Medizinonline Medizinonline
  • News
    • News
    • Market & Medicine
  • Patients
    • Disease patterns
    • Diagnostics
    • Therapy
  • Partner Content
    • Dermatology
      • Atopic dermatitis and psoriasis news
      • Dermatology News
    • Diabetes
      • Dia-Month Club – Type 2 Diabetes
      • Diabetes in Motion
      • Diabetes Podcasts
    • Gastroenterology
      • IBD matters
      • Forum Gastroenterology
      • Ozanimod: ulcerative colitis
      • Reflux Update
    • Immunology
      • Primary immunodeficiency – exchange of experience
    • Vaccinate
      • Herpes zoster
    • Infektiologie
    • Neurology
      • EXPERT ULTRASONIC: Introduction to ultrasound-guided injection
      • MS News
      • MS Therapy in Transition
    • Oncology
      • Swiss Oncology in motion
    • Orthopedics
      • Osteoporosis in motion
    • Phytotherapie
    • Practice Management
      • Aargau Cantonal Bank
      • Claraspital
    • Psychiatry
      • Geriatric Psychiatry
    • Rheumatology
  • Departments
    • Allergology and clinical immunology
    • General Internal Medicine
    • Anesthesiology
    • Angiology
    • Surgery
    • Dermatology and venereology
    • Endocrinology and Diabetology
    • Nutrition
    • Gastroenterology and Hepatology
    • Genetics
    • Geriatrics
    • Gynecology
    • Hematology
    • Infectiology
    • Cardiology
    • Nephrology
    • Neurology
    • Emergency and intensive care medicine
    • Nuclear Medicine
    • Oncology
    • Ophthalmology
    • ORL
    • Orthopedics
    • Pediatrics
    • Pharmacology and toxicology
    • Pharmaceutical medicine
    • Phlebology
    • Physical medicine and rehabilitation
    • Pneumology
    • Prevention and health care
    • Psychiatry and psychotherapy
    • Radiology
    • Forensic Medicine
    • Rheumatology
    • Sports Medicine
    • Traumatology and trauma surgery
    • Tropical and travel medicine
    • Urology
    • Dentistry
  • CME & Congresses
    • CME continuing education
    • Congress Reports
    • Congress calendar
  • Practice
    • Noctimed
    • Practice Management
    • Jobs
    • Interviews
  • Log In
  • Register
  • My account
  • Contact
  • English
    • Deutsch
    • Français
    • Italiano
    • Português
    • Español
  • Publications
  • Contact
  • Deutsch
  • English
  • Français
  • Italiano
  • Português
  • Español
Subscribe
Medizinonline Medizinonline
Medizinonline Medizinonline
  • News
    • News
    • Market & Medicine
  • Patienten
    • Krankheitsbilder
    • Diagnostik
    • Therapie
  • Partner Content
    • Dermatology
      • Atopic dermatitis and psoriasis news
      • Dermatology News
    • Diabetes
      • Dia-Month Club – Type 2 Diabetes
      • Diabetes in Motion
      • Diabetes Podcasts
    • Gastroenterology
      • IBD matters
      • Forum Gastroenterology
      • Ozanimod: ulcerative colitis
      • Reflux Update
    • Immunology
      • Primary immunodeficiency – exchange of experience
    • Vaccinate
      • Herpes zoster
    • Infektiologie
    • Neurology
      • EXPERT ULTRASONIC: Introduction to ultrasound-guided injection
      • MS News
      • MS Therapy in Transition
    • Oncology
      • Swiss Oncology in motion
    • Orthopedics
      • Osteoporosis in motion
    • Phytotherapie
    • Practice Management
      • Aargau Cantonal Bank
      • Claraspital
    • Psychiatry
      • Geriatric Psychiatry
    • Rheumatology
  • Departments
    • Fachbereiche 1-13
      • Allergology and clinical immunology
      • General Internal Medicine
      • Anesthesiology
      • Angiology
      • Surgery
      • Dermatology and venereology
      • Endocrinology and Diabetology
      • Nutrition
      • Gastroenterology and Hepatology
      • Genetics
      • Geriatrics
      • Gynecology
      • Hematology
    • Fachbereiche 14-26
      • Infectiology
      • Cardiology
      • Nephrology
      • Neurology
      • Emergency and intensive care medicine
      • Nuclear Medicine
      • Oncology
      • Ophthalmology
      • ORL
      • Orthopedics
      • Pediatrics
      • Pharmacology and toxicology
      • Pharmaceutical medicine
    • Fachbereiche 26-38
      • Phlebology
      • Physical medicine and rehabilitation
      • Phytotherapy
      • Pneumology
      • Prevention and health care
      • Psychiatry and psychotherapy
      • Radiology
      • Forensic Medicine
      • Rheumatology
      • Sports Medicine
      • Traumatology and trauma surgery
      • Tropical and travel medicine
      • Urology
      • Dentistry
  • CME & Congresses
    • CME continuing education
    • Congress Reports
    • Congress calendar
  • Practice
    • Noctimed
    • Practice Management
    • Jobs
    • Interviews
Login

Sie haben noch keinen Account? Registrieren

  • Sexually transmitted diseases

Do we have a handle on STDs?

    • Congress Reports
    • Dermatology and venereology
    • Gynecology
    • Infectiology
    • RX
    • Urology
  • 2 minute read

At the 21st Symposium Medicine in the Manege at Circus Knie , the focus was on sexually transmitted diseases, which are a serious problem worldwide. There was discussion of what is new in the epidemiology development of HIV, how to respond to increasing resistance in gonorrhea, and where the difficulties lie in sexual history taking.

