Notification of gonorrhea and chlamydia required


Doctors advocate an expansion of the obligation to report sexually transmitted diseases

Not least due to the significant increase in gonorrheal diseases in individual federal states over the past ten years, there has been some discussion about the obligation to report gonorrhea, but also for other venereal diseases, such as infections with so-called chlamydia. The latter are particularly dangerous because they often go undetected.

In view of the demands of medical professionals and infection experts for the introduction of a reporting requirement for gonorrhea and chlamydia, there is much to be said for the corresponding legal requirements being decided here, according to Dr. Viviane Bremer, expert in the Department of Infection Epidemiology at the Robert Koch Institute in Berlin (RKI) told the “Frankfurter Allgemeine Sonntagszeitung” (FAS). According to the infection epidemiologist, the obligation to notify previously only applicable to HIV and syphilis should also be extended to gonorrhea and chlamydia. "We need nationwide data on infection and resistance," emphasized the RKI expert in an interview with the "FAS".

Extension of the reporting obligation to gonorrhea and chlamydia Not only the growing number of gonorrhea infections, but also the spread of multidrug-resistant gonococci, is causing increasing concern. "We have to get an overview of the situation in Germany," said Dr. Bremer. According to the expert, “discussions with the Federal Ministry of Health” are currently being held about the possible introduction of a reporting obligation. In your opinion, the signs are good that there may be a notification obligation for gonorrhea and chlamydia in Germany soon. The expansion of the obligation to report sexually transmitted diseases. (sexually transmitted diseases, STD or sexually transmitted infections, STI) would, according to Norbert Brockmeyer, head of the Center for Sexual Health at the University Clinic in Bochum, also contribute to protecting the population. In the past decades, many taboos in dealing with venereal diseases have fallen, but there is still no real openness. "Especially not when it comes to sexual illnesses," Brockmeyer told the "FAS". In his opinion, there is an urgent need for reporting and documentation for gonococci and chlamydia.

Resistant gonorrhea bacteria make treatment difficult. In most cases, gonorrhea infection can be easily identified by the striking symptoms. In men, itchy urethritis with purulent discharge and painful urination are typical signs of gonorrhea. In women, inflammation of the cervix, vaginal mucosa or Bartholin's glands is rare. An untreated gonorrhea can also lead to the spread of bacteria in the organism and, in the worst case, to life-threatening gonococcal sepsis (blood poisoning). Tripper can usually be treated relatively well with antibiotics, but the increased occurrence of resistance is a problem here.

Chlamydia infections most common STD Genital infections with chlamydia (chlamydiosis) often go undetected, unlike the gonorrhea. In fact, chlamydia infections are the most common sexually transmitted bacterial infectious disease in Europe, experts say, but women, especially affected women, often go unnoticed. In men, chlamydial infections include inflammation of the urethra, prostate and epididymis. In women, too, the pathogens affect the urethra and, under certain circumstances, the lining of the cervix. From here, the infection can migrate towards the fallopian tubes, stick to them and thus lead to infertility. If a fertilized egg is prevented from reaching the uterus by the adhered fallopian tube, there is a risk of so-called fallopian tube pregnancies, which can lead to further health complications. If therapy is not given, chlamydiosis can also result in infertility in women.

Condoms protect against sexually transmitted diseases
According to the experts, the best protection against gonorrhea and chlamydia is provided by condom contraception. These also protect against other sexually transmitted diseases such as HIV, syphilis or infections with human papillomaviruses (HPV). The latter are considered a potential trigger for cervical cancer and are a growing problem, especially in developing countries. (fp)

Also read about venereal diseases:
Antibiotic-resistant gonorrhea discovered in Japan
White blood cells in the urine

Photo credit: Tomizak / pixelio.de

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Video: Extragenital Testing for Gonorrhea and Chlamydia in Men who have Sex with Men


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