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Sexually Transmitted Infections

Minttu M Rönn, Katherine Me Turner
No abstract text is available yet for this article.
March 15, 2018: Sexually Transmitted Infections
Noemia Teixeira de Siqueira-Filha, Maria de Fatima Militao de Albuquerque, Laura Cunha Rodrigues, Rosa Legood, Andreia Costa Santos
OBJECTIVE: The objective of this study was to measure the costs of people living with HIV (PLHIV) as well as active tuberculosis (TB/HIV), latent tuberculosis infection (LTBI/HIV) or without TB (HIV/AIDS). METHODS: We analysed the costs through the entire pathway of care during the prediagnosis and treatment periods from the Brazilian public health system perspective. We applied a combination of bottom-up and top-down approaches to capture and estimate direct medical and non-medical costs...
March 15, 2018: Sexually Transmitted Infections
Hao-Hsin Wu, Yi-Ting Shen, Chien-Shun Chiou, Chi-Tai Fang, Yi-Chun Lo
OBJECTIVES: Outbreaks of shigellosis among men who have sex with men (MSM) have been reported since the late 1990s. HIV infection is an important risk factor. Since 2014, the global shigellosis epidemic has intensified. Whether chemsex (the use of crystal methamphetamine, γ-hydroxybutyrate or mephedrone to enhance sex) is a new risk factor has not been previously examined. METHODS: We conducted a population-based, case-control study in Taiwan. Acute shigellosis cases diagnosed during the 2015 outbreak among MSM living with HIV were compared with those without shigellosis...
March 13, 2018: Sexually Transmitted Infections
Sonia Guleria, Mette Tuxen Faber, Bo T Hansen, Lisen Arnheim-Dahlström, Kai-Li Liaw, Christian Munk, Mari Nygård, Susanne Krüger Kjær
OBJECTIVE: This study examined the associations between current behaviours/characteristics and self-perceived risk for STIs, among randomly selected women aged 18-45 years from Denmark, Norway and Sweden. METHOD: A population-based, cross-sectional, questionnaire study (paper based, web based and telephone based) was conducted during 2011-2012. We compared medium-high STI risk perception with no/low risk perception. The associations were explored for women who had ever had sexual intercourse and for women with a new partner in the last 6 months using multivariable logistic regression...
March 9, 2018: Sexually Transmitted Infections
Rachel Margaret Coyle, Ada Rose Miltz, Fiona C Lampe, Janey Sewell, Andrew N Phillips, Andrew Speakman, Jyoti Dhar, Lorraine Sherr, S Tariq Sadiq, Stephen Taylor, Daniel R Ivens, Simon Collins, Jonathan Elford, Jane Anderson, Alison Rodger
OBJECTIVES: In the UK, people of black ethnicity experience a disproportionate burden of HIV and STI. We aimed to assess the association of ethnicity with sexual behaviour and sexual health among women and heterosexual men attending genitourinary medicine (GUM) clinics in England. METHODS: The Attitudes to and Understanding of Risk of Acquisition of HIV is a cross-sectional, self-administered questionnaire study of HIV negative people recruited from 20 GUM clinics in England, 2013-2014...
March 8, 2018: Sexually Transmitted Infections
Neesha Rockwood, Nneka Nwokolo
The number of cases of syphilis continues to rise in the UK, USA and elsewhere and may present to a variety of clinical specialties. We report a complex case of early acquired disseminated syphilis causing an ulceronodular rash (lues maligna), orchitis, osteitis and lung nodules in an immunocompetent man who has sex with men who presented to the genitourinary medicine clinic. Syphilis should be considered in the differential diagnoses of multiple clinical presentations and optimal management should involve multidisciplinary care...
March 8, 2018: Sexually Transmitted Infections
Soazig Clifton, Katy Town, Martina Furegato, Michelle Cole, Hamish Mohammed, Sarah C Woodhall, J Kevin Dunbar, Helen Fifer, Gwenda Hughes
OBJECTIVES: It has been suggested that treatment of STIs with azithromycin may facilitate development of azithromycin resistance in Neisseria gonorrhoeae (NG) by exposing the organism to suboptimal doses. We investigated whether treatment history for non-rectal Chlamydia trachomatis (CT), non-gonococcal urethritis (NGU) or NG (proxies for azithromycin exposure) in sexual health (GUM) services was associated with susceptibility of NG to azithromycin. METHODS: Azithromycin susceptibility data from the Gonococcal Resistance to Antimicrobials Surveillance Programme (GRASP 2013-2015, n=4606) and additional high-level azithromycin-resistant isolates (HL-AziR) identified by the Public Health England reference laboratory (2013-2016, n=54) were matched to electronic patient records in the national GUMCAD STI surveillance dataset (2012-2016)...
