Sexuell übertragbare Erkrankungen rechtzeitig zu erkennen und kompetent zu behandeln
ist wesentlich, um die sexuelle Gesundheit von Betroffenen zu erhalten oder wiederherzustellen
und weitere Übertragungen zu verhindern. Um eine kompetente Beratung in der Praxis
durchführen zu können, sind Kenntnisse über die wichtigsten Infektionen erforderlich.
Dieser Beitrag gibt hierzu einen Überblick.
Abstract
Early detection and competent treatment of sexually transmitted diseases (STDs) is
essential to maintain or restore the sexual health of those affected and to prevent
further transmission. In this context, counselling on Sexually transmitted infections
(STI) is of particular importance, both in terms of prevention and rapid diagnosis
and treatment. STI are not rare in Germany: syphilis, gonococcal and chlamydial infections
even occur with increasing frequency, especially among MSM. At-risk populations (MSM,
sex workers, people from high-prevalence regions, partners of STI sufferers) should
be offered STI screening. If an STI is present, those affected should also be actively
screened for other STIs, and furthermore partners should also be examined for STIs
and treated if necessary. Syphilis and other STIs also occur with completely unspecific
symptoms. Even asymptomatic infections by gonococci, chlamydia, mycoplasma, HPV, HBV,
HCV and HPV can lead to serious complications and late consequences. For STI (HIV,
HBV, syphilis), highly effective post-exposure prophylaxis (PEP) is available in some
cases.
Schlüsselwörter
sexuell übertragbare Erkrankungen - Syphilis - Gonorrhoe - Chlamydien - HIV - Affenpocken
Key words
sexually transmitted diseases - syphilis - gonorrhoea - chlamydia - HIV - monkeypox
