Gratiana Chicin, Nicoleta Sebin Dan Adrian Negrea

National Institute for Public Health, Regional Center Timisoara

The Western Region of Romania consists of 4 counties, with a total population of approximately 1,800,000 inhabitants. The incidence of sexually transmitted infections is constantly decreasing in the last 10 years, both nationally and in the Western region.

The causes are multiple, among them being the move of the diagnosis and treatment from the hospital to the outpatient clinics, especially private ones, resulting in their underreporting.


  1. Comparative analysis of surveillance data in the Western region and Romania, 2009-2018.
  2. Epidemiological characterization of sexually transmitted infections reported in the Western region, in 2009 and 2018.
  3. Assessing risk behaviors associated to these infections.


Data collection was performed based on case definitions established at European level, using the case surveillance form.

The data were analyzed with the Epi Info program.


The highest incidence of syphilis cases in 2018 was reported in Arad County, being 8.8/100.000 inhabitants, 2.5 times higher than the national incidence.

The most frequently reported were cases of recent latent syphilis (77.05%), followed by primary and secondary syphilis (8.2%).

In the entire Western region were reported in 2018, only 7 cases of gonococcal infections (15.2% of total cases reported in Romania) and 7 cases of infections with Chlamydia trachomatis (77.8% of cases reported in Romania, all from Arad County).

In 2009, 316 cases of sexually transmitted infections were reported in the Western region, most of them in Arad County, 141 cases (47.62%) and the least in Caras-Severin County - 26 cases (8.23%).

Compared to the incidence of syphilis at national level, which was 15% 000 inhabitants, in Arad County it was 22/100.000 inhabitants.

In 2009, 38 gonococcal infections were reported (60.5% in Arad County) and 17 cases of Chlamydia trachomatis infections (all in Arad).

The most common cases were recent latent syphilis, 193 cases (61.08%), followed by primary syphilis (8.86%).

The analysis of risk behaviors in confirmed cases shows the preponderance of sexual relations with multiple partners.

Cases were more common in urban areas and in males.


The evolution of sexually transmitted infections (syphilis, gonococcal infections and Chlamydia trachomatis) has experienced a downward trend in the last 10 years, the incidence being approximately 5 times lower in 2018 compared to 2009.

Although prevention and control strategies have been implemented, which would justify this decrease, there are signals that many of the cases are not reported.

It is necessary to introduce an active surveillance and monitoring system, especially at the level of outpatient clinics, to increase the degree of case notification. Also, improving laboratory diagnosis could be a solution to increase reporting.

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