Obiectiv. analiza evolutiei incidentei bolilor transmisibile sexual (BTS) majore in 1998 in Romania.Material si metoda. Studiul a fost realizat pe baza datelor inregistrate la Centrul Dermato-venerologic Bucuresti prin monitorizarea retelei de dermato-venerologie. S-a avut in vedere evaluarea evolutiei sifilisului si a gonoreei si evidentierea principalilor factori implicati in aceasta evolutie.

Rezultate. In 1998 au fost inregistrate 7277 de cazuri noi de sifilis, 25,05% (1823) dintre acestea provenind din Bucuresti. Incidenta sifilisului a crescut continuu, de la 7,1%000 in 1986, la 19,8%000 in 1989, 34,7%000 in 1997 si 32,3%000 in 1998. De asemenea a crescut si numarul de cazuri de sifilis congenital: nici un caz in 1986 si 1989, 88 de cazuri in 1997 si 98 de cazuri in 1998. In mod paradoxal, incidenta gonoreei a scazut, de la 57,4%000 in 1986, la 35,7%000 in 1989 si 15,7%000 in 1998. Prevalenta infectiei HIV la bolnavii cu BTS testati la Centrul Dermato-venerologic este in jur de 0,51%. Tinerii care provin din medii defavorizate constituie principala categorie cu risc crescut fata de BTS.

Concluzii. BTS reprezinta o problema majora de sanatate publica. Principala caracteristica a dinamicii BTS in ultimile decade in Romania o constituie cresterea incidentei sifilisului si scaderea incidentei gonoreei. Pricipalii factori care determina cresterea incidentei reale a BTS (incidenta gonoreei este subestimata datorita neraportarii) sunt modificarea comportamantului sexual, prostitutia necontrolata, degradarea conditiilor socio-economice, nivelul scizut de educatie pentru sanatate si lipsa cadrului legislativ.

Objective: to analize the evolution of incidence of some STD in Romania in 1998.

Methods: The study is based on data recorded at Dermato-venerological Center Bucharest by monitoring the dermato-venereological network. We had in view to evaluate especially the evolution of incidence of Syphilis and gonorhea and to identify the main factors implicated in this evolution.

Results: In 1998 were recorded 7277 new cases of syphilis, 25,05% (1823 cases) of these being recorded in Bucharest. The incidence of syphilis has risen steadily from 7,1%000 in 1986 to 19,8%000 in 1989, to 34,7%000 in 1997 and to 32,3%000 in 1998. The incidence of congenital syphilis is also increasing, from no cases in 1986 and 1989 to 88 cases in 1997 and to 98 cases in 1998. Paradoxically, the incidence of gonorrhea is decreasing, 57,4%000 in 1986, to 35,7%000 in 1989 and to 15,7%000 in 1998. The prevalence of HIV infection in patients with STD tested at Dermato-venereological Center is around 0,51%. Those at greatest risk for STD are the young, economically deprived, residents of the inner city.

Comments: STD are a public health problem of major significance in Romania. The increase of syphilis' incidence and the fall of gonorrhea's incidence are specific features of STD' dynamic in the last decades in Romania. Between mains factors that promote the increasing of STD (the incidence of gonorrhea in underestimated due the unreference of all cases) are the modification of sexual behaviour, prostitution, degradation of socioeconomic condition, deficiences in health behaviour, and lack of specific legislation.