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International Journal of STD & AIDS

Alex Parr, Nicolas Pinto-Sander, Deborah Williams, Daniel Richardson
No abstract text is available yet for this article.
May 2018: International Journal of STD & AIDS
Julia D López, Enbal Shacham, Jake Gilliland, Erin Szopiak
No abstract text is available yet for this article.
May 2018: International Journal of STD & AIDS
Alex Langrish, Erica Pool, Daniel Richardson
No abstract text is available yet for this article.
May 2018: International Journal of STD & AIDS
D Joseph Davey, Z Abrahams, M Feinberg, M Prins, C Serrao, B Medeossi, E Darkoh
Unsuppressed viral load (VL) in patients on antiretroviral therapy (ART) occurs when treatment fails to suppress a person's VL and is associated with decreased survival and increased HIV transmission. The objective of this study was to evaluate factors associated with unsuppressed VL (VL > 400 copies/ml) in patients currently in care on first-line ART for ≥ 6 months attending South African public healthcare facilities. We analysed electronic medical records of ART patients with a VL result on record who started ART between January 2004 and April 2016 from 271 public health facilities...
May 2018: International Journal of STD & AIDS
Shaun L Barnabas, Smritee Dabee, Jo-Ann S Passmore, Heather B Jaspan, David A Lewis, Shameem Z Jaumdally, Hoyam Gamieldien, Lindi Masson, Etienne Muller, Venessa D Maseko, Nonhlanhla Mkhize, Zizipho Mbulawa, Anna-Lise Williamson, Clive M Gray, Thomas J Hope, Francesca Chiodi, Janan Dietrich, Glenda Gray, Linda-Gail Bekker
Adolescents in Africa are at high risk for HIV infection, other sexually transmitted infections (STIs) and bacterial vaginosis (BV). Since behavior and burden of STIs/BV may influence HIV risk, behavioral risk factors and prevalence of STIs/BV were compared in HIV-seronegative adolescent females (n = 298; 16-22 years) from two South African communities (Soweto and Cape Town). STIs ( Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, Mycoplasma genitalium, herpes simplex virus (HSV)-1, HSV-2, Treponema pallidum, and Haemophilus ducreyi) were detected by multiplex polymerase chain reaction, human papillomavirus (HPV) by Roche Linear Array, and BV by Nugent scoring...
May 2018: International Journal of STD & AIDS
Matthew R Beymer, Ryan M Kofron, Chi-Hong Tseng, Robert K Bolan, Risa P Flynn, Jennifer M Sayles, Mario J Perez, Wilbert C Jordan, Raphael J Landovitz
Post-exposure prophylaxis (PEP) is a promising but under-utilized strategy for HIV prevention in high-risk populations. Between March 2010 and June 2011, two community-based clinics in Los Angeles County provided PEP in a pilot program to 267 unique individuals. Courses were primarily dispensed to men who have sex with men (84%) and consisted overwhelmingly of a three-drug antiretroviral therapy regimen containing two nucleoside reverse transcriptase inhibitors and either an integrase inhibitor (raltegravir) or a boosted protease inhibitor (lopinavir/ritonavir)...
May 2018: International Journal of STD & AIDS
Gavin A Esson, S A Holme
Forty percent of individuals have late-stage HIV at the time of diagnosis, resulting in increased morbidity. Identifying key diseases which may indicate HIV infection can prompt clinicians to trigger testing, which may result in more timely diagnosis. The British HIV Association has published guidelines on such indicator diseases in dermatology. We audited the practice of HIV testing in UK dermatologists and General Practitioners (GPs) and compared results with the national guidelines. This audit showed that HIV testing in key indicator diseases remains below the standard set out by the national guidelines, and that GPs with special interest in dermatology have a lower likelihood for testing, and lower confidence when compared to consultants, registrars and associate specialists...
May 2018: International Journal of STD & AIDS
J Wheeler, S Chan, P R Harrigan, M Becker, K Kasper, Y Keynan
No abstract text is available yet for this article.
