Key Points

Gonococcal Infections

• The increase in the number of gonococcal infections peaked in 2006, followed by a decline in 2007. However, the increase persisted in 2007 among men in the Île-de-France region, where the number of gonococcal infections is highest in Rénago. Analysis of RésIST clinical data shows that 11% of women and 15% of men (gay, bisexual, and heterosexual) do not know their HIV status. Gonococcal resistance to ciprofloxacin remains high.

Syphilis

• Unlike in 2006 (n=471), the increase in the number of early syphilis cases in 2007 (n=570) reflects the growing number of participating sites in the provinces. The number of cases remained stable across the same sites between 2006 and 2007, both in the Île-de-France region and in other regions. The proportion of gay and bisexual men (n=470) remained above 80%.

• Data collected during the survey of CIDDISTs not participating in the network provided greater insight into the epidemic in 2007. However, data are still lacking for many departments.

Rectal Lymphogranuloma Venereum

• The number of LGV cases reported in the surveillance system continued to rise in 2007 (170 in 2007 vs. 139 in 2006), accompanied by an increasing number of non-LGV Chlamydia trachomatis proctitis cases (76 in 2007). The Ile-de-France region accounted for 92% of LGV cases between 2000 and 2007. These cases most often involve HIV-coinfected gay men (90%).

Chlamydia Infections

• The annual increase in the number of Chlamydia trachomatis diagnoses may be due to improved screening or reflect a genuine rise in cases.