S3. Morbiditatea prin maladiile sexual-transmisibile la adolescentii din Republica Moldova
M. Ambros, A. Gherman, G. Muset, V. Calistru
USMF „N. Testemitanu" Chisinau, Catedra Dermatologie si Venerologie, Dispensarul Dermatovenerologic Republican, Chisinau

Maladiile sexual-transmisibile cosntituie una din problemele de care este preocupata medicina mondiala. Morbiditatea prin sifilis in lume este de 10-24 milioane cazuri, gonoree 52-122 milioane, trihomoniaza 57-102 milioane cazuri (OMS, 1995). Incepand cu anul 1990 in Republica Moldova se remarca soprirea morbiditatii prin MST, in mod deosebit prin sifilis. La fel se observa si cresterea indicilor de afectare a adolescentilor din Republica Moldova. Consecintele tratamentului inadecvat sunt grave: 15-20% din starilitate este cauzata de MST. In tabelul de mai jos este indicata morbiditatea prin maladii sexual-transmisibile in grupele de varsta pana la 14 ani si 15-17 ani.

 

Forma nozologica a MST

Grupele de varsta

Pana la 14 ani

15-17 ani

baieti

fete

baieti

fete

1996
1. Sifilis
2. Gonoree
3. Trihomoniaza


0,3%
0,3%
0,003%


0,4%
1,2%
0,1%


1,6%
3,5%
0,5%


4,5%
4,2%
2,9%

1997
1. Sifilis
2. Gonoree
3. Trihomoniaza


0,4%
0,2%
1,5%


0,5%
1%
0,2%


1,1%
3,1%
0,6%


4,3%
3,4%
3,7%

1998
1. Sifilis
2. Gonoree
3. Trihomoniaza


0,3%
0,1%
0,01%


0,4%
1%
0,2%


1,2%
2,7%
0,8%


4%
3,7%
3,4%

 

Concluzii
1. Afectarea mai pronuntata a populatiei feminine comparativ cu cea masculina in grupul de varsta 15-17 ani se datoreaza faptului ca fetele incep viata sexuala mai devreme decat baietii si sunt posibil mai solicitate pe piata sexului, iar baietii se adreseaza mai rapid in institutiile curative de profil, lasandu-si partenerele netratate.
2. Micsorarea relativa a morbiditatii de cele 3 MST enumerate nu s-a rasfrant si asupra loturilor studiate, indicand o inrautatire simtitoare a mediului de viata la tineret in perioada de tranzitie.
3. Loturile de tineret cu varsta de pana la 17 ani, aflate preponderent in procesul de instruire pot fi protejate de MST facilitand lucrul de instruire sanitara: disponibilitatea literaturii, prezervativelor, atragerea medicilor de familie la discutii in timpul orelor facultative.

S3. MOrbidity evaluation of adolescent sexually transmitted diseases in Republic of Moldova
M. Ambros, A. Gherman, G. Muset, V. Calistru
D. V. Center, Clinical Hospital for Dermatology - Bucharest

Sexually transmitted diseases are one of the problems that concern the world medicine. Morbidity through syphilis in the world represent 10-24 milions cases, gonorrhea 52-122 milions, trichomoniasis 57-102 milions cases (WHO, 1995). Begining from 1990 in Republic of Moldova an increase in morbidity through STD is observed especially by suphilis. As well is observed the increase of the affecting rates of the adolescents. The consequences of the inadequae treatment are very severe - STD cause 15-20% of the sterility. In the underlying table the DTD morbidity is indicated in the 14 and 15-17 age groups.

 

Nosologiacl forms of STD

Age groups

Under 14 y.o.

15-17 y.o.

boys

girls

boys

girls

1996
1. Syphilis
2. Gonorrhea
3. Trichomoniasis


0,3%
0,3%
0,003%


0,4%
1,2%
0,1%


1,6%
3,5%
0,5%


4,5%
4,2%
2,9%

1997
1. Syphilis
2. Gonorrhea
3. Trichomoniasis


0,4%
0,2%
1,5%


0,5%
1%
0,2%


1,1%
3,1%
0,6%


4,3%
3,4%
3,7%

1998
1. Syphilis
2. Gonorrhea
3. Trichomoniasis


0,3%
0,1%
0,01%


0,4%
1%
0,2%


1,2%
2,7%
0,8%


4%
3,7%
3,4%

 

Conclusions:
1. A more pronounced affection of the female population compared to male one is due to the fact that girls begin their sexual life early than the boys. The young girls are more demanded on the sexual market, boys request the qualified medical care more quickly, leaving their partners untreated.
2. A relative decrease of the morbidity of the three STD aforementioned didn't affect the study groups, indicating a difficulty of the living environment of the young people in the transition period.
3. The study groups under 17 years, placed in the instruction process can by protected STD, facilitating the medical instruction work: literature availability, condoms, involving the family doctors in discussions during the additional hours.