Lymphogranuloma venereum is on the rise in Belgium among HIV negative men who have sex with men: surveillance data from 2011 until the end of June 2017

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Abstract

BackgroundThe number of cases of Lymphogranuloma venereum (LGV) is increasing in Europe. The described epidemic is mostly confined to HIV positive men who have sex with men (MSM). However, dissemination of LGV from HIV positive to HIV negative MSM could take place due to the implementation of pre-exposure prophylaxis (PrEP) and subsequent possible decrease in condom use. We describe here the LGV epidemiology in Belgium before the PrEP-era, starting from 2011 up to the end of the first half of 2017.MethodsA descriptive analysis of the socio-demographic and clinical characteristics of all LGV cases was performed. Fisher's exact test was used to compare symptomatic to asymptomatic patients. Logistic regression models were used to check for trends over time for: number of LGV cases, HIV status and symptoms.ResultsThe number of LGV cases rose by a factor four, from 21 in 2011 to 88 in 2016, and regression models showed a positive trend estimate of 14% increase per half year (p

Original languageEnglish
Article number689
JournalBMC Infectious Diseases
Volume18
Issue number1
Number of pages9
ISSN1471-2334
DOIs
Publication statusPublished - 2018

Keywords

  • Lymphogranuloma venereum
  • LGV
  • Chlamydia trachomatis
  • Pre-exposure prophylaxis
  • Men who have sex with men
  • MSM
  • PREEXPOSURE PROPHYLAXIS
  • CHLAMYDIA-TRACHOMATIS
  • AMSTERDAM
  • TRANSMISSION
  • INFECTIONS
  • MANAGEMENT
  • DIAGNOSIS
  • TIME

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