Title: CLINICAL AND DIAGNOSTIC PARALLELS OF POSTACNE MANIFESTATIONS
Author: Кондакова
Last saved by: Nancy

PREVALENCE OF SYPHILIS AMONG PRISONERS
(ANALYSIS OF MODERN SCIENTIFIC PUBLICATIONS AND OWN DATA)

About the author:

T. V. Osinska, Yu. V. Shcherbakova, V. V. Kutova, O. M. Bilokon, S. K. Dzhoraieva, 
M. E. Zapolskiy, D. D. Kurushyn

Heading | EPIDEMIOLOGICAL STUDIES
Type of article | Scientific Article

Annotation

Introduction. According to the WHO, the highest incidence of STIs/ HIV­infection, 
including syphilis, is in prisons, which currently have more than10 million people 
worldwide.
The objective. To assess the current state of the spread of syphilitic infection in 
prisons in the context of a holistic view of sexually transmitted diseases, taking into 
account our own pilot studies on the prevalence of sexually transmitted infections
(STIs) and HIV, as well as risk factors infection.
Materials and methods. The search was performed according to the 
recommendations of PRISMA2008, 2021 (The Preferred Reporting Items for 
Systematic reviews and Meta­Analyzes). The data of own pilot studies of 160 
prisoners(80 women and 80 men) from the key risk group for STIs/ HIV­infection in 
Ukrainian prisons are also presented, as well as some social characteristics of con­
victs and risk factors for syphilis are analyzed.
Results. It has been confirmed that convicts as a separate social group have an 
increased risk of syphilis infection in penitentiary institutions of the world. At the same 
time, the incidence is several times higher compared to the general population. 
According to pilot studies, 16.3% of the surveyed convicts were diagnosed with 
serological markers of Treponema pallidum, including women(12.5%) and men(20%), 
and markers of other STIs, namely Chlamydia trachomatis(women –   37.5%, men –   
15%), Ureaplasma urealyticum( 5 and 62% respectively), HSV­1 (97.5 and 95%), 
HSV­2 (72.5 and 50%), HCV (25 and 47.5%), HBV (12.5 and7.5%), HIV (50 and 80%), 
as well as the pathogens Trichomonas vaginalis(35% –  women) and Neisseria 
gonorrhoeae (17, 5 and2.5%, respectively) and dermatological pathology (scabies 
(10%), allergodermatoses (15%) –  in women; psoriasis (1.3%) –  in men) and 
Tuberculosis (7.5 and 5% respectively). Risk factors for contracting STIs, including 
syphilis, in particular, were latent forms of infection, risky sexual behavior, 
drug use(women –   47.5%, men –   88%) and alcoholism(52.5 and 8.4%, r
espectively), repeated and long­term impri sonment(42.5 and 82.5%), no family (73.5 
and 90%), tattoos (27.5 and 95%), and neglect of condom use, including number of 
visits while incarcerated.
Conclusions. The high concentration in the institutions of the penitentiary system of 
key groups at risk of contracting syphilis creates a unique opportunity for scientific
further research and practical application of the implementation of a number of 
effective therapeutic, diagnostic, organizational and preventive public health 
measures

Tags | Treponema pallidum, syphilis, sexually transmitted infections, prisoners.

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Publication of the article

«DERMATOLOGY AND VENEREOLOGY» №4(94), 2021 year, 24-28 pages,
 index UDK [616.97–08:578.828ВІЛ:616.5–001/-002–084:343.81

DOI | 10.33743/2308-1066-2021-4-24-28