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Sexually Transmitted Diseases

Blessings Gausi, Maganizo B Chagomerana, Jennifer H Tang, Lisa B Haddad, Mina C Hosseinipour, Hannock Tweya, Sam Phiri
BACKGROUND: Some HIV sero-discordant couples are faced with the dual challenge of preventing HIV transmission to the uninfected partner and avoiding unintended pregnancy. Therefore, we hypothesized that sero-discordance is associated with dual method use at last sex. METHODS: We analyzed data from a cross-sectional survey of HIV-infected men and women attending 2 ART clinics in Lilongwe, Malawi. We used Fisher's exact test and Wilcoxon rank sum to assess for associations between sero-discordance, covariates, and dual method use...
May 14, 2018: Sexually Transmitted Diseases
Lea E Widdice, Yu-Hsiang Hsieh, Barbara Silver, Mathilda Barnes, Perry Barnes, Charlotte A Gaydos
PURPOSE: This study compared performance of Atlas io® diagnostic platform, a point-of-care (POC) PCR assay for Chlamydia trachomatis (CT), to Aptima Combo 2, a standard of care laboratory-based nucleic acid amplification assay (NAAT), and evaluated patient attitudes toward POC testing. METHODS: Women ≥14 years undergoing CT screening/testing were recruited from an urban adolescent primary care practice (Teen Health Center, THC) and a sexually transmitted disease (STD) clinic...
May 1, 2018: Sexually Transmitted Diseases
Rachel Kachur, Wendasha Hall, Alexandra Coor, Jennine Kinsey, Dayne Collins, F V Strona
BACKGROUND: Since the late 1990s, health departments and STD programs throughout the U.S. have used technologies, such as the internet and mobile phones, to provide services to persons with a sexually transmitted infection, including HIV, and their sex partners, also known as partner services. This study reviewed the published literature to assess and compare partner services outcomes as a result of using technology and to calculate cost savings through cases averted. METHODS: We conducted a structured literature review of all U...
May 1, 2018: Sexually Transmitted Diseases
M Jacques Nsuami
No abstract text is available yet for this article.
May 1, 2018: Sexually Transmitted Diseases
Shih-Fen Chen, Ling-Yi Wang, Jen-Huai Chiang, Yu-Chih Shen
BACKGROUND: Previous studies have suggested that sexually transmitted infections (STI) tend to increase in patients with bipolar disorder during a manic or hypomanic episode. However, in the long-term course of this disease, it is unclear whether patients with bipolar disorder have a higher risk of incident STI. METHODS: Using the National Health Insurance Research Database (NHIRD) of Taiwan, 3,721 patients with bipolar disorder and 14,884 controls without bipolar disorder matched by gender and age were enrolled between 2000 and 2010 and followed until the end of 2013...
May 1, 2018: Sexually Transmitted Diseases
Rachael M Billock, Erika Samoff, Anna B Cope, Lynne A Sampson, Christopher B Hurt, Kimberly A Powers
BACKGROUND: Understanding of repeat HIV testing (RHT) is limited and the impact of rural residence as a potential barrier to RHT is unknown. Rural populations are of particular interest in the Southeastern United States because of their disproportionate HIV burden. METHODS: We used HIV surveillance data from publicly funded HIV testing sites in North Carolina (NC) to assess repeat testing by transmission risk group and residential rurality in a retrospective cohort study...
May 1, 2018: Sexually Transmitted Diseases
Joy D Scheidell, Valery Madsen Beau De Rochars, Marie Nancy Séraphin, Marcia M Hobbs, J Glenn Morris, Joseph Pierre Célestin, Linda B Cottler, Maria R Khan
BACKGROUND: Despite evidence that education and poverty act through distinct pathways to influence sexually transmitted infection (STI), few studies have examined the unique, independent associations of these socioeconomic vulnerabilities on sexual risk behaviors and STI among women. METHODS: From August-October 2013, women at an antenatal clinic in Gressier, Haiti, were interviewed and tested for Chlamydial infection, gonorrhea, and trichomoniasis (N=200). We measured low educational attainment as <9 years of schooling and currently living in poverty based on crowding, defined as >2 people sleeping in one room...
April 24, 2018: Sexually Transmitted Diseases
Chirag G Patel, Shivika Trivedi, Guoyu Tao
Using National Ambulatory Medical Care Survey (NAMCS) data during 2006-2015, we estimated the proportions of young women tested for chlamydia who were symptomatic (urogenital symptoms) or asymptomatic in physician offices. Among women tested for chlamydia, the proportions of women with and without urogenital symptoms were 31.6% and 59.2%, respectively.
April 17, 2018: Sexually Transmitted Diseases
Michael R Mulvey, Irene Martin, Tom Wong
No abstract text is available yet for this article.
