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Sexually Transmitted Infections

Tristan J Barber, John Michael Saunders, Nina Barnett
Person-centred consultations (PCCs) are fundamental to effective healthcare communication, and its use is embedded within key clinical guidance. There are three aspects to PCC: use of the best available research evidence, clinical expertise of the clinician and the patient's circumstances, goals, values and wishes. Balancing theses three aspects in the context of HIV prevention and management can be challenging, and we use three case examples to highlight these.
July 4, 2018: Sexually Transmitted Infections
Alexis Roth, Nguyen Khai Tran, Martha Chavis, Barbara Van Der Pol
OBJECTIVES: To inform the development of targeted sexually transmitted infection (STI) control programmes for persons who inject drugs (PWID). METHODS: We recruited 116 PWID (aged ≥ 18 years) from a community-based syringe exchange programme (SEP) and assessed their STI knowledge and screening preferences via technology assisted self-interview. We estimated prevalence of STI transmission knowledge, attitudes and screening preferences as well as the association between reported sexual behaviours (past 6 months) and willingness to self-collect specimens...
June 30, 2018: Sexually Transmitted Infections
Gary Brook
No abstract text is available yet for this article.
June 28, 2018: Sexually Transmitted Infections
Eoin F Cleere, Christopher K Fairley, Launcelot McGrath, Catriona S Bradshaw, Marcus Y Chen, Eric P F Chow
OBJECTIVES: All males and females attending the Melbourne Sexual Health Centre (MSHC) from August 2017 were asked whether they had had sex with a transgender or gender diverse (TGD) person using computer-assisted self-interviewing (CASI). We aimed to verify the self-reported responses via chart review. The secondary aim of this study was to identify whether having sex with a TGD person was associated with STI risk. METHODS: This was a retrospective chart analysis of patients visiting MSHC between August and December 2017...
June 27, 2018: Sexually Transmitted Infections
Carys Knapper, Humphrey Birley, Zoe Couzens, Adam Thomas Jones, Irene Parker
Pre-exposure prophylaxis for HIV (PrEP) has been shown to reduce transmission of HIV in a number of trials; however, there is limited evidence regarding the optimal way to deliver PrEP through pre-existing UK services, particularly through fully integrated drop-in sexual health service models. PrEP in the form of Truvada was launched in Wales in July 2017. We set up a PrEP service to be delivered via our drop-in integrated sexual reproductive health service. In the first 5 months of PrEP service provision, we found unforeseen levels of comorbidity, polypharmacy and renal impairment in our cohort of PrEP patients...
June 27, 2018: Sexually Transmitted Infections
Kaan Z Apaydin, Andrew Nguyen, Christina P C Borba, Derri L Shtasel, Sharon Ulery, Kenneth H Mayer, Alex S Keuroghlian
OBJECTIVES: High-resolution anoscopy (HRA) is a potential screening method for detection of anal cancer precursors. We evaluated factors associated with adherence to recommended HRA follow-up time intervals among men who have sex with men (MSM). METHODS: We employed a retrospective, observational cohort study with 155 MSM screened by HRA between 1 April 2011 and 31 March 2016 at a Federally Qualified Health Centre in Boston, Massachusetts. RESULTS: The sample was 80% white, with a median age of 48 (non-normal distribution, IQR 15)...
June 22, 2018: Sexually Transmitted Infections
Jeremy Y Chow, Jeffrey D Klausner
No abstract text is available yet for this article.
June 21, 2018: Sexually Transmitted Infections
Janneke C M Heijne, Ingrid V F van den Broek, Sylvia M Bruisten, Jan E A van Bergen, Hanneke de Graaf, Birgit H B van Benthem
OBJECTIVES: National prevalence estimates of Chlamydia trachomatis (chlamydia) and Neisseria gonorrhoeae (gonorrhoea) are important for providing insights in the occurrence and control of these STIs. The aim was to obtain national prevalence estimates for chlamydia and gonorrhoea and to investigate risk factors associated with infection. METHODS: Between November 2016 and January 2017, we performed a national population-based cross-sectional probability sample survey among men and women aged 18-34 years in the Netherlands...
