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M9480602.TXT
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1994-08-20
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Document 0602
DOCN M9480602
TI The national STD surveillance system in Italy: results of the first year
of activity. STD Surveillance Working Group.
DT 9410
AU Suligoi B; Giuliani M; Binkin N; National AIDS Centre, Istituto
Superiore di Sanita, Rome, Italy.
SO Int J STD AIDS. 1994 Mar-Apr;5(2):93-100. Unique Identifier : AIDSLINE
MED/94305020
AB A prospective STD surveillance system was developed in Italy in 1990.
Newly diagnosed cases of sexually transmitted disease (STD) are reported
by a network of 45 sentinel STD clinics throughout the country. A total
of 10,253 patients were reported between September 1990 and December
1991. The most frequent diagnoses were genital warts (30.8%),
non-specific genital infection (male) (12.8%), and non-specific genital
infection (female) (11.5%). All patients were asked to undergo an HIV
test; 68.4% accepted, of whom 9.3% were seropositive. During the
16-month study period HIV prevalence decreased among IDUs and
homo-bisexuals, but increased among non-IDU heterosexuals. These data
suggest that STD patients may represent a useful early warning system to
detect changes in the epidemic and in the spread of the virus among
low-risk heterosexuals. A better counselling programme is needed to
improve the acceptance rate of HIV testing among STD patients, and to
draw more attention to at-risk sexual behaviours.
DE Adolescence Adult Aged Aged, 80 and over AIDS Serodiagnosis Female
Human HIV Infections/DIAGNOSIS/*EPIDEMIOLOGY/ETIOLOGY/PREVENTION &
CONTROL *HIV Seroprevalence Italy/EPIDEMIOLOGY Male Middle Age
Organizational Objectives Patient Acceptance of Health Care Patient
Education Pilot Projects Population Surveillance/*METHODS Primary
Prevention Prospective Studies Risk Factors Seasons Sex Behavior
Sex Education Sexually Transmitted
Diseases/DIAGNOSIS/*EPIDEMIOLOGY/ETIOLOGY/ PREVENTION & CONTROL
Substance Abuse, Intravenous/COMPLICATIONS JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).