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Recently acquired syphilis in the elderly population.

D Berinstein1, D DeHertogh

  • 1New York Medical College, Valhalla.

Archives of Internal Medicine
|February 1, 1992
PubMed
Summary

Syphilis cases in individuals over 60 increased significantly in Hartford, Connecticut, between 1985 and 1990. This rise highlights the need for healthcare providers to screen older adults for sexually transmitted infections.

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Area of Science:

  • Infectious Diseases
  • Public Health
  • Geriatrics

Background:

  • Syphilis incidence has risen dramatically in the United States.
  • Studies on recently acquired syphilis in older adults (60+) are infrequent.
  • Early syphilis in the elderly population is underreported.

Purpose of the Study:

  • To investigate the incidence of recently acquired syphilis in individuals aged 60 and older in Hartford, Connecticut.
  • To describe the demographic and risk factors associated with syphilis in this age group.
  • To raise awareness among healthcare providers regarding syphilis in the elderly.

Main Methods:

  • Retrospective case series analysis.
  • Identification of primary, secondary, and early latent syphilis cases in individuals 60+.
  • Data collection on demographics, diagnosis dates, and sexual history.

Main Results:

  • Thirty-five cases of early syphilis were identified between 1985 and 1990.
  • No cases were reported from 1985-1986, compared to 23 cases from 1989-1990, indicating a sharp increase.
  • The majority of cases (33) occurred in men, with a significant proportion of patients being Black (25).
  • High-risk sexual behaviors, including multiple partners and relations with prostitutes, were reported by some individuals.

Conclusions:

  • There was a notable increase in early syphilis among individuals over 60 in Hartford during the study period.
  • Physicians should proactively inquire about sexual history and counsel elderly patients on high-risk sexual practices.
  • Enhanced surveillance and targeted screening may be necessary for this demographic.

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