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Longitudinal analysis reveals increased syphilis in HIV-positive MSM, indicating a need for integrated STI management.
In an STI/HIV Unit in Italy, the last 33 years saw a significant increase in syphilis diagnoses among MSM, particularly those living with HIV. This increase occurred alongside a recent drastic decline in HIV diagnoses among syphilis patients. These divergent trends likely reflect the success of HIV prevention strategies, yet underscore the need for integrated approaches to manage the risk of syphilis and other STIs in populations where these strategies are increasingly accessible.
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Giuliani et al. (2025) studied this question.
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