Studies reveal dangerous sexual behavior and elevated STI despite pandemic

A new study presented at the 29th EADV Conference increased the diagnosis of sexually transmitted diseases (STIs) such as gonorrhea, secondary syphilis, and mycoplasma genitalium (MG), despite restrictions on the blockade of COVID-19. I found out that.

A study conducted at two major STI centers in Milan, Italy, found that social isolation measures adopted to control epidemics were followed from March 15, 2020 to April 14, 2020. We compared the number of definitive diagnoses of STI, which is the most common in patients with period symptoms. , The same time in 2019.

As a result, despite a 37% reduction in total attendance (233 in 2019 and 147 in 2020), it is most relevant to men who have sex with men during observations, including secondary syphilis. It was revealed that the number of acute bacterial infections increased. And gonorrhea. However, the number of cases decreased in non-acute cases such as genital warts and infectious edema.

The study concludes that the COVID-19 pandemic did not interfere with dangerous behavior and did increase acute sexually transmitted infections, despite advice on blockade and social / physical distance.

“The blockade was supposed to reduce the chances of sexually transmitted infections and sexually transmitted infections, but I was surprised at the number of new acute infections diagnosed in this short period of time. Gonorea and syphilis are usually in their thirties. Marco Cusini, research co-author and researcher at La Fondazione IRCCSCa, explains: “Italian Granda Ospedale Maggiore di Milano Polyclinico. Continuation of STI. The importance of traditional screening and the real benefits of having 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.

Gonorrhea is on the rise throughout Europe. In 2017 alone, there were over 89,000 confirmed cases, equivalent to 240 per day. 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). In 2018, there were 33,927 confirmed cases in Europe. The highest proportion was observed in Malta (18 cases per 100,000 population), followed by Luxembourg (17), the United Kingdom (13) and Spain (10).

Gonorrhea is caused by the bacterium Nesis seriagonorrhoeae. Often, but not always, women are asymptomatic and most often men. 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. Symptoms usually appear 1 to 10 days after infection. Secondary syphilis is a disease and progression of symptoms that can be cured with treatment.

Reissued in courtesy of EADV, European Academy of Dermatology and Venereology.

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