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The objective of this study was to analyze the performance of CSHF. Methods: Longitudinal study that includes all clients presenting between 1 May and 28 February at CSHF and willing to sign informed consent. Results: In the study period, clients presented at CSHF of whom clients were included in the study resulting in client contacts.

Clients' median age was Clients' sexual orientation was heterosexual Conclusion: The substantial burden of STI in the study population emphasizes the need for regular and low threshold STI screening services. In Germany, the number of syphilis cases quadruplicated since and reached a new peak in with about 8, cases 3.

The epidemiology of NG infections is less well characterized as it is not a notifiable disease in Germany. The evolution on the national level is probably comparable to temporal trends in the federal state of Sachsen, where gonorrhea is a notifiable disease, showing a fold increase of rates from 1.

Data on the situation in Germany are scarce, prevalence was 5. The incidence of newly diagnosed HIV infections declined from about cases in the year to cases in the year - in Germany—an evolution that may be related to the introduction of pre-exposure prophylaxis PrEP 7. A hallmark of many STIs is their asymptomatic nature, thus a significant proportion of STIs remains undetected and serves as a reservoir for further transmission.