March 6, 2018: Sexually Transmitted Infections
Matthew R Beymer, Michelle A DeVost, Robert E Weiss, Rhodri Dierst-Davies, Chelsea L Shover, Raphael J Landovitz, Corinne Beniasians, Ali J Talan, Risa P Flynn, Robyn Krysiak, Kayla McLaughlin, Robert K Bolan
BACKGROUND: Pre-exposure prophylaxis (PrEP) is an effective method for reducing HIV incidence among at-risk populations. However, concerns exist over the potential for an increase in STIs following PrEP initiation. The objective of this study is to compare the STI incidence before and after PrEP initiation within subjects among a cohort of men who have sex with men in Los Angeles, California. METHODS: The present study used data from patients who initiated PrEP services at the Los Angeles LGBT Center between October 2015 and October 2016 (n=275)...
February 27, 2018: Sexually Transmitted Infections
Joseph D Tucker, Jason J Ong
No abstract text is available yet for this article.
February 27, 2018: Sexually Transmitted Infections
Raymond B T Lim, Olive N Y Cheung, Bee Choo Tai, Mark I-C Chen, Roy K W Chan, Mee Lian Wong
OBJECTIVES: We assessed the efficacy of a multicomponent culturally tailored HIV/STI prevention intervention programme on consistent condom use and STI incidence among foreign Thai and Vietnamese female entertainment workers (FEWs) in Singapore. METHODS: We conducted a quasi-experimental pretest and post-test intervention trial with a comparison group. We recruited 220 participants (115 Vietnamese and 105 Thai) for the comparison group, followed by the intervention group (same number) from the same sites which were purposively selected after a 3-month interval period...
February 14, 2018: Sexually Transmitted Infections
Lukas Baumann, Manuel Cina, Dianne Egli-Gany, Myrofora Goutaki, Florian S Halbeisen, Gian-Reto Lohrer, Hammad Ali, Pippa Scott, Nicola Low
BACKGROUND: Mycoplasma genitalium is a common cause of non-gonococcal non-chlamydial urethritis and cervicitis. Testing of asymptomatic populations has been proposed, but prevalence in asymptomatic populations is not well established. We aimed to estimate the prevalence of M. genitalium in the general population, pregnant women, men who have sex with men (MSM), commercial sex workers (CSWs) and clinic-based samples, METHODS: We searched Embase, Medline, IndMED, African Index Medicus and LILACS from 1 January 1991 to 12 July 2016 without language restrictions...
February 9, 2018: Sexually Transmitted Infections
Kayo Fujimoto, Charlene A Flash, Lisa M Kuhns, Ju-Yeong Kim, John A Schneider
OBJECTIVES: Syphilis and HIV epidemics overlap, yet little is known about combined network and behavioural factors that drive syphilis-HIV coinfection. Our study objective was to assess network contexts and sexual behaviours associated with syphilis-HIV co-infection and monoinfection among a particularly vulnerable subgroup: young Black men who have sex with men (YBMSM). To achieve this objective, we examined factors associated with coinfection by each subgroup as classified by syphilis-HIV infection status: (A) HIV monoinfected, (B) syphilis monoinfected and (C) neither syphilis infected nor HIV infected...
February 9, 2018: Sexually Transmitted Infections
Sharmani Barnard, Caroline Free, Ioannis Bakolis, Katy M E Turner, Katharine J Looker, Paula Baraitser
OBJECTIVES: Online services for self-sampling at home could improve access to STI testing; however, little is known about those using this new modality of care. This study describes the characteristics of users of online services and compares them with users of clinic services. METHODS: We conducted a cross-sectional analysis of routinely collected data on STI testing activity from online and clinic sexual health services in Lambeth and Southwark between 1January 2016 and 31March 2016...
February 7, 2018: Sexually Transmitted Infections
Mark Gilbert, Kimberly Thomson, Travis Salway, Devon Haag, Troy Grennan, Christopher K Fairley, Chris Buchner, Mel Krajden, Perry Kendall, Jean Shoveller, Gina Ogilvie
OBJECTIVES: Internet-based STI testing programmes may overcome barriers posed by in-clinic testing, though uptake could reflect social gradients. The role these services play in comparison to clinical testing services is unknown. We compared experiences of testing barriers between STI clinic clients to clients of (GCO; where clients take a printed lab form to a lab). METHODS: Our 10-month cross-sectional study was conducted after GCO was promoted to STI clinic clients and men who have sex with men (MSM)...
