The rise of infectious syphilis in Victoria and the impact of enhanced clinical testing.
Kelly Allen, Rebecca Guy, David Leslie, Jane Goller, Nicholas Medland, Norman Roth, Jenny Lewis, Margaret Hellard
Australian and New Zealand Journal of Public Health | Published : 2008
OBJECTIVE: Passive surveillance indicates a clear increase in infectious syphilis cases in Victoria, but trends are likely to be influenced by changes in testing. We therefore used testing data from two Melbourne clinics with a high caseload of men who have sex with men to examine infectious syphilis prevalence, time trends and risk factors for infection. METHODS: We extracted laboratory testing data on all males tested for syphilis at the clinics between 2000 and 2004, including demographic information, syphilis test results and laboratory information used to assign HIV status (a HIV positive diagnosis or HIV positive clinical monitoring data). RESULTS: Of 7,906 syphilis tests conducted at ..View full abstract