April 17, 2018: Sexually Transmitted Diseases
Xiang-Sheng Chen
The 2017 International Forum on Gonococcal Infections and Resistance (2017 IFGIR) was held at Shenzhen, China from 17 to 19 September 2017. The key objectives were to gather experts in the field to review and analyze the epidemiological profiles of gonococcal infections and antimicrobial resistance (AMR) at global, regional and national levels; to share and discuss findings from ongoing and completed research studies; and to identify research needs to respond to the spread of gonococcal infections and AMR. The contents of the conference were presented regarding global estimates of infections with Neisseria gonorrhoeae; global, regional and country status of gonococcal AMR; molecular techniques for predicting gonococcal AMR and the use of these technologies to enhance gonococcal AMR surveillance and clinical management; and updates on therapeutic approaches to gonococcal AMR...
April 17, 2018: Sexually Transmitted Diseases
Jennifer E Cameron, Anne F Rositch, Nadja A Vielot, Nelly R Mugo, Jessie K L Kwatampora, Wairimu Waweru, Aubrey E Gilliland, Michael E Hagensee, Jennifer S Smith
BACKGROUND: High oncogenic-risk human papillomavirus (hrHPV) is necessary, although insufficient, to promote cervical cancer. Like HPV, Epstein-Barr virus (EBV) is a common pathogen with the capacity to promote epithelial neoplasms. We examined the association between cervical EBV, hrHPV, and cytology in female sex workers in Nairobi, Kenya. METHODS: Women (n=332) with known cervical cytology and hrHPV mRNA results were evaluated for cervical EBV DNA by conventional PCR...
April 17, 2018: Sexually Transmitted Diseases
Abigail Norris Turner
No abstract text is available yet for this article.
April 10, 2018: Sexually Transmitted Diseases
H Hunter Handsfield
No abstract text is available yet for this article.
April 10, 2018: Sexually Transmitted Diseases
Jodie Dionne-Odom, Andrew O Westfall, Barbara Van Der Pol, Karen Fry, Jeanne Marrazzo
BACKGROUND: Rates of sexually transmitted infections (STI) and HIV are highest in the southern U.S., but vary widely by gender, age and risk behavior. Current guidelines recommend annual screening for chlamydia, gonorrhea, syphilis and trichomoniasis in all sexually active women with HIV. METHODS: Screening rates and test positivity for chlamydia, gonorrhea, syphilis and trichomoniasis were determined per calendar year in this retrospective cohort study of women in care at an urban HIV clinic in Birmingham, Alabama, 2013-2015...
April 10, 2018: Sexually Transmitted Diseases
Christina M Marra, Khalil Ghanem
Despite over a century of clinical experience in diagnosing and managing patients with syphilis, many thorny clinical questions remain unanswered. We focus on several areas of uncertainty for the clinician: the role of serological tests in diagnosing syphilis and assessing syphilis treatment responses, and the risk of neurosyphilis and ocular syphilis in patients with syphilis. We also address whether clinical approaches should differ in patients who are, and are not, infected with HIV. The current increases in syphilis rates in the US and elsewhere underscore our urgent need to definitively address these issues...
April 10, 2018: Sexually Transmitted Diseases
Laura C Chambers, Lisa E Manhart, David A Katz, Matthew R Golden, Lindley A Barbee, Julia C Dombrowski
BACKGROUND: The ideal approach to triaging STD clinic patients between testing-only express visits and standard visits with clinician evaluation is uncertain. METHODS: In this cross-sectional study, we used classification and regression tree analysis to develop and validate the optimal algorithm for predicting which patients need a standard visit with clinician assessment (i.e., to maximize correct triage). Using electronic medical record data, we defined patients as needing a standard visit if they reported STD symptoms, received any empiric treatment, or were diagnosed with an infection or syndrome at the same visit...
April 10, 2018: Sexually Transmitted Diseases
Christine M Khosropour, Julia C Dombrowski
No abstract text is available yet for this article.
April 10, 2018: Sexually Transmitted Diseases
(no author information available yet)
No abstract text is available yet for this article.
April 5, 2018: Sexually Transmitted Diseases
Agnieszka Chrząszcz-Włodarczyk, Adam Włodarczyk, Joanna Szarmach
No abstract text is available yet for this article.
April 5, 2018: Sexually Transmitted Diseases
Rosalyn E Plotzker, Ryan D Murphy, Juliet E Stoltey
BACKGROUND: Congenital syphilis (CS) - the preventable transmission of Treponema pallidum from infected mother to fetus - remains a significant problem worldwide. METHODS: From July through November 2017, 239 articles relevant to CS prevention were identified via keyword searches in PubMed and Google Scholar, ancestry searches, and expert recommendation. Articles were then assessed for 1) measurement of a specified CS or adverse pregnancy outcome (APOs) and 2) geographic setting in high/upper middle income countries according to United Nations criteria...
April 5, 2018: Sexually Transmitted Diseases
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