未经评估:马罗尼盆地-划定苏里南和法属圭亚那之间的边界-呈现社会文化,地理和经济情况,这有利于性传播感染的传播以及诊断和护理的延误。鉴于公布数据的稀缺性,我们旨在描述马罗尼地区不同的性传播感染,并对流行病学情况有更广泛的了解.
UNASSIGNED:我们对在这个复杂的边境地区解决性传播感染问题的努力进行了范围审查。绘制了时间趋势,并将粗数除以当地人口数。
未经批准:对于HIV,尽管越来越多的测试努力,大多数患者仍处于HIV晚期(诊断时CD4计数中位数<20/mm3),圣罗兰·杜马罗尼25%的患者在6年内失访.然而,双方的进步导致艾滋病病例和死亡率下降。尽管在1990年代沿马罗尼迅速增加,目前农村地区的艾滋病毒流行率(0.52%)似乎低于沿海城市中心地区(>1%).女性高危型HPV感染率达23.3%。淋病的发病率为4.2/1,00015-59岁人口。对于衣原体病,每千15-59岁的人口为3.4。对于梅毒,发病率为每1,000名15-59岁人口2.5.淋病,衣原体病,随着时间的推移,乙型肝炎检测随着更大的检测工作和新的诊断测试而增加。自从COVID-19流行以来,SaintLaurentduMaroni的先天性梅毒急剧增加,达到每100,000活产808例。
UNASSIGNED:性传播感染似乎在圣罗兰-唯一的城市中心-比在马罗尼沿岸的偏远村庄更为普遍。综合征方法和诊断平台的异质性可能忽略了该地区的大多数感染。因此,对于减轻马罗尼病双方性传播感染的负担,似乎有必要采取协调一致的方法,并与分子诊断和快速诊断测试进行共同的诊断升级.因COVID-19中断卫生服务而导致的先天性梅毒需要紧急关注。
UNASSIGNED: The Maroni basin -delineating the
border between Suriname and French Guiana- presents sociocultural, geographical and economic circumstances that have been conducive to the circulation of sexually transmitted infections and to delays in diagnosis and care. Given the scarcity of published data, we aimed to describe different sexually transmitted infections along the Maroni and to gain a broader understanding of the epidemiologic situation.
UNASSIGNED: We conducted a scoping
review of the efforts to approach the problem of sexually transmitted infections in this complex
border area. Temporal trends were plotted and crude numbers were divided by local population numbers.
UNASSIGNED: For HIV, despite increasing testing efforts, most patients still present at the advanced HIV stage (median CD4 count at diagnosis is < 20 per mm3), and 25% of patients in Saint Laurent du Maroni were lost to follow-up within 6 years. However, progress on both sides has led to a decline in AIDS cases and mortality. Despite a rapid increase in the 1990\'s along the Maroni, the current HIV prevalence seemed lower (0.52%) in the rural villages than in coastal urban centers (> 1%). High risk HPV infection prevalence among women reaches 23.3%. The incidence of gonorrhea was 4.2 per 1,000 population aged 15-59. For chlamydiasis it was 3.4 per 1,000 population aged 15-59. For syphilis, the incidence was 2.5 per 1,000 population aged 15-59. Gonorrhea, chlamydiasis, hepatitis B detection increased over time with greater testing efforts and new diagnostic tests. Since the COVID-19 epidemic, congenital syphilis has dramatically increased in Saint Laurent du Maroni reaching 808 per 100,000 live births.
UNASSIGNED: Sexually transmitted infections seemed more prevalent in Saint Laurent du Maroni -the sole urban center-than in the remote villages along the Maroni. The syndromic approach and the heterogeneity of diagnostic platforms presumably overlook most infections in the region. Therefore, a concerted approach and a shared diagnostic upgrade with molecular diagnosis and rapid diagnostic tests seem necessary to reduce the burden of sexually transmitted infections on both sides of the Maroni. Congenital syphilis resulting from COVID-19 disruption of health services requires urgent attention.