June 20, 2018: Sexually Transmitted Infections
Adiba Hassan, Jill S Blumenthal, Michael P Dube, Eric Ellorin, Katya Corado, David J Moore, Sheldon R Morris
OBJECTIVES: Rectal douching/enema (RD) is a common practice among men who have sex with men (MSM) in preparation for sex. RD can break down the rectal mucosal barrier and potentially affect the rectal microbiome. The objective of this study was to understand if RD is associated with acquiring rectal infections (RI) with rectal gonorrhoea (NG) and/or chlamydia (CT). METHODS: From 2013 to 2015, 395 adult HIV-uninfected MSM were enrolled in a randomised controlled study for pre-exposure prophylaxis (PrEP) adherence with routine sexual risk survey and testing...
June 15, 2018: Sexually Transmitted Infections
Anuj V Patel, Samuel M Abrams, Charlotte A Gaydos, Mary Jett-Goheen, Carl A Latkin, Richard E Rothman, Yu-Hsiang Hsieh
OBJECTIVE: Up to 60% of patients decline routine HIV testing offer in US emergency departments (EDs). The objective of this study is to determine whether the provision of HIV self-testing (HIVST) kit would increase engagement of HIV testing among these HIV test 'Decliners'. METHODS: Patients who declined a test offered in an ED-based triage nurse-driven HIV screening programme were enrolled and randomised to either the HIVST or the control group. The patients in the HIVST group received HIVST kits to take home, were encouraged to report test results to an established internet-based STI/HIV testing recruitment website 'I Want the Kit' (IWTK) and received five referral cards for their peers to request HIVST kits from IWTK...
June 14, 2018: Sexually Transmitted Infections
Rusi Jaspal, Kate Zoe Nambiar, Valerie Delpech, Shema Tariq
No abstract text is available yet for this article.
June 13, 2018: Sexually Transmitted Infections
Anne Boucher, Agnes Meybeck, Kazali Alidjinou, Thomas Huleux, Nathalie Viget, Veronique Baclet, Michel Valette, Isabelle Alcaraz, Eveline Sauser, Laurence Bocket, Ajana Faiza
OBJECTIVES: Since February 2017, an increase of acute hepatitis A (AHA) cases has been notified in North of France. We aimed to report clinical and virological features of 49 cases treated in three hospitals in Lille European Metropolis (LEM). METHODS: All adult patients treated for AHA in 3 LEM hospitals between 20 February and 5 July 2017 were included. Demographic characteristics, exposure risk factors to hepatitis A virus (HAV), AHA manifestations and concomitant sexually transmitted infections (STI) were retrospectively recorded...
June 9, 2018: Sexually Transmitted Infections
Xiaomeng Ma, Qian Wang, Jason J Ong, Christopher K Fairley, Shu Su, Peng Peng, Jun Jing, Linhong Wang, Nyi Nyi Soe, Feng Cheng, Lei Zhang
OBJECTIVE: Human papillomavirus (HPV) infection causes multiple cancers in both women and men. In China, both HPV vaccination and cervical cancer screening coverages are low. We aim to investigate the temporal and geographical trends of HPV DNA prevalence in heterosexual men, women, men who have sex with men (MSM) and people living with HIV (PLHIV) in China. METHODS: We conducted a systematic review, collecting publications in PubMed, Web of Science, China National Knowledge Infrastructure (CNKI) and Wanfang Data from January 2000 to May 2017...
May 24, 2018: Sexually Transmitted Infections
Thomas Fitzpatrick, Stephen W Pan, Weiming Tang, Wilson Guo, Joseph D Tucker
OBJECTIVES: Hepatitis B virus (HBV) and hepatitis C virus (HCV) cause substantial morbidity and mortality in low-income and middle-income countries, including China. WHO guidelines recommend men who have sex with men (MSM) receive HBV and HCV screening. The purpose of this study was to determine the proportion of MSM in China who have HBV and HCV tested and identify correlates of test uptake. METHODS: We conducted an online cross-sectional survey of young MSM in China...
