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Repeat Syphilis Among Men Who Have Sex With Men—San Diego County, 2004–2009

Katz, Kenneth A. MD, MSc, MSCE*; Lee, Marjorie A. MPH*; Gray, Tom BS; Marcus, Julia L. MPH; Pierce, Elaine F. MD, MPH*

Sexually Transmitted Diseases: April 2011 - Volume 38 - Issue 4 - p 349-352
doi: 10.1097/OLQ.0b013e3181fe650b

Among 614 men who have sex with men in San Diego County with early syphilis during January 2004 to June 2007, 74 (11.7%; 95% confidence interval: 9.3%–14.4%) had repeat syphilis within 2 years. HIV-infected MSM were more likely to have repeat syphilis (odds ratio: 1.9; 95% confidence interval: 1.1, 3.4).

Repeat syphilis within 2 years occurred in 11.7% of 614 men who have sex with men in San Diego County during January 2004 to June 2007. HIV infection conferred higher risk.

From the *HIV, STD, and Hepatitis Branch, Public Health Services, Health and Human Services Agency, County of San Diego, San Diego, CA; †STD Control Branch, California Department of Public Health, San Diego, CA; and ‡STD Prevention and Control Services, San Francisco Department of Public Health, San Francisco, CA

Presented at the National STD Prevention Conference, Atlanta, GA, March 9, 2010.

Correspondence: Kenneth A. Katz, MD, MSc, MSCE, STD Control Officer and Senior Physician, County of San Diego—HHSA/HSHB, 3851 Rosecrans St., Suite 207, MS P505, San Diego, CA 92110. E-mail:

Received for publication June 29, 2010, and accepted September 18, 2010.

© Copyright 2011 American Sexually Transmitted Diseases Association