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. 2019 Jan;24(5):1800038.
doi: 10.2807/1560-7917.ES.2019.24.5.1800038.

Bacterial sexually transmitted infections in France: recent trends and patients' characteristics in 2016

Ndeindo Ndeikoundam Ngangro  1 , Delphine Viriot  1 , Nelly Fournet  1 , Corinne Pioche  1 , Bertille De Barbeyrac  2 , Agathe Goubard  3 , Nicolas Dupin  4 , Béatrice Berçot  5 , Sébastien Fouéré  6 , Isabelle Alcaraz  7 , Michel Ohayon  8 , Nathalie Spenatto  9 , Chantal Vernay-Vaisse  10 ; referents for the regional offices of the French national public health agency  11 ; Josiane Pillonel  1 , Florence Lot  1
Affiliations

Bacterial sexually transmitted infections in France: recent trends and patients' characteristics in 2016

Ndeindo Ndeikoundam Ngangro et al. Euro Surveill. 2019 Jan.

Abstract

Diagnoses of bacterial sexually transmitted infections (STI) have been increasing in France since their resurgence in the late 1990s. This article presents recent epidemiological trends until 2016 and the patients' characteristics. STI surveillance relies on sentinel networks: a clinician-based network RésIST (clinical, biological and behavioural data for early syphilis and gonorrhoea), the lymphogranuloma venereum (LGV) network (clinical, biological and behavioural data for rectal LGV, and the laboratory networks Rénachla and Rénago (demographic and biological data for chlamydial infections and gonorrhoea, respectively). Here we describe trends between 2014 and 2016, using data from diagnostic centres which participated regularly during the study period. The number of early syphilis, gonorrhoea and LGV diagnoses increased between 2014 and 2016, particularly in men who have sex with men. An increase in syphilis and gonorrhoea cases was also observed in heterosexuals. Nevertheless, we observed a drop in 2016 for syphilis and chlamydial infections after two decades of increases. Under-reporting and shortage of benzathine penicillin in 2016 may explain this latest evolution. Regular screening of patients and partners, followed by prompt treatment, remains essential to interrupt STI transmission in a context where human immunodeficiency virus (HIV) prevention has expanded towards biomedical prophylaxis.

Keywords: Chlamydia; MSM; gonorrhoea; sexually transmitted infections; syphilis.

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Conflict of interest statement

Conflict of interest: None declared.

Figures

Figure 1
Figure 1
Organisation of the surveillance of sexually transmitted bacterial infections in France
Figure 2
Figure 2
Number of chlamydial infections by sex, Rénachla network, France, 2000–2016 (n = 125,902)
Figure 3
Figure 3
Number of rectal lymphogranuloma venereum, LGV Network – National centre for Chlamydia, France, 2002–2016 (n = 3,225)
Figure 4
Figure 4
Number of gonorrhoea cases by sex and sexual orientation, RésIST network, France, 2004–2016 (n = 10,565)
Figure 5
Figure 5
Number of early syphilis cases by sex and sexual orientation, RésISTnetwork, France, 2000–2016 (n = 12,112)
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References

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