{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,9]],"date-time":"2024-03-09T00:14:46Z","timestamp":1709943286354},"reference-count":0,"publisher":"National Institute of Public Health NIH (National Research Institute)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Przegl Epidemiol"],"abstract":"<p><strong>ABSTRACT<\/strong><br \/><strong>PURPOSE.<\/strong> The aim was the assessment of the epidemiological situation of gonorrhoea in Poland in 2019 and\u00a02020.<br \/><strong>MATERIAL AND METHODS.<\/strong> Case-based data on gonorrhoea from surveillance were used (to calculate\u00a0the rate, data from the Statistics Poland on the number of population was used), which were compared with\u00a0data from previous years. Data on patients treated in dermatology-venereology clinics in 2019-2020 were taken\u00a0from the Statistical Bulletins of the Ministry of Health. The surveillance definition is: a confirmed case (means\u00a0meeting the laboratory criteria), probable case (clinical criteria and an epidemiological link \u2013 contact with\u00a0a confirmed case of gonorrhoea) and a possible case (the doctor diagnosed gonorrhoea).<br \/><strong>RESULTS.<\/strong> Year 2019 was the one with the highest number of reported gonorrhoea cases over the 2014-2020\u00a0period \u2013 522 cases and 1.37\/100,000 population. In 2020, there was a decrease in cases by 47.13% (246 cases and\u00a00.64\/100,000 inhabitants). Delays in reporting were identified \u2013 between the diagnosis and the first notification\u00a0for 2019 and 2020, on average, intervened 36 and 52 days, respectively. On the other hand, in dermatologyvenereology\u00a0clinics, the number of people treated for gonorrhoea did not change \u2013 448 in 2019 and 442 in 2020.<br \/><strong>CONCLUSION.<\/strong> 1) The COVID-19 pandemic has deepened the problems of reporting good quality gonorrhoea\u00a0data in epidemiological surveillance \u2013 the planning of appropriate preventive measures in central\/local health\u00a0policies is not possible. Improving surveillance and reporting of complete data on gonorrhoea cases is essential for\u00a0reliable evaluation of the epidemiological situation. 2) Extensive prophylactic measures should be implemented\u00a0(including for those under 18 years of age), targeting the source of and to cross routes of infection, including the\u00a0promotion of safer sexual behaviors and informing the sexual partner.<\/p>\n<p><strong>STRESZCZENIE<\/strong><br \/><strong>CEL.<\/strong> Celem pracy by\u0142a ocena sytuacji epidemiologicznej rze\u017c\u0105czki w Polsce w latach 2019-2020.<br \/><strong>MATERIA\u0141 I METODY.<\/strong> Wykorzystano jednostkowe dane dotycz\u0105ce rze\u017c\u0105czki z nadzoru epidemiologicznego\u00a0(do wyliczenia wska\u017anik\u00f3w u\u017cyto danych GUS dot. liczby ludno\u015bci), kt\u00f3re por\u00f3wnano z danymi z lat\u00a0poprzednich. Dane o leczonych po raz pierwszy w poradniach sk\u00f3rno-wenerologicznych w latach 2019-2020\u00a0zaczerpni\u0119to z Biuletyn\u00f3w statystycznych Ministerstwa Zdrowia. Definicja przypadku rze\u017c\u0105czki w nadzorze\u00a0epidemiologicznym to przypadek potwierdzony (spe\u0142nienie kryteri\u00f3w laboratoryjnych), przypadek prawdopodobny\u00a0(spe\u0142nienie kryteri\u00f3w klinicznych oraz kontakt z przypadkiem potwierdzonym) oraz przypadek mo\u017cliwy\u00a0(lekarz rozpozna\u0142 rze\u017c\u0105czk\u0119).<br \/><strong>WYNIKI.<\/strong> Rok 2019 by\u0142 rokiem, w kt\u00f3rym odnotowano najwy\u017csz\u0105 liczb\u0119 zg\u0142oszonych przypadk\u00f3w rze\u017c\u0105czki\u00a0na przestrzeni lat 2014-2020 \u2013 522 zachorowania i 1,37\/100 000 ludno\u015bci. W 2020 r. odnotowano spadek przypadk\u00f3w\u00a0o 47,13% (246 przypadk\u00f3w i 0,64\/100 000 mieszka\u0144c\u00f3w). Zidentyfikowano op\u00f3\u017anienia w zg\u0142aszaniu\u00a0\u2013 mi\u0119dzy rozpoznaniem a pierwszym zg\u0142oszeniem dla 2019 r. i 2020 r. \u015brednio up\u0142yn\u0119\u0142o odpowiednio: 36 i 52\u00a0dni. Natomiast w poradniach sk\u00f3rno-wenerologicznych nie zmieni\u0142a si\u0119 liczba os\u00f3b leczonych w zwi\u0105zku z rze\u017c\u0105czk\u0105\u00a0\u2013 448 os\u00f3b w 2019 r. oraz 442 osoby w 2020 r.<br \/><strong>WNIOSKI.<\/strong> 1) Pandemia COVID-19 pog\u0142\u0119bi\u0142a problemy z raportowaniem w ramach nadzoru epidemiologicznego\u00a0dobrej jako\u015bci danych dotycz\u0105cych rze\u017c\u0105czki, co uniemo\u017cliwia zaprojektowanie w\u0142a\u015bciwych dzia\u0142a\u0144\u00a0profilaktycznych w ramach centralnej\/lokalnej polityki zdrowotnej. Poprawa nadzoru i zg\u0142aszania kompletnych\u00a0danych dotycz\u0105cych przypadk\u00f3w rze\u017c\u0105czki jest niezb\u0119dna do rzetelnej oceny sytuacji epidemiologicznej.\u00a02) Nale\u017cy wdro\u017cy\u0107 szerokie dzia\u0142ania profilaktyczne (r\u00f3wnie\u017c dla os\u00f3b poni\u017cej 18 r.\u017c.), ukierunkowane na \u017ar\u00f3d\u0142o\u00a0zaka\u017cenia oraz na przecinanie dr\u00f3g zaka\u017cenia, w tym dotycz\u0105ce promowania bezpieczniejszych kontakt\u00f3w\u00a0seksualnych oraz informowania partnera seksualnego.<\/p><\/jats:p>","DOI":"10.32394\/pe.76.54","type":"journal-article","created":{"date-parts":[[2023,4,5]],"date-time":"2023-04-05T09:47:51Z","timestamp":1680688071000},"page":"591-603","source":"Crossref","is-referenced-by-count":0,"title":["Gonorrhoea in Poland in 2019-2020"],"prefix":"10.32394","volume":"76","author":[{"given":"K","family":"Zakrzewska","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Nied\u017awiedzka-Stadnik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"17323","published-online":{"date-parts":[[2023,4,5]]},"container-title":["Przeglad Epidemiologiczny"],"original-title":["Rze\u017c\u0105czka w Polsce w latach 2019-2020"],"link":[{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-181101-101662","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-181101-101662","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T08:43:57Z","timestamp":1709887437000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/Gonorrhoea-in-Poland-in-2019-2020,181101,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,5]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022]]}},"alternative-id":["181101"],"URL":"https:\/\/doi.org\/10.32394\/pe.76.54","relation":{},"ISSN":["0033-2100","2545-1898"],"issn-type":[{"value":"0033-2100","type":"print"},{"value":"2545-1898","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,5]]}}}