Abstract

BackgroundSince 2001, laboratories in Germany are required to notify newly diagnosed cases of syphilis directly to the Robert Koch-Institut (RKI). The number of syphilis cases doubled 2001–04 to over 3000/year,...

Highlights

  • ResultsIn 2000 morbidity due to syphilis was 20.3, while in 2002 it reached 31.2 per 100,000 inhabitants

  • Since 2001, laboratories in Germany are required to notify newly diagnosed cases of syphilis directly to the Robert Koch-Institut (RKI)

  • Potential double notifications were identified by comparing available demographic data, diagnosis date, antibody titers, and clinical information

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Summary

Results

In 2000 morbidity due to syphilis was 20.3, while in 2002 it reached 31.2 per 100,000 inhabitants. In 2011 the incidence had decreased to 11.0 per 100,000 inhabitants. Over the recent four years, though, syphilis has become more prevalent among the 30–39 years old men. Since 2000 latent syphilis prevails, comprising 83% of all syphilis cases and primary syphilis steadily decreases, e.g. in 2010–2011 constituting only 7–8% of all diagnosed cases. During these years, neurosyphilis constituted 0.5–1.2% of all syphilis cases. In 2000 12 cases of congenital syphilis were registered, compared to 16 cases in 2012. The high incidence of newly detected latent vs primary syphilis may indicate a suboptimal surveillance, diagnostics and management of STI patients. A correlation between the availability of the financed STI programmes and increasing incidences of syphilis was noted

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