Serological follow-up after syphilis diagnosis in Israel

The global incidence of syphilis is increasing. Continuity of care challenges the control of sexually transmitted diseases. In this study, we assessed the follow-up and serological decline differences between community- and hospital-diagnosed patients in Israel. A historical cohort study was conduct...

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Bibliographic Details
Published in:Epidemiology and infection 2024-04, Vol.152, p.e63-e63, Article e63
Main Authors: Grauenfels Cohen, Galia, Cohen, Matan J., Dveyrin, Ze’ev, Mor, Zohar, Rorman, Efrat, Kaliner, Ehud
Format: Article
Language:English
Subjects:
Algorithms
Blood & organ donations
Congenital diseases
Continuity
Continuity of care
Disease spread
Disease transmission
Females
Health care
Hospitals
Laboratories
Medical diagnosis
Multivariate analysis
Original Paper
Patients
Public health
Serology
Sexually transmitted diseases
STD
Syphilis
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Summary:The global incidence of syphilis is increasing. Continuity of care challenges the control of sexually transmitted diseases. In this study, we assessed the follow-up and serological decline differences between community- and hospital-diagnosed patients in Israel. A historical cohort study was conducted using the Israel National Syphilis Center (NSC) repository. Patients with a positive non-specific Venereal Disease Research Laboratory (VDRL) test between 2011 and 2020 were included. Rates of serological follow-up and serological titre decreases were compared between hospital- and community-diagnosed patients. The study included 4,445 patients, 2,596 (58.4%) were diagnosed in community clinics and 1,849 (41.6%) in hospitals. Of community-diagnosed patients, 1,957 (75.4%) performed follow-up testing, compared with 834 (51.2%) hospital-diagnosed patients (p 
ISSN:0950-2688
1469-4409
DOI:10.1017/S0950268824000566