Epidemiologie der Chlamydia-trachomatis-Infektionen

Abstract

Genital chlamydia infections are the most frequently diagnosed bacterial sexually transmitted infection (STI) worldwide. Infections with chlamydia trachomatis are not notifiable in Germany. Since 2002, a STI sentinel surveillance including 243 sentinel sites has been set up in Germany. Between January 2003 and June 2006, 6.7% of 46,168 chlamydia tests were positive. Of the 1547 positive patients, 64.3% were women and the median age was 26 years. In this group, 60.4% of women and 29.3% of men were of non-German origin. Heterosexual contacts were stated as the possible source of infection for 42.9% of men and 26.4% of women. A total of 16.1% men and 38.6% women reportedly "always" used condoms with others than their permanent partner. The awareness of chlamydia infections needs to be improved among physicians, patients and the general population.

The role of serological testing for <i>Chlamydia trachomatis</i> in differential diagnosis of pelvic pain

“…Elevated titers of anti-Chlamydia trachomatis antibodies were found in 70 (39%) women from the examined group. This proportion was larger than reported previously by Bremer et al [13,14]; according to these authors, chlamydiasis was the most common sexually-transmitted disease, present in 25% of their sample. Contrary to the presented study, the prevalence of chlamydiasiscorrelated with the age of the examined subjects; up to 64.3% of patients participating in this study were not older than 26 years [13,14].…”

STI Knowledge in Berlin Adolescents

“…For women it has been argued that, the risk of infection in adolescence or early adulthood is elevated further due to a greater anatomical susceptibility to certain STIs at young age [ 28 , 29 ]. Indeed, studies show a higher incidence of STIs in this age bracket [ 30 , 31 , 32 ]. One review estimated that adolescents and young adults account for 50% of new infections with STIs, while representing only 25% of the sexually active population [ 33 ].…”

Aktuelles zu Prävention, Diagnostik und Therapie von STI

“…Die hohe Inzidenz von STI in dieser Population hat zur Einführung eines jährlichen Chlamydien-Screenings auch in Deutschland geführt, wobei die Altersgrenze für die Teilnahme entsprechend vielen internationalen Vorbildern auf 25 Jahre festgelegt wurde. Wirklich belastbare Daten für eine wesentliche Verschiebung dieser Altersgrenze nach oben sind bisher nicht erkennbar [10]. Inzwischen fordern verschiedene Fachgesellschaften auch ein Screening auf Gonorrhö für Risikopatientinnen.…”