Study results underline the need for coordinated and expeditious surveillance, partner services, enhanced screening of population at risk, health education, as well as early diagnosis and treatment.
SAŽETAК Uvod/Cilj: Početkom novog milenijuma došlo je do značajnog porasta obolevanja od sifilisa u populaciji Srbije. Cilj ovog rada je bio da se utvrdi učestalost obolevanja od sifilisa u populaciji Beograda u periodu od 2009. do 2018. godine, kao i udeo ranog i kasnog sifilisa u ukupnom broju obolelih. Metode: U radu su korišćeni podaci o novoregistrovanim slučajevima obolevanja od sifilisa, dijagnostikovanog u bilo kom stadijumu bolesti, uzetih iz obaveznih prijava za zarazne bolesti koje stižu sa čitave teritorije Beograda u Gradski zavod za zaštitu zdravlja. Rezultati: U periodu od 2009. do 2018. godine sifilis je dijagnostikovan po prvi put kod 631 osobe, 46 žena (7,3%) i 585 muškaraca (92,7%)-odnos muškarci/žene bio je 12,7 :1. Uz godišnje oscilacije, broj dijagnostikovanih bolesnika je kod muškaraca rastao i najveća nestandardizovana stopa je zabeležena u 2018. godini (17,7 na 100.000). Stopa dijagnostikovanog sifilisa kod žena je varirala po godinama od 0,2 na 100.000, u 2018. godini, do 0,9 na 100.000, u 2012. godini. Uz to, kod žena je značajno češće nego kod muškaraca sifilis po prvi put dijagnostikovan u kasnoj fazi (45,7% prema 12,8%; р < 0,001). Zaključak: Podaci o učestalosti dijagnostikovanog sifilisa u populaciji Beograda su u skladu sa podacima iz drugih evropskih zemalja. Medjutim, činjenica da je sifilis kod nekih obolelih otkriven u kasnom stadijumu ukazuje na to da stope dijagnostikovanog sifilisa, posebno kod žena, u našoj sredini ne predstavljaju pravi pokazatelj epidemiološke situacije.
This document presents epidemiological characteristics of people counselled and tested for HIV in Institute of Public Health Belgrade between 2003 and 2012 and the reason for testing was some kind of risk behaviour. In that period of time 38002 people were tested for HIV in total, out of which 9511 people were tested because of their risk behaviour. Men participated with 62%. The majority among the counselled and tested people were those from 25 -29 years old with 27,98%. The most frequent reason for testing was heterosexual risk behaviour with 73,33%, then intravenous using of drugs with 14,34%. A part of people tested for HIV because of their risk behaviour in all tested people has decreased particularly
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