Clinical Comments on the Start of an Epidemic of Syphilis

Kvorning, Sven Ancher

doi:10.1136/sti.39.4.261

Cited by 4 publications

(3 citation statements)

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“…However, after the war, the steady decrease in prevalence continued until the mid-1960s except for a small peak around 1962–1963 due to an outbreak concurrent with an epidemic of syphilis among homosexual men. 11 Then a marked increase peaking in 1972 (344/100 000) was seen. Within the following 20 years, the decrease was dramatic except for a slight increase in the beginning of the 1980s, again due to an outbreak among homosexual men ( figure 1 ) 12 (1982:39; 1987:49).…”

Section: Resultsmentioning

confidence: 97%

Recorded gonorrhoea rates in Denmark, 1900–2010: the impact of clinical testing activity and laboratory diagnostic procedures

Lind

Hoffmann

2015

BMJ Open

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ObjectivesAssessment of the relations between recorded gonorrhoea rates and clinical testing activity and disposable diagnostic tests.MethodsIn Denmark, two sources of information on the epidemiology of gonorrhoea are available: (1) a mandatory clinical notification system (since 1867) comprising summary information about geographic distribution, season, age group and gender; in 1994, more detailed anonymous individualised epidemiological information was included; (2) a voluntary countrywide laboratory surveillance system for culture-confirmed cases (since 1957) comprising information about patient's age and gender, infected anatomical sites and medical setting attended.ResultsBoth surveillance systems showed marked simultaneous changes in gonorrhoea rates, although periodically considerable under-reporting or under-diagnosing was demonstrated. The annual incidence of notified cases peaked in 1919 (474/100 000), in 1944 (583/100 000) and in 1972 (344/100 000). Since 1995, the incidence has been at a low endemic level (1.5–10/100 000) and the total male/female incidence ratios were from 3 to 7 times higher than previously recorded. Among approximately 2 million persons tested during 1974–1988 78 213 men and 63 143 women with culture-confirmed gonorrhoea were identified. During this period, pharyngeal sampling was performed in 36% of men and 25% of women with gonorrhoea; pharyngeal gonorrhoea was found in 10% and 16%, respectively; 40% and 30% of these patients had no concomitant urogenital gonorrhoea. Among men with gonorrhoea, 34% were sampled from the rectum; 9% had rectal gonorrhoea, among whom the rectum was the only infected site in 67%.ConclusionsCrucial factors for case finding are clinical sampling tradition and appropriate laboratory diagnostic facilities. When case finding is insufficient, a reservoir of asymptomatic rectal or pharyngeal gonorrhoea remains unrecognised.

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Section: Resultsmentioning

confidence: 97%

Recorded gonorrhoea rates in Denmark, 1900–2010: the impact of clinical testing activity and laboratory diagnostic procedures

Lind

Hoffmann

2015

BMJ Open

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“…In recent years, however, homosexual contacts seem to be responsible for about 25-50% or more of primary syphilis occurring in male patients (KVORNING 1963). In recent years, however, homosexual contacts seem to be responsible for about 25-50% or more of primary syphilis occurring in male patients (KVORNING 1963).…”

Section: B Samenius Goteborg Swedenmentioning

confidence: 99%

Progress in Proctology

Hoferichter¹

1969

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“…Appreciable increases of syphilis due to homosexuality have during the last years been noted not only in the United States but also in England and the Scandinavian countries. Former surveys indicated that only 2-4% of extragenital chancres were located in the anal canal: during the last five years, however, homosexual contacts seem to be responsible for about 25-50 % or more of primary syphilis occurring in male patients (Kvorning 1963). According to Laird (1962), in his paper about the pattern of syphilis in the Manchester region, early syphilis in England is increasing among men, while among women a decrease is still seen.…”

mentioning

confidence: 99%

Primary Syphilis of the Anorectal Region

Samenius

1966

Proceedings of the Royal Society of Medicine

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Clinical Comments on the Start of an Epidemic of Syphilis

Cited by 4 publications

References 0 publications

Recorded gonorrhoea rates in Denmark, 1900–2010: the impact of clinical testing activity and laboratory diagnostic procedures

Recorded gonorrhoea rates in Denmark, 1900–2010: the impact of clinical testing activity and laboratory diagnostic procedures

Progress in Proctology

Primary Syphilis of the Anorectal Region

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