Syndromic surveillance of female sexually transmitted infections in primary care: a descriptive study in Monastir, Tunisia, 2007─2017

BMC Public Health

Meriem Kacem¹  Cyrine Bennasrallah¹  Asma Sriha Belguith¹  Hela Abroug¹  Imen Zemni¹  Manel Ben Fredj¹  Wafa Dhouib¹  Maha Mastouri²  Samia Grira³ 

[1] Department of Epidemiology and Preventive Medicine, University of Monastir, Monastir, Tunisia;Microbiology Laboratory, Monastir, Tunisia;The Regional Direction of Primary Health of Monastir, Monastir, Tunisia;

关键词: Sexually transmitted diseases;    Vaginal discharge;    C. trachomatis;    Neisseria gonorrhoeae;    Syphilis;    Trichomonas vaginalis;    Gardnerella vaginalis;   

DOI  :  10.1186/s12889-021-11647-2

来源: Springer

【 摘 要 】

BackgroundSexually Transmitted Infections (STIs) are a public health problem, especially for reproductive-age women. The aim of this study was to determine the incidence and trend of STIs during 11 years in Tunisia (2007–17).MethodsWe conducted a descriptive study including all women with curable STIs (chlamydia, gonorrhea, syphilis and trichomoniasis) diagnosed with the syndromic approach in all basic health care centers of the Governorate of Monastir (Tunisia) from 2007 to 2017. Syndromes included, Pelvic Pain (PP), Vaginal Discharge (VD) and Genital Ulceration (GU).ResultsWe analyzed 40,388 episodes of curable STIs with a crude incidence rate and age standardized incidence rate of 1393 (95% Confidence Interval (CI); 1348–1438) / 100,000 Person Year (PY) and 1328 (95%CI; 1284–1372) /100,000 PY respectively. The incidence rate showed a positive trend over 11 years for all age groups and syndromes. VD was the most common syndrome with a crude incidence rate of 1170/100,000 PY. For all syndromes, women aged 20 to 39 were the most affected age group (p < 0.001).ConclusionIn conclusion, the incidence rate of STIs episodes among women diagnosed with the syndromic approach was high, consistent with the global evidence. Focusing on reviewing STIs surveillance system in low and middle-income countries could allow the achievement of the ending of STIs epidemics by 2030.

【 授权许可】

CC BY