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Trends in Sexually Transmitted Infections
1Chief, Infectious Diseases, Truman Medical Center, Medical Director, Sexual Health Clinic, Kansas City Health Department, and Professor of Medicine, University of Missouri - Kansas City School of Medicine, Kansas City, Missouri.
Missouri Medicine
|August 28, 2020
Summary
Sexually transmitted infections (STIs) are rising, particularly in Missouri urban areas and among young adults and minority groups. Growing antibiotic resistance in gonorrhea poses a significant future treatment challenge.
Area of Science:
- Public Health
- Infectious Diseases
- Epidemiology
Background:
- Sexually transmitted infections (STIs) have seen a dramatic increase over the last decade.
- STI rates in Missouri exceed national averages, with specific demographic and behavioral risk factors identified.
Purpose of the Study:
- To highlight the escalating rates of STIs.
- To identify high-risk populations and associated factors.
- To emphasize the need for clinical vigilance and address emerging treatment challenges.
Main Methods:
- Analysis of STI surveillance data.
- Identification of trends and disparities in infection rates.
- Review of clinical guidelines and resistance patterns.
Main Results:
- STIs are increasing significantly, with higher rates in Missouri compared to the nation.
- Elevated rates are observed in urban centers, young adults, racial minorities, and men who have sex with men.
- Association noted with injection drug and methamphetamine use.
- Emerging resistance in *Neisseria gonorrhoeae* isolates is a growing concern.
Conclusions:
- Clinicians must conduct thorough sexual histories and adhere to screening and treatment guidelines.
- The rise in STIs, particularly in vulnerable populations, requires targeted public health interventions.
- Antimicrobial resistance in gonorrhea threatens effective treatment and necessitates ongoing surveillance and research.
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