{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:17:01Z","timestamp":1790295421005,"version":"4.1.0"},"reference-count":0,"publisher":"National Institute of Public Health NIH (National Research Institute)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Przegl Epidemiol"],"abstract":"<p><strong>ABSTRACT<\/strong><br \/><strong>INTRODUCTION.<\/strong> COVID-19 pandemic had a big impact on the health services organisation, including that\u00a0of sexually transmitted infections (STIs).<br \/><strong>AIM.<\/strong> To analyse and evaluate the influence of COVID-19 epidemic on the detection of STIs and healthcare\u00a0services in a group of these patients on the base of the experience of the Department of Dermatology and\u00a0Venereology and University Outpatient Clinic in Bialystok, Poland.<br \/><strong>MATERIAL AND METHODS.<\/strong> Analysis of the number of consultations for suspicion of STIs, number of\u00a0newly diagnosed cases of syphilis, gonorrhoea, Chlamydia trachomatis infections and genital herpes in two\u00a0periods: January 2019 \u2013 February 2020 (before the epidemic state was introduced) and March 2020 \u2013 April 2021\u00a0(during pandemic). STIs cases hospitalised in the same periods were also analysed.<br \/><strong>RESULTS.<\/strong> The number of hospitalisations and outpatient consultations decreased during pandemic as compared\u00a0to the period before it (by 83.3% and 41.9%, respectively). Patients with syphilis constituted the majority in both\u00a0periods, remaining STIs were few. During pandemic, the proportion of detected cases of syphilis was higher as\u00a0compared to the time before it, despite the diminished number of consultations (39.4% and 28%, respectively).\u00a0Majority of patients with syphilis were men (92.3% and 93.3%), among them men-who-have-sex-with-men\u00a0constituted at least 50%. Early syphilis was diagnosed more frequently during pandemic than before it (92.3%\u00a0and 78.6%, respectively), early symptomatic syphilis in particular (46.2% and 35.7%, respectively). HIV coinfection\u00a0in syphilis patients was more frequent during pandemic (15.8% and 7.1%, respectively). More than half\u00a0of these patients (53.8%) did not come for follow-up visits after treatment during pandemic.<br \/><strong>CONCLUSIONS.<\/strong> The pandemic caused the decrease in number of outpatient STIs consultations and\u00a0hospitalisations. The proportion of newly diagnosed cases of syphilis per number of consultations increased.\u00a0The percentage of early syphilis cases, especially early symptomatic syphilis increased. Adherence to after\u00a0treatment follow up was suboptimal.<\/p>\n<p><strong>STRESZCZENIE<\/strong><br \/><strong>WST\u0118P.<\/strong> Pandemia COVID-19 znacz\u0105co wp\u0142yn\u0119\u0142a na organizacj\u0119 us\u0142ug medycznych, r\u00f3wnie\u017c w zakresie porad\u00a0dermatologiczno-wenerologicznych.<br \/><strong>CEL.<\/strong> Analiza i ocena wp\u0142ywu stanu epidemii COVID-19 na wykrywalno\u015b\u0107 zaka\u017ce\u0144 przenoszonych drog\u0105\u00a0p\u0142ciow\u0105 (ZPDP) i opiek\u0119 nad tymi pacjentami na podstawie do\u015bwiadcze\u0144 Kliniki Dermatologii i Wenerologii\u00a0i Uniwersyteckiej Poradni Dermatologicznej w Bia\u0142ymstoku.<br \/><strong>MATERIA\u0141 I METODY.