April 2018: International Journal of STD & AIDS
Sarah J Willetts, Sarah Cowper, Sharon T Cameron
In 2016, NHS Lothian regional sexual and reproductive health services introduced an electronic pharmacy treatment voucher that could be sent to the mobile phones of patients with Chlamydia trachomatis and their sexual contacts. A retrospective audit of the electronic treatment voucher database was conducted for vouchers issued between April and December 2016. Five hundred and forty-nine vouchers were issued and 56% were redeemed at a pharmacy within one week of issue. This suggests that electronic vouchers are a popular and effective means of providing expedited treatment for uncomplicated C...
April 2018: International Journal of STD & AIDS
Hang Hong, Jie Xu, Jennifer McGoogan, Hongjun Dong, Guozhang Xu, Zunyou Wu
In recent years, there has been a significant increase in the use of gay mobile phone applications (gay apps) and HIV prevalence among men who have sex with men (MSM) in China. The aim of this study was to investigate whether there was a relationship between the use of gay apps and HIV infection and provide a targeted intervention to MSM. A cross-sectional study was conducted. Chinese MSM who were over 18 years old and had self-reported homosexual intercourse in the past six months were interviewed in 2016...
April 2018: International Journal of STD & AIDS
Rheeda L Walker, Judy H Hong, David C Talavera, Marizela Verduzco, Steven Paul Woods
Hispanic and Black adults are disproportionately affected by HIV and experience poorer HIV-related health outcomes relative to non-Hispanic White adults. The current study adopted Sørensen's integrated model to test the hypothesis that lower functional and critical health literacy competencies contribute to poorer HIV-related health and CD4 cell count for Hispanic and Black individuals. Eighty-one non-Hispanic White, Hispanic, and Black HIV seropositive individuals from a large, Southwestern metropolitan area were administered measures of health literacy, including the Expanded Numeracy Scale, Newest Vital Sign, Rapid Estimate of Adult Literacy in Medicine, Test of Functional Health Literacy (TOHFLA)-numeracy, and TOHFLA-reading...
April 2018: International Journal of STD & AIDS
M Moazenchi, M Totonchi, R Salman Yazdi, K Hratian, M A Mohseni Meybodi, M Ahmadi Panah, M Chehrazi, A Mohseni Meybodi
Chlamydia trachomatis (CT), an obligate intracellular bacterium, requires living cells to replicate. Half of men infected with CT are asymptomatic. CT infection can persist for up to four years within couples and affect their fertility. Chlamydia infection in men acts as a reservoir for transmission to women and can cause urinary tract inflammation, sperm DNA damage, and acute epididymitis. Semen samples from 1080 subfertile patients with normal and abnormal spermograms were examined to detect the presence of CT...
April 2018: International Journal of STD & AIDS
Nattinee Laksananun, Parichat Salee, Quanhathai Kaewpoowat
We report the first case of Nocardia beijingensis pericarditis in a 32-year-old HIV-infected patient. He presented with cardiac tamponade after failing to respond to treatment for smear-negative pulmonary and pericardial tuberculosis (TB). The pericardial fluid was examined several times before it eventually revealed filamentous branching organisms in Gram and modified acid-fast bacilli stain. The culture grew Nocardia spp. and was identified by 16s rRNA sequencing as N. beijingensis. Eight previously reported cases of Nocardia pericarditis in HIV-infected patients were caused by Nocardia asteroides...
April 2018: International Journal of STD & AIDS
Minh X Nguyen, Aparna Krishnan, Giang M Le, Quynh T Nguyen, Nia M Bhadra, Sang M Nguyen, William C Miller, Vivian F Go
In an era where mobile phones and computers are ubiquitous, technology-based interventions to reduce HIV and other sexually transmitted infections (STIs) have great potential to reach high-risk groups, including men who have sex with men (MSM). This study aimed to examine technology usage to find sexual health information online among MSM in Hanoi, Vietnam. A cross-sectional study of 205 MSM in Hanoi was conducted from February to May 2016. Overall, 50.7% of participants reported having used a smartphone, computer, or tablet to find HIV/STI testing locations in the past year, and 75...
