The great pretender returns to Dublin, Ireland. Issue 5 (1st October 2001)

• Record Type: Journal Article
• Authors: Hopkins, S; Lyons, F; Mulcahy, F; Bergin, C
• Is Part Of: Sexually transmitted infections. Volume 77:Issue 5(2001)
• Page Start: 316
• Page End: 318
• Publication Date: 2001-10-01
• Subjects: syphilis -- epidemiology -- Dublin; Sexually transmitted diseases -- Periodicals; HIV infections -- Periodicals; 616.951005
• DOI: 10.1136/sti.77.5.316
• Languages: English
• ISSNs: 1368-4973

Abstract

Abstract : Background: An outbreak of syphilis has been identified primarily in Dublin, Ireland. On a background of a stable low incidence of syphilis, a significant increase in the number of cases of syphilis has been observed over the past 18 months. Results: 181 cases of syphilis were seen in this period. 121 were defined as early syphilis. These cases were mainly among men who have sex with men (92%). A high rate of HIV co-infection was present; 16 patients who regularly attended HIV clinics were diagnosed with early syphilis. Nine patients were co-diagnosed with HIV and early syphilis. High risk behaviour and concurrent diagnoses with other sexually transmitted infections were prevalent in this cohort. Sexual networks were also investigated. Conclusion: An education campaign, widespread advertisements, and on-site testing in commercial venues have revealed further cases. Safer sex messages need to be emphasised particularly among the HIV population. Further innovative strategies continue to be explored.