Gomberg MA, Kovalyk VP

Mikhail Gomberg Prof, MD, PhD,DSc, FRCP London
Chief Researcher, Moscow Scientific and Practical Center of Dermatovenereology and Cosmetology.

Vladimir P. Kovalyk, MD, PhD, Рrofessor of the Department of Dermatovenereology and Cosmetology, Academy of Post-diploma Education, Moscow, Russian Federation,  

There are 6 infections registered as STI in Russia: syphilis, gonorrhea, chlamydia, trichomoniasis, anogenital warts and genital herpes. The registered number of cases of main treatable STIs (syphilis, gonorrhea, chlamydia and trichomoniasis) in 2019 was almost 125.000 (which is 84.9 per 100.000). STIs prevalence has been declining gradually during 2010-2020 but the official figures seems to be an underestimation and may not reflect the actual epidemiological state.    
Management of patients with STI in Russia is conducted in strict accordance with the National Guidelines. Specialists working in the field of STI are familiar with IUSTI-Europe guidelines, in part due to active work on their dissemination by USTI-Ru, the Russian branch of the global IUSTI. IUSTI-Europe guidelines are taken into account in  planning, delivery, evaluation and quality improvement of any activity regarding management of STI by clinicians, managers and medical officials in Russia. Regularly updated national STI guidelines in Russia are largely based on those of IUSTI-Europe, with some local peculiarities, and certain exclusions, as is the case with syphilis guidelines. The reasons the latter differ substantially from those of IUSTI-Europe have to do with a number of important local factors. In particular, Russia faced an epidemic of syphilis at the end of the 20th century, which both resulted in a lot of local experience accumulated by the Russian medical professionals with this disease and led to it being under very strict control by the authorities. 
Nevertheless, despite widespread recognition of their crucial function, guidelines are not always translated into official policy in Russia. In practice, STI´s in Russia are managed by representatives of a range of medical subfields, some of whom are not even familiar with the current National Guidelines. Poor screening of vulnerable groups and wrong choice of treatment schedules, as well as over-diagnosis for unnecessary infections and overtreatment, are still widespread.  
Every year USTI.Ru conducts dozens of STI Schools for clinicians interested in the field all over Russia. One of the USTI-Ru activities is the translation of IUSTI-Europe guidelines into Russian. The collaboration of USTI-Ru with developers of mobile applications for doctors further promotes the IUSTI guidelines. At present USTI.Ru, in cooperation with National Alliance of Dermatologists and Cosmetologists, is engaged in creation of brand new Russian National STI Guidelines based on those of IUSTI.       

34 IUSTI Congress - European Congres on Sexually transmitted Infections and HIV/AIDS
Bucharest, September 3-5,