According to Prof. Dr. med. Pietro Vernazza of the Cantonal Hospital St. Gallen, what must never be forgotten in the event of a diagnosis of a sexually transmitted disease (“STD”) is an HIV test, the reporting system and partner information. The sexual anamnesis is fundamentally difficult and can therefore only be successful with an open, non-judgmental attitude on the part of the attending physician or, above all, with questions that signal openness.

STDs at a glance

Syphilis: First, Prof. Vernazza gave some epidemiological data on syphilis: “Confirmed syphilis cases have been increasing strongly among Swiss men since 2009, especially among MSM (“men having sex with men”). Only in the last two years has there been a slight decrease or a flattening of the trend in this population. During the same period, the prevalence among women was significantly lower and largely stagnated.” Transmission occurs predominantly via oral sex.
HIV: “HIV still affects many more MSM than heterosexual men,” explained Prof. Vernazza. “However, fresh HIV infections are currently declining in Switzerland in both groups. It’s possible that prevention efforts are already bearing fruit here.”

Gonorrhea: Confirmed gonorrhea cases have been increasing rapidly in both men and women over the past five years, with heterosexual men in particular representing a risk population. The route of infection is through oral sex. Gonorrhea is often asymptomatic in women.

“Therapy without diagnostics is not recommended, but it is frequently carried out. This is a problem because the resistance situation is worsening ominously. Sensitivity to cefixime is steadily decreasing. A real alarm must be sounded at the increasingly observed resistance to ceftriaxone. The guidelines therefore newly advise 500 mg ceftriaxone combined with 1g azithromycin (both in a single dose),” said Prof. Vernazza. Diagnosis by smear/primal urine (PCR) in the male and by self-performed vaginal swab in the female is recommended whenever possible (especially since it has become very simple). 

Chlamydia: “Chlamydia is one of the endemic STDs in Switzerland. The prevalence is increasing. Women are diagnosed more frequently than men. In most cases, chlamydia is only symptomatic in the female sex (e.g. fertility problems),” concludes Prof. Vernazza.

Source: 21st Symposium Medicine in the Manege, June 5, 2014, Zurich

 

CONGRESS SPECIAL 2014; 5(2): 47-48

Autoren
  • Andreas Grossmann
Publikation
  • InFo NEUROLOGIE & PSYCHIATRIE
Related Topics
  • AIDS
  • Cefixime
  • Chlamydia
  • Gonorrhea
  • HIV
  • MSM
  • Oral sex
  • pCR
  • Syphillis
Previous Article
  • Myeloproliferative neoplasms

Where is the journey going?

  • Congress Reports
  • Hematology
  • Oncology
  • RX
View Post
Next Article
  • Somatoform disorders

Cognitive behavioral therapy as therapeutic gold standard

  • Neurology
  • News
  • Psychiatry and psychotherapy
  • RX
View Post
You May Also Like
View Post
  • 8 min
  • Psychooncology

Communication as the key to therapy adherence

    • CME continuing education
    • General Internal Medicine
    • Practice Management
    • RX
View Post
  • 16 min
  • Blastic plasmacytoid dendritic cell neoplasia

Rare malignancy from a dermatological perspective

    • CME continuing education
    • Dermatology and venereology
    • Genetics
    • Hematology
    • Oncology
    • RX
View Post
  • 4 min
  • From symptom to diagnosis

Lung carcinoma – Pancoast tumor

    • Cases
    • Education
    • Oncology
    • Pneumology
    • Radiology
    • RX
    • Surgery
View Post
  • 5 min
  • Deep vein thrombosis

Outpatient or inpatient treatment?

    • Angiology
    • Cardiology
    • Congress Reports
    • General Internal Medicine
    • Phlebology
    • RX
    • Studies
View Post
  • 4 min
  • From symptom to diagnosis

Abdominal pain – Intraductal papillary mucinous neoplasia

    • Cases
    • Gastroenterology and Hepatology
    • General Internal Medicine
    • Oncology
    • Radiology
    • RX
    • Surgery
View Post
  • 14 min
  • IBDmatters - Advanced Therapeutic Treatments

Examinations and considerations before therapy

    • CME continuing education
    • Gastroenterology and Hepatology
    • General Internal Medicine
    • Infectiology
    • RX
    • Studies
    • Training with partner
View Post
  • 2 min
  • “Swiss Health Care Atlas”

Supply situation in Switzerland at a glance

    • General Internal Medicine
    • Practice Management
    • Prevention and health care
    • RX
View Post
  • 7 min
  • Steatotic liver disease

GLP-1RA in MASH – what’s new?

    • Congress Reports
    • Endocrinology and Diabetology
    • Gastroenterology and Hepatology
    • General Internal Medicine
    • Pharmacology and toxicology
    • RX
    • Studies
Top Partner Content
  • Forum Gastroenterology

    Zum Thema
  • Herpes zoster

    Zum Thema
  • Dermatology News

    Zum Thema
Top CME content
  • 1
    Rare malignancy from a dermatological perspective
  • 2
    Communication as the key to therapy adherence
  • 3
    Patience, knowledge and persistence in therapy
  • 4
    Sarcopenia and malnutrition in the context of pneumological rehabilitation
  • 5
    Medical and psychosocial perspectives

Newsletter

Sign up and stay up to date

Subscribe
Medizinonline
  • Contact
  • General terms and conditions
  • Imprint

Input your search keywords and press Enter.