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Sexually transmitted infections, including HIV, in the Netherlands in 2008.

Koedijk, F.D.H., Vriend, H.J., Veen, M.G. van, Coul, E.L.M. Op de, Broek, I.V.F. van den, Sighem, A.I. van, Verheij, R.A., Sande, M.A.B. van der. Sexually transmitted infections, including HIV, in the Netherlands in 2008. Bilthoven: Rijksinstituut voor Volksgezondheid en Milieu, 2009.
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Chlamydia, gonorrhoea and syphilis. Chlamydia was the most common bacterial sexual transmitted infection (STI) diagnosed in Dutch STI centres in 2008. Similar to previous years, infections were reported as occurring especially in young heterosexuals and men who have sex with men (MSM) in 2008, the proportion of positive chlamydia tests increased again both in heterosexuals and MSM, after a stabilisation in 2007. The positivity rate for gonorrhoea and syphilis continued to decrease in 2008. These infections were most frequently diagnosed in MSM. HIV. In 2008, 393 new positive HIV cases were diagnosed in STI centres in the Netherlands. This number amounts to almost half of the total number of 851 positive HIV cases registered nationwide in 2008. The proportion of consultations with an HIV test in STI centres increased to 90%. At the end of 2008, a total of 15,538 HIV cases in care were registered in the Netherlands. The proportion of MSM among new HIV cases rose further in 2008. MSM. In line with previous years, concurrent STIs were diagnosed very frequently among MSM visiting STI centres who had known HIV positive status in 2008 (36%). In this group of men, lymphogranuloma venereum (LGV), an aggressive type of chlamydia, has been reported frequently since 2004; this has also been the case for acute hepatitis C infections since 2007. Young people. In 2008, parallel to additional STI care in the specialised STI centres, the public sexual healthcare (Sense) has started, aimed at young people. In 2009, intensification of the integration between prevention and cure is essential in this group.
The STI centres. The specialised STI centres in the Netherlands offer STI testing and care targeted at high risk groups, including young people, MSM and people who come from an STI endemic area. In 2008, more than 88,000 people used this service, an increase of 13% compared to 2007. (aut. ref.)