April 2018: International Journal of STD & AIDS
Alex Pollard, Carrie Llewellyn, Vanessa Cooper, Memory Sachikonye, Nicky Perry, Eileen Nixon, Alec Miners, Elaney Youssef, Caroline Sabin
The objective of this study was to identify the aspects of healthcare that are most valued by people with HIV and to describe their concerns and preferences for the future delivery of services for non-HIV-related illness. Twelve focus groups of people receiving HIV care were conducted in community settings in South-East England. Groups were quota sampled based on age, gender, sexual orientation and ethnicity. Data were analysed using Framework Analysis. The results showed that among the 74 respondents (61% male), a preference for maintaining all care within specialist HIV clinics was commonplace, but was highest among participants with more extensive histories of HIV and comorbidities...
April 2018: International Journal of STD & AIDS
Gary G Whitlock, Daniel C Gibbons, Nick Longford, Michael J Harvey, Alan McOwan, Elisabeth J Adams
A service evaluation of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) testing and result notification in patients attending a rapid testing service (Dean Street Express [DSE]) compared with those attending an existing 'standard' sexual health clinic (56 Dean Street [56DS]), and modelling the impact of the new service from 1 June 2014 to 31 May 2015. PRIMARY OUTCOME: time from patients' sample collection to notification of test results at DSE compared with 56DS. Secondary outcomes estimated using a model: number of transmissions prevented and the number of new partner visits avoided and associated cost savings achieved due to rapid testing at DSE...
April 2018: International Journal of STD & AIDS
Abdel Am Shaheen, Ranjani Somayaji, Robert Myers, Christopher H Mody
Cryptococcal disease, caused by Cryptococcus neoformans and Cryptococcus gattii, is associated with significant morbidity and mortality but limited data exist on its incidence and impact. A study utilizing the Nationwide Inpatient Sample from 2000 to 2007 to examine the epidemiology and impact of cryptococcal disease in the United States was undertaken. The International Classification of Diseases 9th Version code was used to identify hospital discharges with diagnosis of Cryptococcus (117.5). Our primary outcome was the incidence rate of cryptococcal admissions...
April 2018: International Journal of STD & AIDS
Ellen Pittman, Hillary Purcell, Laura Dize, Charlotte Gaydos, Sherine Patterson-Rose, Frank Biro, DeAnna Owens, Lea E Widdice
Screening for sexually transmitted infections (STIs) outside of traditional health-care facilities is limited by the privacy needed for sample collection. We explored the acceptability of privacy shelters for the self-collection of genital swabs and tested the use of privacy shelters during mobile STI screening. Attendees ≥14 years old at two outdoor community events completed a questionnaire that assessed participant characteristics, health-care access, and rating of acceptability of self-collecting penile or vaginal swabs in a privacy shelter and four other private spaces: portable restroom, health van, home, and doctor's office...
April 2018: International Journal of STD & AIDS
Jose Echecopar-Sabogal, Lorenzo D'Angelo-Piaggio, Diego M Chanamé-Baca, Cesar Ugarte-Gil
This systematic review and meta-analysis tries to determine whether there is an association between the use of protease inhibitors (PIs) and the incidence of diabetes mellitus (DM) and/or metabolic syndrome (MS) in HIV-infected patients. A systematic literature search was performed using MEDLINE/PubMed, CENTRAL, LILACS, and EMBASE. Included articles were observational studies published on or prior to November 2015 that met specific inclusion criteria. Pooled relative risks (RRs) and hazard ratios (HRs) were calculated...
April 2018: International Journal of STD & AIDS
Lauren Bull, Pavle Dimitrijevic, Sophie Beverley, Alex Scarborough, Sundhiya Mandalia, Olamide Dosekun, Tristan Barber, Iain Reeves, Sheena McCormack, Michael Rayment
HIV pre-exposure prophylaxis (PrEP) has proven efficacy in reducing the risk of HIV infection in men who have sex with men (MSM), but has not yet been commissioned in the UK. The aim of this study was to investigate perceived need and benefit (or experience of) PrEP among HIV-negative MSM attending sexual health clinics. HIV-negative MSM attending three sexual health centres in London, UK were opportunistically invited to complete a questionnaire. Data collected comprised demographic data and sexual and drug use behaviours as well as questions regarding perceptions of risk and need for PrEP...
April 2018: International Journal of STD & AIDS
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