Trend of main STIs during COVID-19 pandemic in Milan, Italy

Cusini, Marco; Benardon, Susanna; Vidoni, Gianmarino; Brignolo, Livia; Veraldi, Stefano; Mandolini, Pier Luca

doi:10.1136/sextrans-2020-054608

Cited by 52 publications

(59 citation statements)

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“…1 In Milan, asymptomatic STIs fell during lockdown although symptomatic STIs changed very little suggesting no change in sexual behaviour in men who have sex with men (MSM): consistent with our findings. 3 Our data suggest that we were successful in triaging out asymptomatic infections during lockdown and, with fewer consultations, this led to a fall in NG diagnoses. It is unclear if the individuals triaged out did screen elsewhere and for this, comprehensive national data are required including postal testing services.…”

mentioning

confidence: 69%

“…2 However, in some settings, diagnoses of symptomatic STIs appeared to remain unchanged. 3 Neisseria gonorrhoeae (NG) infection of the male urethra causes symptoms in >90% of individuals but is mostly asymptomatic at other sites. As symptoms usually present within 5 days of exposure and unpleasant enough to seek assistance, urethral NG is a potential marker of recent sexual behaviour.…”

mentioning

confidence: 99%

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Gonorrhoea during COVID-19 in London, UK

2021

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mentioning

confidence: 69%

mentioning

confidence: 99%

Gonorrhoea during COVID-19 in London, UK

2021

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“… 3 , 18 The reduction in sexual risk can potentially lead to temporal reductions in HIV and other sexually transmitted infections (STI). 5 , 19 , 20 However, the severity of COVID-19 pandemic in some settings may cause interruptions in delaying and accessing HIV/STI testing. 21 – 23 This is supported by a study conducted in 3 Kenyan counties showing that there was a significant reduction in the number of HIV tests at clinical sites during lockdown although there was an increase in HIV self-testing.…”

Section: Discussionmentioning

confidence: 99%

Brief Report: Changes in PrEP Use, Sexual Practice, and Use of Face Mask During Sex Among MSM During the Second Wave of COVID-19 in Melbourne, Australia

Chow

Hocking

Ong

et al. 2021

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background: A second wave of COVID-19 began in late June in Victoria, Australia. Stage 3 then Stage 4 restrictions were introduced in July–August. This study aimed to compare the use of pre-exposure prophylaxis (PrEP) and sexual practices among men who have sex with men taking PrEP between May–June (post-first lockdown) and July–August (second lockdown). Methods: This was an online survey conducted among men who have sex with men who had their PrEP managed at the Melbourne Sexual Health Centre, Australia. A short message service with a link to the survey was sent to 503 PrEP clients who provided consent to receive a short message service from Melbourne Sexual Health Centre in August 2020. Results: Of the 192 participants completed the survey, 153 (80%) did not change how they took PrEP. Of the 136 daily PrEP users, 111 (82%) continued to take daily PrEP, 3 (2%) switched to on-demand PrEP, and 22 (16%) stopped PrEP in July–August. Men generally reported that they had no partners or decreased sexual activities during second lockdown compared with post-first lockdown; the number of casual sex partners (43% decreased vs. 3% increased) and the number of kissing partners (36% decreased vs. 3% increased). Most men reported no chemsex (79%) or group sex (77%) in May–August. 10% (13/127) of men had ever worn face masks during sex in May–August. Conclusion: During the second wave of COVID-19 in Victoria, most men did not change the way they used PrEP but the majority had no risks or reduced sexual practices while one in 10 men wore a face mask during sex.

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“…During the first wave of COVID-19, several European studies reported an unchanged incidence of STIs in the first half of 2020. [1][2][3][4] Only a Spanish study found a decreased number. 5 Data from the last part of 2020 are lacking, and due to long incubation periods of STIs, follow-up is important.…”

Section: Stis During the First And Second Wave Of Covid-19 In Denmarkmentioning

confidence: 99%