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. 2022 Oct 25;6(10):e31136.
doi: 10.2196/31136.

An Automated Surveillance System (SurCeGGID) for the French Sexually Transmitted Infection Clinics: Epidemiological Monitoring Study

Ndeindo Ndeikoundam Ngangro  1 , Corinne Pioche  1 , Sophie Vaux  1 , Delphine Viriot  1 , Julien Durand  1 , Bénédicte Berat  1 , Mohammed Hamdaoui  1 , Florence Lot  1
Affiliations

An Automated Surveillance System (SurCeGGID) for the French Sexually Transmitted Infection Clinics: Epidemiological Monitoring Study

Ndeindo Ndeikoundam Ngangro et al. JMIR Form Res. .

Abstract

Background: Viral and bacterial sexually transmitted infections (STIs) are public health concerns worldwide, but surveillance systems are not comprehensive enough to design and monitor accurately STI control strategies in most countries. In 2016, 320 STI clinics (CeGIDDs in French) were implemented in France, primarily targeting most exposed populations, although access is free of charge for anybody.

Objective: This article describes the mandatory surveillance system (SurCeGIDD) based on CeGIDD's individual data aiming to better guide STI prevention.

Methods: A decree ensured the use of software to manage consultations in CeGIDDs and to transfer surveillance data. A web service was implemented to secure data transfer from CeGIDDs' software to a centralized database. CeGIDDs can also transfer data in CSV format via a secured data-sharing platform. Then, data are automatically checked before integration. Data on sociodemographic variables, sexual exposure, blood exposure, symptoms, STI tests, STI diagnoses, and sexual health services delivery were collected for the previous year (n-1). Preliminary and descriptive analyses of 2017-2018 data transmitted in 2018 and 2019, respectively, were performed using numbers and proportions for qualitative variables.

Results: In 2017, 54/320 (16.9%) CeGIDDs transmitted their data. In 2018, this number of participants increased to 143/320 (44.7%) CeGIDDs. The corresponding volume of records increased from 2414 in 2017 to 382,890 in 2018. In 2018, most attendances were hospital based (263,480/382,890, 68.81%). In 2018, attendees were mostly men 227,326/379,921 (59.84%), while 151,963/379,921 (40%) were women 632/379,921 (0.17%) transgenders. The median age was 27 years for men, 23 years for women, and 30 years for transgender. Half of the attendees (81,964/174,932, 46.85%) were heterosexual men, 69,016/174,932 (39.45%) heterosexual women, 20,764/174,932 (11.87%) men who have sex with men, and 3188/174,932 (1.82%) women who have sex with women. A majority of them were born in France (227,698/286,289, 79.53%) and unemployed 115,913/211,707 (54.75%). The positivity rates were 0.37% for 205,348 HIV serologies, 1.31% for 131,551 hepatitis B virus serologies, 7.16% for 161,241 Chlamydia trachomatis PCR, 2.83% for 146,649 gonorrhea PCR, 1.04% for the syphilis combination of treponema and nontreponema serologies, and 5.96% for 13,313 Mycoplasma genitalium PCR.

Conclusions: Despite challenges, the effectiveness of the SurCeGIDD surveillance based on routine patients' records was demonstrated. The wide range of information, including socioeconomic determinants, might help to better guide and evaluate the prevention policies and services delivery. However, the growing volumes of information will require adapted tools and algorithms for the data management and analyses.

Keywords: HIV; STI; epidemiology; hepatitis B; hepatitis C; sexual health; surveillance.

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Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1
Figure 1
Iterative stages of the SurCeGIDD surveillance project. STI: sexually transmitted infection.
Figure 2
Figure 2
Workflow of sexual health and sexually transmitted infection (STI) data, SurCeGIDD surveillance, France.
See this image and copyright information in PMC

References

    1. Rowley J, Vander Hoorn S, Korenromp E, Low N, Unemo M, Abu-Raddad LJ, Chico RM, Smolak A, Newman L, Gottlieb S, Thwin SS, Broutet N, Taylor MM. Chlamydia, gonorrhoea, trichomoniasis and syphilis: global prevalence and incidence estimates, 2016. Bull. World Health Organ. 2019 Jun 06;97(8):548–562P. doi: 10.2471/blt.18.228486. - DOI - PMC - PubMed
    1. Unemo M, Bradshaw CS, Hocking JS, de Vries HJC, Francis SC, Mabey D, Marrazzo JM, Sonder GJB, Schwebke JR, Hoornenborg E, Peeling RW, Philip SS, Low N, Fairley CK. Sexually transmitted infections: challenges ahead. The Lancet Infectious Diseases. 2017 Aug;17(8):e235–e279. doi: 10.1016/s1473-3099(17)30310-9. - DOI - PubMed
    1. Poncin T, Fouere S, Braille A, Camelena F, Agsous M, Bebear C, Kumanski Sylvain, Lot Florence, Mercier-Delarue Severine, Ngangro Ndeindo Ndeikoundam, Salmona Maud, Schnepf Nathalie, Timsit Julie, Unemo Magnus, Bercot Beatrice. Multidrug-resistant failing treatment with ceftriaxone and doxycycline in France, November 2017. Euro Surveill. 2018 May;23(21):1800264. doi: 10.2807/1560-7917.ES.2018.23.21.1800264. http://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2018.23.21.... - DOI - DOI - PMC - PubMed
    1. European Centre for Disease Prevention and Control (ECDC) Stockholm, Sweden: ECDC; 2018. [2022-08-31]. Annual Epidemiological Report 2016: Syphilis. https://www.ecdc.europa.eu/en/publications-data/syphilis-annual-epidemio... .
    1. European Centre for Disease Prevention and Control (ECDC) Stockholm, Sweden: ECDC; 2018. [2022-08-31]. Annual Epidemiological Report 2016: Chlamydia. https://www.ecdc.europa.eu/en/publications-data/chlamydia-infection-annu... .

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