The great pretender returns to Dublin, Ireland

Hopkins, Susan; Lyons, F; Mulcahy, Fiona; Bergin, C.

doi:10.1136/sti.77.5.316

Cited by 32 publications

(29 citation statements)

References 4 publications

(3 reference statements)

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“…However, numerous recent reports provide alarming figures and clusters of infection have been described since 1999 in several West European cities [12,13,14,15,16,17,18,19,20,21,22,23]The majority of these outbreaks concern the homosexual male population, including men with HIV co-infection and were contracted by local transmission rather than acquired abroad. For example, the resurgence of syphilis over the past few years prompted a syphilis screening campaign in Paris in 2002 leading to an increase in the number of new cases diagnosed.…”

Section: Discussionmentioning

confidence: 99%

Increased Incidence of Sexually Transmitted Infections in Geneva, Switzerland

Abraham¹,

Toutous-Trellu²,

Péchère³

et al. 2006

Dermatology

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Background: Focal outbreaks of sexually transmitted infections (STIs) such as syphilis and gonorrhoea have been reported in the large cities of Western Europe over the past few years. The aim of our study was to determine whether a similar trend is observed in Geneva and the situation with regard to HIV infection. Methods: We review the incidence of syphilis, gonorrhoea, Chlamydia trachomatis and HIV in Geneva from 1999 to 2004. Results: Figures indicate a steady and sustained increase in the incidence of syphilis, gonorrhoea and Chlamydia trachomatis in Geneva since 1999 that is maintained into 2004. As for HIV, the number of positive testings in Switzerland has stabilised and primary infection figures do not indicate an increase in newly acquired infections in Geneva. Conclusion: The situation in Geneva is similar to that observed elsewhere in Western Europe and indicates the need of public health interventions.

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Section: Discussionmentioning

confidence: 99%

Increased Incidence of Sexually Transmitted Infections in Geneva, Switzerland

Abraham¹,

Toutous-Trellu²,

Péchère³

et al. 2006

Dermatology

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“…There is, in addition, growing concern about recent increases in the incidence of infectious syphilis in many countries, including England [39] and, between 2001 and 2003, Ireland [40][41][42]. At a global level, these increases have drawn attention to the substantial illness burden attributable to sexually transmitted diseases in general, in both developed and developing countries [43].…”

Section: Syphilis In the Nineteenth Century And Beyondmentioning

confidence: 95%

Syphilis, psychiatry and offending behaviour: clinical cases from nineteenth-century Ireland

Kelly

2008

Ir J Med Sci

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“…1 It had become a rare infection, more identified within those populations characterised by poverty and social disadvantage [2][3][4] and in Australia, among indigenous communities. 5 Recently, however, there have been significant increases among gay communities in several large European and American cities-Dublin, 6 Stockholm, 7 London, 8 New York, 9 Los Angeles, 10 Paris, 11 Oslo, 12 and Amsterdam. 13 More significantly, this rise has also occurred within HIV affected populations.…”

mentioning

confidence: 99%

Screening for syphilis among men who have sex with men in various clinical settings

Debattista

Dwyer²,

Anderson³

et al. 2004

Sexually Transmitted Infections

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Objectives: To assess the prevalence of syphilis infections among men who have sex with men (MSM) accessing the Brisbane Sexual Health Clinic during the period 1997 up to May 2003, data were collated through three clinical programmes conducted by the service-a large inner city mainstream sexual health clinic and two small outreach sessional clinics conducted on the site of male sex on premises venues (SOPV). Data analysis also provided the opportunity to evaluate the effectiveness of the smaller outreach clinics to access populations of MSM less likely to attend or identify at the larger mainstream clinic, and therefore enhance the detection of previously undiagnosed sexually transmissible infections. Methods: Computerised records from 1997-2003 were collated for a statistical analysis of syphilis and other STI pathology results for all MSM accessing the mainstream clinic, and two outreach clinics. Results: A review of client charts showed that 16 new syphilis diagnoses were made over the previous 5 years, but only two of these infections (both through the mainstream clinic) were early syphilis and therefore transmissible. All other cases were latent infections. A higher proportion of bisexual men was identified with positive syphilis serology but this was just below significance (p = 0.06). Significantly, almost a third of syphilis diagnoses (all latent) were made at SOPV outreach clinics, despite the much lower proportion of clients seen overall through the SOPV clinics. For other sexually transmissible infections, the mainstream clinic demonstrated greater efficiency at case detection. Conclusion: Outreach clinics located in male saunas may serve an effective function in syphilis screening by facilitating access for a particular subpopulation of MSM (bisexual, married men). These outreach clinics may provide important outlets for education and opportunistic screening of asymptomatic MSM and foster a greater willingness for men to honestly self identify. However, larger, mainstream clinics serve a more anonymous venue for the testing of symptomatic men.

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The great pretender returns to Dublin, Ireland

Cited by 32 publications

References 4 publications

Increased Incidence of Sexually Transmitted Infections in Geneva, Switzerland

Increased Incidence of Sexually Transmitted Infections in Geneva, Switzerland

Syphilis, psychiatry and offending behaviour: clinical cases from nineteenth-century Ireland

Screening for syphilis among men who have sex with men in various clinical settings

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