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Background To inform prevention and control of sexually transmitted infections (STIs), we need reliable prevalence estimates. Aim One objective of the Slovenian National Survey of Sexual Lifestyles, Attitudes and Health was to estimate the prevalence of STIs with  Chlamydia trachomatis ,  Neisseria gonorrhoeae ,  Mycoplasma genitalium  and  Trichomonas vaginalis . Methods Data were collected between October 2016 and July 2017 in a probability sample of the general population aged 18–49 years. Computer-assisted face-to-face interviewing and self-completion of questionnaires were used. Respondents were invited to provide urine samples to be tested for STIs. Results Of 1,929 survey participants, 1,087 individuals provided urine samples which were tested confidentially for  C. trachomatis  and a subset (n = 1,023) were tested anonymously for the other STIs. The prevalence of  C. trachomatis  was 0.5% (95% confidence interval (CI): 0.1–1.8) in men and 1.7% (95% CI: 0.9–3.2) in women. Age-specific prevalence was the highest among individuals aged 18–24 years, 2.8% (95% CI: 0.7–10.6) in men and 4.7% (95% CI: 1.7–12.3) in women.  N. gonorrhoea  was not detected. Prevalence of  M. genitalium  was 0.5% (95% CI: 0.1–2.2) in men and 0.3% (95% CI: 0.1–1.1) in women; the highest prevalence was among men aged 25–34 years (1.1%; 95% CI: 0.2–7.5) and women aged 35–49 years (0.5%; 95% CI: 0.1–2.0).  T. vaginalis  was detected in the sample from one woman (0.2%; 95% CI: 0.1–1.2). Conclusion The substantial prevalence of  C. trachomatis  among young adults suggests gaps in testing, diagnosis and treatment.

euro surveillance/eurosurveillance

Prevalence of sexually transmitted infections with Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium and Trichomonas vaginalis: findings from the National Survey of Sexual Lifestyles, Attitudes and Health, Slovenia, 2016 to 2017