title: [Prevention of HIV and other sexually transmitted infections (STI)].
abstract: The number of new HIV-1 infections remains stable in Switzerland over the last years thanks to the effective prevention programs. However, the aim to halve the new HIV infection rate has not been reached. Early identification of patients at risk of acquiring HIV infection and counselling "safer sex" rules as well as treating HIV-infected patients plays a decisive role in this program. Studies are -ongoing to investigate additional preventive measures such as pre-exposure prophylaxis, microbicides and vaccines, but none of those approaches permit omitting "safer sex". Incidences of other sexual transmitted infections are increasing rapidly, in particular the incidence of Syphilis. Transmission occurs more often orally or rectally than vaginally and patients are often asymptomatic. Condoms provide only limited protection. In addition antibiotic resistance emerges complicating the therapy, as for example for gonorrhea. Testing and treatment of infected patients is primordial as well as contact tracing. In this work, we discuss the different elements for preventing STIs with major emphasis on HIV.
authors.affiliation: Klinik für Infektionskrankheiten, Kantonsspital St. Gallen.
authors.forename: Anna
authors.initials: A
authors.lastname: Stoliaroff-Pépin
authors.affiliation: Universitätsspital Zürich, Universität Zürich.
authors.forename: Roberto F
authors.initials: RF
authors.lastname: Speck
authors.affiliation: Klinik für Infektionskrankheiten, Kantonsspital St. Gallen.
authors.forename: Pietro
authors.initials: P
authors.lastname: Vernazza
mesh_terms: D015492:AIDS Serodiagnosis; D001942:Breast Feeding; D003131:Combined Modality Therapy; D042241:Early Diagnosis; D005260:Female; D006069:Gonorrhea / Q000175:diagnosis / Q000517:prevention & control / Q000635:transmission; D015658:HIV Infections / Q000175:diagnosis / Q000517:prevention & control* / Q000635:transmission; D015497:HIV-1; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008403:Mass Screening; D010819:Physician's Role; D011247:Pregnancy; D012749:Sexually Transmitted Diseases / Q000175:diagnosis / Q000517:prevention & control* / Q000635:transmission; D013587:Syphilis / Q000175:diagnosis / Q000517:prevention & control / Q000635:transmission; D047568:Unsafe Sex