National prevalence estimates of chlamydia and gonorrhoea in the Netherlands

Heijne, Janneke C. M.; Broek, Ingrid V F van den; Bruisten, Sylvia M.; Bergen, Jan E A van; Graaf, Hanneke de; Benthem, Birgit H B van

doi:10.1136/sextrans-2017-053478

Cited by 18 publications

(23 citation statements)

References 21 publications

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“…However, we failed to show any decline in the prevalence of UU, CT, or NG, and the overall UU, CT, and NG prevalence found here was distinctly higher than estimates from high-income countries. 20,21 Comprehensive screening guidelines and treatment policies should be conducted to control the population prevalence.…”

Section: The Co-infection Of Uu Ct and Ngmentioning

confidence: 99%

Prevalence of Ureaplasma urealyticum, Chlamydia trachomatis, and Neisseria gonorrhoeae in gynecological outpatients, Taizhou, China

Shasha

Pan

Duan

et al. 2019

Clinical Laboratory Analysis

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Objectives Ureaplasma urealyticum (UU), Chlamydia trachomatis (CT), and Neisseria gonorrhoeae (NG) are highly prevalent worldwide and may lead to some genital diseases. The objective of this large‐scale study was to estimate the prevalence characteristics of UU, CT, and NG among women in Taizhou, Zhejiang Province, China. Methods A total of 13 303 women who visited the gynecologic outpatient service of Taizhou First People's Hospital in Taizhou from 2013 to 2018 were analyzed. The testing of UU, CT, and NG was performed on the collected vaginal swabs using real‐time fluorescence quantitative polymerase chain reaction (RT‐PCR) method. Results The overall infection rates of UU, CT, and NG were 62.04%, 10.20%, and 4.09% in the Taizhou‐based population, respectively. The age‐specific prevalence showed that younger women (age <25 years) were the preferred period for the positive detection of UU or CT, while elder women (age ≥40 years) had the highest prevalence of NG. In addition, the UU‐CT co‐infection pattern (7.32%) predominated in the study population, and CT was significantly associated with UU and NG. Conclusions Our novel data demonstrated that UU, CT, and NG infection are prevalent among women in Taizhou, and comprehensive UU, CT, and NG screening guidelines and treatment policies for this population are warranted.

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Section: The Co-infection Of Uu Ct and Ngmentioning

confidence: 99%

Prevalence of Ureaplasma urealyticum, Chlamydia trachomatis, and Neisseria gonorrhoeae in gynecological outpatients, Taizhou, China

Shasha

Pan

Duan

et al. 2019

Clinical Laboratory Analysis

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“…As chlamydia rates did not change, one should consider focusing on disease management (i.e. prevention of long-term complications of chlamydia) instead of finding all chlamydia infections by extensive testing 20 . Surveillance of long-term complications is needed, including the identification of those with the highest risk of complications based on, amongst others, genetic markers.…”

Section: Blood Donorsmentioning

confidence: 99%

Simultaneous Detection of Neisseria gonorrhoeae and Fluoroquinolone Resistance Mutations to Enable Rapid Prescription of Oral Antibiotics

Korne-Elenbaas

Pol²,

Vet³

et al. 2020

Sexual Trans Dis

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In 2018, there was no change in the number of syphilis diagnoses at SHC compared with 2017; 1,224 versus 1,228 respectively. Of these infections, 96 percent were diagnosed among MSM. After many years of increasing, the percentage of MSM with the infection has declined slowly; from 2.9 percent in 2016, to 2.6 percent in 2017, and 2.4 percent in 2018. This change is mainly due to a lower percentage of syphilis found among MSM with HIV. The number of diagnoses among women and heterosexual men remained very low in 2018, with diagnoses among 0.1 and 0.2 percent respectively among those tested. HIV The number of new diagnoses of HIV made at the SHC in 2018 (249) was lower than in 2017 and 2016, 286 and 285 respectively. Of these, 90 percent were among MSM. The number of diagnoses among women and heterosexual men remained very low. In 2018, 909 people with HIV were treated at Dutch HIV treatment centres ('in care') for the first time; less than in 2017 (1,037). In total, 20,181 people with HIV were registered in care in 2018.

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“…Behavioural interventions are often STI clinic-based 32,34 , as individuals visiting the STI clinic at sexual health centers (SHC) tend to engage in higher risk sexual behaviour than the general population 35,36 , and potentially benefit the most from behavioural interventions 34 . It was previously shown that individuals who were diagnosed with a chlamydia infection engaged in more risk-reducing sexual behaviour after receiving the test results, whereas individuals who tested chlamydia negative did not change their sexual behaviour or even engaged in behaviours related to increased risk (i.e., decreased condom use) after testing 9,10,37 .…”

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confidence: 99%

Modelling the impact of tailored behavioural interventions on chlamydia transmission

Wees

Daas

Kretzschmar

et al. 2021

Sci Rep

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Behavioural interventions tailored to psychological characteristics of an individual can effectively achieve risk-reducing behaviour. The impact of tailored interventions on population-level chlamydia prevalence is unknown. We aimed to assess the impact on overall chlamydia prevalence five years after the introduction of an intervention aimed at increasing self-efficacy, social norms, attitudes and intentions towards condom use (i.e., condom intervention), and an intervention aimed at increasing health goals and decreasing impulsiveness (i.e., impulsiveness intervention). A pair model, informed by longitudinal psychological and behavioural data of young heterosexuals visiting sexual health centers, with susceptible-infected-susceptible structure was developed. The intervention effect was defined as an increased proportion of each subgroup moving to the desired subgroup (i.e., lower risk subgroup). Interventions tailored to subgroup-specific characteristics, assuming differential intervention effects in each subgroup, more effectively reduced overall chlamydia prevalence compared to non-tailored interventions. The most effective intervention was the tailored condom intervention, which was assumed to result in a relative reduction in chlamydia prevalence of 18% versus 12% in the non-tailored scenario. Thus, it is important to assess multiple psychological and behavioural characteristics of individuals. Tailored interventions may be more successful in achieving risk-reducing behaviour, and consequently, reduce chlamydia prevalence more effectively.

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National prevalence estimates of chlamydia and gonorrhoea in the Netherlands

Abstract: Chlamydia and gonorrhoea prevalence were low in the general Dutch population, as was the participation rate. Repeated prevalence surveys are needed to analyse trends in STI prevalences and to evaluate control policies.

Cited by 18 publications

References 21 publications

Prevalence of Ureaplasma urealyticum, Chlamydia trachomatis, and Neisseria gonorrhoeae in gynecological outpatients, Taizhou, China

Prevalence of Ureaplasma urealyticum, Chlamydia trachomatis, and Neisseria gonorrhoeae in gynecological outpatients, Taizhou, China

Simultaneous Detection of Neisseria gonorrhoeae and Fluoroquinolone Resistance Mutations to Enable Rapid Prescription of Oral Antibiotics

Modelling the impact of tailored behavioural interventions on chlamydia transmission

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