Sexually transmitted diseases in South Africa.
نویسندگان
چکیده
AIM To review the epidemiology of and data collection for sexually transmitted diseases (STDs) in South Africa. METHODS Literature published since 1980 on STDs in South Africa were complied and evaluated. Historical reports and salient unpublished literature were also used in the literature review. Studies were critically reviewed in the light of sample populations and study methods, and a baseline picture of the patterns of STD burden was developed. RESULTS The STD burden in apparently asymptomatic study populations is significant. Ulcerative infections, primarily caused by syphilis and chancroid, are present in 5-15% of asymptomatic clinic attenders; prevalence rates of gonorrhoea average 8%, with up to 13% of gonococcal isolates resistant to penicillin antibiotics. In addition, on average, chlamydia and vaginal infections are detected in 16% and 20-49%, respectively, of antenatal and family planning clinic attenders. HIV seroprevalence rates have reached 7.6% in antenatal clinic attenders. Most South African STD data are derived from ad hoc surveys which have traditionally focused only on several major infections and particular urban centres. Almost all STD studies have been facility-based, with many studies based at STD clinics, thus reporting only relative frequencies and not population-based prevalences of STDs. With the possible exception of HIV, systematic surveillance data for STDs are conspicuously lacking. CONCLUSION The disease burden of classic sexually transmitted infections has historically been heavy, and continues to be a serious public health problem in South Africa. Morbidity from both ulcerative and non-ulcerative infections, particularly in women, is significant. The body of STD data, although mostly sound, remains incomplete, and with the rapid emergence of HIV in South Africa, surveillance of STDs and focused STD policies will be critical.
منابع مشابه
Prevalence and Risk Factors for Self-reported Sexually Transmitted Infections among Adults in the Diepsloot Informal Settlement, Johannesburg, South Africa
Tariro J Basera1,5, Simbarashe Takuva2,3, Keith Muloongo4, Ndumiso Tshuma4 and Peter S Nyasulu1,5* 1School of Health Sciences, Monash University, 144 Peter Road, Ruimsig, Johannesburg, South Africa 2Perinatal HIV Research Unit, Department of Internal Medicine, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa 3Centre for HIV and...
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1. Schneider H, Blaauw D, Dartnall E, et al. STD care in the South African private health sector. S Afr Med J 2001; 91: 151-156. 2. Connolly AM, Wilkinson D, Harrison A, Lurie M, Abdool Karim SS. Inadequate treatment for sexually transmitted diseases in the South African private health sector. Int J STD AIDS 1999; 10: 324-327. 3. Chabikuli N, Schneider H, Blaauw D, et al. Equity in the provisio...
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ورودعنوان ژورنال:
- Genitourinary medicine
دوره 72 3 شماره
صفحات -
تاریخ انتشار 1996