Syndromic surveillance of female sexually transmitted infections in primary care: a descriptive study in Monastir, Tunisia, 2007─2017
Abstract Background Sexually Transmitted Infections (STIs) are a public health problem, especially for reproductive-age women. The aim of this study was to determine the incidence and trend of STIs during 11 years in Tunisia (2007–17). Methods We conducted a descriptive study including all women wit...
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| Format: | Article |
| Language: | English |
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BMC
2021-09-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-021-11647-2 |
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| author | Wafa Dhouib Imen Zemni Meriem Kacem Cyrine Bennasrallah Manel Ben Fredj Hela Abroug Samia Grira Maha Mastouri Asma Sriha Belguith |
| author_facet | Wafa Dhouib Imen Zemni Meriem Kacem Cyrine Bennasrallah Manel Ben Fredj Hela Abroug Samia Grira Maha Mastouri Asma Sriha Belguith |
| author_sort | Wafa Dhouib |
| collection | DOAJ |
| description | Abstract Background Sexually Transmitted Infections (STIs) are a public health problem, especially for reproductive-age women. The aim of this study was to determine the incidence and trend of STIs during 11 years in Tunisia (2007–17). Methods We conducted a descriptive study including all women with curable STIs (chlamydia, gonorrhea, syphilis and trichomoniasis) diagnosed with the syndromic approach in all basic health care centers of the Governorate of Monastir (Tunisia) from 2007 to 2017. Syndromes included, Pelvic Pain (PP), Vaginal Discharge (VD) and Genital Ulceration (GU). Results We analyzed 40,388 episodes of curable STIs with a crude incidence rate and age standardized incidence rate of 1393 (95% Confidence Interval (CI); 1348–1438) / 100,000 Person Year (PY) and 1328 (95%CI; 1284–1372) /100,000 PY respectively. The incidence rate showed a positive trend over 11 years for all age groups and syndromes. VD was the most common syndrome with a crude incidence rate of 1170/100,000 PY. For all syndromes, women aged 20 to 39 were the most affected age group (p < 0.001). Conclusion In conclusion, the incidence rate of STIs episodes among women diagnosed with the syndromic approach was high, consistent with the global evidence. Focusing on reviewing STIs surveillance system in low and middle-income countries could allow the achievement of the ending of STIs epidemics by 2030. |
| first_indexed | 2024-12-19T20:48:50Z |
| format | Article |
| id | doaj.art-1d2195b859234165bf4408b75c5c4d68 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-19T20:48:50Z |
| publishDate | 2021-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-1d2195b859234165bf4408b75c5c4d682022-12-21T20:06:10ZengBMCBMC Public Health1471-24582021-09-012111810.1186/s12889-021-11647-2Syndromic surveillance of female sexually transmitted infections in primary care: a descriptive study in Monastir, Tunisia, 2007─2017Wafa Dhouib0Imen Zemni1Meriem Kacem2Cyrine Bennasrallah3Manel Ben Fredj4Hela Abroug5Samia Grira6Maha Mastouri7Asma Sriha Belguith8Department of Epidemiology and Preventive Medicine, University of MonastirDepartment of Epidemiology and Preventive Medicine, University of MonastirDepartment of Epidemiology and Preventive Medicine, University of MonastirDepartment of Epidemiology and Preventive Medicine, University of MonastirDepartment of Epidemiology and Preventive Medicine, University of MonastirDepartment of Epidemiology and Preventive Medicine, University of MonastirThe Regional Direction of Primary Health of MonastirMicrobiology LaboratoryDepartment of Epidemiology and Preventive Medicine, University of MonastirAbstract Background Sexually Transmitted Infections (STIs) are a public health problem, especially for reproductive-age women. The aim of this study was to determine the incidence and trend of STIs during 11 years in Tunisia (2007–17). Methods We conducted a descriptive study including all women with curable STIs (chlamydia, gonorrhea, syphilis and trichomoniasis) diagnosed with the syndromic approach in all basic health care centers of the Governorate of Monastir (Tunisia) from 2007 to 2017. Syndromes included, Pelvic Pain (PP), Vaginal Discharge (VD) and Genital Ulceration (GU). Results We analyzed 40,388 episodes of curable STIs with a crude incidence rate and age standardized incidence rate of 1393 (95% Confidence Interval (CI); 1348–1438) / 100,000 Person Year (PY) and 1328 (95%CI; 1284–1372) /100,000 PY respectively. The incidence rate showed a positive trend over 11 years for all age groups and syndromes. VD was the most common syndrome with a crude incidence rate of 1170/100,000 PY. For all syndromes, women aged 20 to 39 were the most affected age group (p < 0.001). Conclusion In conclusion, the incidence rate of STIs episodes among women diagnosed with the syndromic approach was high, consistent with the global evidence. Focusing on reviewing STIs surveillance system in low and middle-income countries could allow the achievement of the ending of STIs epidemics by 2030.https://doi.org/10.1186/s12889-021-11647-2Sexually transmitted diseasesVaginal dischargeC. trachomatisNeisseria gonorrhoeaeSyphilisTrichomonas vaginalis |
| spellingShingle | Wafa Dhouib Imen Zemni Meriem Kacem Cyrine Bennasrallah Manel Ben Fredj Hela Abroug Samia Grira Maha Mastouri Asma Sriha Belguith Syndromic surveillance of female sexually transmitted infections in primary care: a descriptive study in Monastir, Tunisia, 2007─2017 BMC Public Health Sexually transmitted diseases Vaginal discharge C. trachomatis Neisseria gonorrhoeae Syphilis Trichomonas vaginalis |
| title | Syndromic surveillance of female sexually transmitted infections in primary care: a descriptive study in Monastir, Tunisia, 2007─2017 |
| title_full | Syndromic surveillance of female sexually transmitted infections in primary care: a descriptive study in Monastir, Tunisia, 2007─2017 |
| title_fullStr | Syndromic surveillance of female sexually transmitted infections in primary care: a descriptive study in Monastir, Tunisia, 2007─2017 |
| title_full_unstemmed | Syndromic surveillance of female sexually transmitted infections in primary care: a descriptive study in Monastir, Tunisia, 2007─2017 |
| title_short | Syndromic surveillance of female sexually transmitted infections in primary care: a descriptive study in Monastir, Tunisia, 2007─2017 |
| title_sort | syndromic surveillance of female sexually transmitted infections in primary care a descriptive study in monastir tunisia 2007─2017 |
| topic | Sexually transmitted diseases Vaginal discharge C. trachomatis Neisseria gonorrhoeae Syphilis Trichomonas vaginalis |
| url | https://doi.org/10.1186/s12889-021-11647-2 |
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