February 7, 2018: Sexually Transmitted Infections
Julian Storim, Jens Verheyen, Eva Wolff, Jeremias Wohlschlaeger, Evelyn Heintschel von Heinegg, Dirk Schadendorf, Stefan Esser
OBJECTIVES: Rectal infections with Chlamydia trachomatis and/or Neisseria gonorrhoeae (CT/NG) are common in men who have sex with men (MSM) and are linked to HIV transmission. However, rectal CT/NG infections are often asymptomatic and it is not known how they contribute to HIV transmission. We assessed clinical and cytological signs of inflammation as well as rectal HIV-RNA in HIV-infected MSM with and without CT/NG infection. METHODS: 112 HIV-positive MSM with or without rectal symptoms and with or without antiretroviral therapy who underwent high-resolution anoscopy (HRA) at the proctological outpatient centre of the University Hospital Essen, Germany, between November 2013 and February 2014 were included in this cross-sectional study...
February 3, 2018: Sexually Transmitted Infections
Nastassya L Chandra, Claire Broad, Kate Folkard, Katy Town, Emma M Harding-Esch, Sarah C Woodhall, John M Saunders, S Tariq Sadiq, J Kevin Dunbar
OBJECTIVES: Chlamydia trachomatis is the most commonly diagnosed bacterial STI. Lack of prevalence and risk factor data for rectal chlamydia in women has testing and treatment implications, as azithromycin (a first-line urogenital chlamydia treatment) may be less effective for rectal chlamydia. We conducted a systematic review of studies on women in high-income countries to estimate rectal chlamydia prevalence, concurrency with urogenital chlamydia and associations with reported anal intercourse (AI)...
February 3, 2018: Sexually Transmitted Infections
Laura W L Spauwen, Anne-Marie Niekamp, Christian J P A Hoebe, Nicole H T M Dukers-Muijrers
OBJECTIVES: Swingers, that is, members of a heterosexual couple who, as a couple, had sex with other couples and/or singles within the swinger's subculture, are a hidden population with substantial rates of sexually transmitted infections (STIs) and high-risk sexual behaviour. Information on swingers' self-identification to be a swinger, their risk perception and attitudes about STI testing and safe sex will help to reveal swingers who are hidden while in care, to address them with targeted strategies...
January 30, 2018: Sexually Transmitted Infections
Alex Parr, Nicolas Pinto-Sander, Daniel Richardson
No abstract text is available yet for this article.
January 29, 2018: Sexually Transmitted Infections
Marie Suzan-Monti, Laurent Cotte, Lisa Fressard, Eric Cua, Catherine Capitant, Laurence Meyer, Gilles Pialoux, Jean-Michel Molina, Bruno Spire
OBJECTIVES: Partner notification (PN) is a useful public health approach to enhance targeted testing of people at high risk of HIV and other STIs, and subsequent linkage to care for those diagnosed. In France, no specific PN guidelines exist and information about current practices is scarce. We used the ANRS-IPERGAY PrEP trial to investigate PN in HIV-negative men who have sex with men (MSM) reporting a bacterial STI. METHODS: This substudy included 275 participants who completed a specific online PN questionnaire during the open-label extension study of the ANRS-Intervention Préventive de l'Exposition aux Risques avec et pour les Gays (IPERGAY) trial...
January 29, 2018: Sexually Transmitted Infections
Trevor A Crowell, Justin Hardick, Kara Lombardi, Zahra Parker, Afoke Kokogho, Senate Amusu, Sunday Odeyemi, Andrew Ivo, Stefan D Baral, Rebecca G Nowak, Sylvia Adebajo, Manhattan E Charurat, Julie Ake, Charlotte A Gaydos
OBJECTIVES: Recent outbreaks of anorectal lymphogranuloma venereum (LGV) among men who have sex with men (MSM) have been characterised by proctocolitis requiring extended antibiotic treatment compared with infections caused by other serovars of Chlamydia trachomatis (CT). We describe the prevalence and clinical features of LGV among Nigerian MSM diagnosed with anorectal CT. METHODS: MSM were recruited for this observational cohort in Lagos, Nigeria, using respondent-driven sampling and screened for HIV and bacterial STIs every three months for up to 18 months...
January 29, 2018: Sexually Transmitted Infections
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