdom reported 55% of all cases (75 per 100 000), followed by Ireland (47), Denmark (33), Iceland (29), Norway (27) and Sweden (25) (4). ..

The first symptoms of syphilis usually develop 2-3 weeks after infection, but can occur later. The main symptom is a small painless pain or ulcer, usually around the penis, vagina, or anus, but it can also appear on the mouth, lips, fingers, and buttocks (6). Secondary syphilis is a disease and progression of symptoms that can be cured with treatment (7). In 2018, there were 33,927 confirmed cases in Europe. The highest proportion was observed in Malta (17.9 per 100,000 population), followed by Luxembourg (17.1), the United Kingdom (12.6) and Spain (10.3) (8).

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(1) Cusini, M, Benardon, S, Vidoni, G, et. al. COVID-19 and STI.Abstract No. 1790, EADV Virtual, October 29-31, 2020

(2) Pharmaceutical journal. Gonorrhea infection: diagnosis and treatment. available: https: //www.Pharmaceutical journal.When/cpd-and-learning /cpd-article /Gonorrhea-Infectious Diseases-Diagnosis and Treatment /20208209.cpdarticle? firstPass =false false Accessed in October 2020

(3) NCBI. Gonorrhea. available: https: //www.ncbi.nlm.here.government/pmc /article/PMC4366410 / Accessed in October 2020

(4) WebMD. Gonorrhea. available: https: //www.webmd.When/Sexual state /do-i-have-gonorrhea # 1 Accessed in October 2020

(5) ECDC. Gonorrhea. available: https: //www.ecdc.Europe.I/site/Default/File/document/Gonorrhea-Annual-Epidemiology-Report-2017.pdf Accessed in October 2020

(6) NHS selection. syphilis. available: https: //www.nhs.UK /conditions/syphilis/Symptoms /.. Accessed in October 2020

(7) CDC. syphilis. available: https: //www.CDC.government/std /syphilis/stdfact-Syphilis.htm Accessed in October 2020

(8) ECDC. syphilis. available: https: //www.ecdc.Europe.I/site/Default/File/document/Syphilis-air-2018.pdf Accessed in October 2020

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