<\/strong> Analiza liczby porad udzielanych w Poradni pacjentom z podejrzeniem ZPDP,\u00a0liczby nowo wykrytych przypadk\u00f3w ki\u0142y, rze\u017c\u0105czki, zaka\u017ce\u0144 Chlamydia trachomatis i opryszczki narz\u0105d\u00f3w\u00a0p\u0142ciowych w dw\u00f3ch okresach: od stycznia 2019 r. do lutego 2020 r. (przed og\u0142oszeniem stanu epidemii) i od\u00a0marca 2020 r. do kwietnia 2021 r. (w czasie pandemii). Analiza przypadk\u00f3w chorych z ZPDP hospitalizowanych\u00a0w tym samym czasie w Klinice.<br \/><strong>WYNIKI.<\/strong> Obserwowano spadek liczby hospitalizacji oraz porad ambulatoryjnych w okresie pandemii w stosunku\u00a0do czasu przed ni\u0105 (odpowiednio o 83,3% i 41,9%). Wi\u0119kszo\u015b\u0107 pacjent\u00f3w w obu okresach chorowa\u0142o na\u00a0ki\u0142\u0119, pozosta\u0142e ZPDP by\u0142y nieliczne. W czasie pandemii, pomimo mniejszej liczby porad, wykryto proporcjonalnie\u00a0wi\u0119cej przypadk\u00f3w ki\u0142y ni\u017c przed ni\u0105 (odpowiednio: 39,4% i 28%). Wi\u0119kszo\u015b\u0107 pacjent\u00f3w z ki\u0142\u0105 stanowili\u00a0m\u0119\u017cczy\u017ani (92,3% i 93,3%), w\u015br\u00f3d nich co najmniej po\u0142ow\u0119 m\u0119\u017cczy\u017ani homoseksualni. W okresie pandemii\u00a0cz\u0119\u015bciej rozpoznawano ki\u0142\u0119 wczesn\u0105 (92,3% i 78,6% przypadk\u00f3w), szczeg\u00f3lnie objawow\u0105 (46,2% i 35,7%).<br \/>Wsp\u00f3\u0142istnienie zaka\u017cenia HIV u chorych na ki\u0142\u0119 stwierdzono cz\u0119\u015bciej w okresie pandemii (15,8% i 7,1%). Ponad\u00a0po\u0142owa chorych (53,8%) nie zg\u0142osi\u0142a si\u0119 w tym czasie do wyznaczonych kontroli.<br \/><strong>WNIOSKI.<\/strong> Pandemia wp\u0142yn\u0119\u0142a na zmniejszenie liczby udzielanych porad w zakresie ZPDP oraz hospitalizacji.\u00a0Zwi\u0119kszy\u0142a si\u0119 proporcjonalnie wykrywalno\u015b\u0107 ki\u0142y w stosunku do liczby porad. Zwi\u0119kszy\u0142 si\u0119 odsetek\u00a0przypadk\u00f3w ki\u0142y wczesnej, a zw\u0142aszcza objawowej. Kontrola po leczeniu ki\u0142y by\u0142a niedostateczna.<\/p><\/jats:p>","DOI":"10.32394\/pe.75.14","type":"journal-article","created":{"date-parts":[[2021,10,25]],"date-time":"2021-10-25T13:42:36Z","timestamp":1635169356000},"page":"151-158","source":"Crossref","is-referenced-by-count":8,"title":["The impact of the COVID-19 pandemic on sexually transmitted infections services \u2013 experience from Bialystok, Poland"],"prefix":"10.32394","volume":"75","author":[{"given":"AB","family":"Serwin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Kaczy\u0144ska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I","family":"Flisiak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"17323","published-online":{"date-parts":[[2021,10,15]]},"container-title":["Przeglad Epidemiologiczny"],"original-title":["Wp\u0142yw pandemii COVID-19 na sytuacj\u0119 w zakresie zaka\u017ce\u0144 przenoszonych drog\u0105 p\u0142ciow\u0105 \u2013 do\u015bwiadczenia o\u015brodka bia\u0142ostockiego"],"link":[{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-180996-101557","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-180996-101557","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T08:44:52Z","timestamp":1709887492000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/The-impact-of-the-COVID-19-pandemic-on-sexually-transmitted-infections-services-experience,180996,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,15]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021]]}},"alternative-id":["180996"],"URL":"https:\/\/doi.org\/10.32394\/pe.75.14","relation":{},"ISSN":["0033-2100","2545-1898"],"issn-type":[{"value":"0033-2100","type":"print"},{"value":"2545-1898","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,15]]}}}