Low viral suppression and high HIV diagnosis rate among men who have sex with men with syphilis--Baltimore, Maryland

Sexually Transmitted Diseases
Laura A CooleyAlexandra M Oster

Abstract

The burden of syphilis and HIV among gay, bisexual, and other men who have sex with men (MSM) in Baltimore, Maryland, is substantial. Syphilis and HIV surveillance data were analyzed to characterize MSM with syphilis, including those with repeat infection and HIV coinfection, to strengthen prevention efforts. MSM 15 years or older from Baltimore City or County diagnosed as having early syphilis in 2010 to 2011 were included. Those previously treated for syphilis in 2007 to 2011 were considered to have repeat syphilis infection. HIV surveillance data were used to identify HIV coinfection and assess viral suppression. For MSM not diagnosed as having HIV at or before their syphilis diagnosis, annual HIV diagnosis rates were estimated, using Baltimore City data. Of 460 MSM with early syphilis in 2010 or 2011, 92 (20%) had repeat infection; 55% of MSM with a single diagnosis and 86% with repeat infection were HIV coinfected. Among MSM diagnosed as having HIV, viral suppression was low (25%, or 46% of those with a viral load reported). Among Baltimore City MSM without a prior HIV diagnosis, estimated annual HIV diagnosis rates were high (5% for those with 1 syphilis diagnosis, 23% for those with repeat infection). Baltimore-area MSM ...Continue Reading

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Citations

Jun 27, 2015·International Journal of STD & AIDS·Ourania KotsaftiChristina Antoniou
Feb 22, 2018·Sexually Transmitted Diseases·Miao-Jung ChenSandy Schwarcz
Feb 22, 2018·Sexually Transmitted Diseases·Sarah KiddHillard Weinstock
Jul 1, 2016·Journal of Clinical Microbiology·J KremastinouM Cusini
Apr 25, 2018·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Richard M NovakUNKNOWN HIV Outpatient Study Investigators
Oct 30, 2019·Open Forum Infectious Diseases·Brendan L HarneyMark Stoové
Apr 23, 2016·Sexually Transmitted Diseases·Karen W HooverKyle T Bernstein
Jul 13, 2018·Sexually Transmitted Diseases·Miao-Jung ChenSandra K Schwarcz
Jan 13, 2021·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Camilla MucciniUNKNOWN RV254 Study Group

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