May 19, 2018: Sexually Transmitted Infections
Klara Johansson, Kristina Ingemarsdotter Persson, Charlotte Deogan, Ziad El-Khatib
OBJECTIVES: The objectives are to analyse social determinants of sexual health behaviour (condom use and HIV testing) among young, internet-active, cis men who have sex with men (MSM) in a high-income country. The aspects of sexual health behaviour analysed here are condomless anal intercourse with one or more new or casual partner(s), condomless anal intercourse during the most recent sex with a man and HIV testing. METHODS: A randomised sample of men active on Sweden's main online community for Lesbian, Gay, Bisexual and Trans people responded to an online survey (response rate 19%)...
May 17, 2018: Sexually Transmitted Infections
Louise M Causer, Rebecca J Guy, Sepehr N Tabrizi, David M Whiley, David John Speers, James Ward, Annie Tangey, Steven G Badman, Belinda Hengel, Lisa Jane Natoli, David A Anderson, Handan Wand, David Wilson, David G Regan, Mark Shephard, Basil Donovan, Christopher K Fairley, John M Kaldor
OBJECTIVES: A new molecular test for Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) (GeneXpert CT/NG) has been demonstrated to be as accurate as conventional nucleic acid amplification tests (NAAT), but performance has not been evaluated in routine primary care, performed at the point of care by clinicians. We aimed to examine its diagnostic performance when used by clinicians in remote community health services in Australia with high prevalences of CT and NG infection. The trial was registered with the Australian and New Zealand Clinical Trials Registry (#12613000808741) METHODS: At 12 health services, training was provided to 99 clinicians in the use of the GeneXpert CT/NG assay who tested specimens from all patients undergoing STI screening...
May 10, 2018: Sexually Transmitted Infections
Priyanka Saigal, Matthew Weait, Mary Poulton
No abstract text is available yet for this article.
May 2, 2018: Sexually Transmitted Infections
Jane L Goller, Alysha M De Livera, Rebecca J Guy, Nicola Low, Basil Donovan, Matthew Law, John M Kaldor, Christopher K Fairley, Jane S Hocking
OBJECTIVE: To analyse yearly rates of pelvic inflammatory disease (PID) and ectopic pregnancy (EP) diagnosed in hospital settings in Australia from 2009 to 2014. METHODS: We calculated yearly PID and EP diagnosis rates in three states (Victoria, New South Wales, Queensland) for women aged 15-44 years using hospital admissions and emergency department (ED) attendance data, with population and live birth denominators. We stratified PID diagnoses as chlamydial-related or gonorrhoeal-related ( Chlamydia trachomatis (CT)-related or Neisseria gonorrhoeae (NG)-related), acute, unspecified and chronic, and analysed variations by year, age and residential area using Poisson regression models...
May 2, 2018: Sexually Transmitted Infections
Janey Sewell, Valentina Cambiano, Ada Miltz, Andrew Speakman, Fiona C Lampe, Andrew Phillips, David Stuart, Richard Gilson, David Asboe, Nneka Nwokolo, Amanda Clarke, Graham Hart, Alison Rodger
OBJECTIVES: The objective of this study was to compare the prevalence of polydrug use, use of drugs associated with chemsex, specific drug use, and HIV-related behaviours, between two time periods , using two groups of HIV-negative men who have sex with men (MSM) attending the same sexual health clinics in London and Brighton, in two consecutive periods of time from 2013 to 2016. METHODS: Data from MSM in the cross-sectional Attitudes to and Understanding Risk of Acquisition of HIV (AURAH) study (June 2013 to September 2014) were compared with baseline data from different MSM in the prospective cohort study Attitudes to and Understanding Risk of Acquisition of HIV over Time (AURAH2) (November 2014 to April 2016)...
April 26, 2018: Sexually Transmitted Infections
Roman Saba Ntale, Gad Rutayisire, Pierre Mujyarugamba, Eliah Shema, Jane Greatorex, Simon David William Frost, Pontiano Kaleebu
OBJECTIVES: In many populations, men who have sex with men (MSM) are at a high risk of HIV infection. This study aimed to estimate the burden of HIV, other STIs and risk behaviours among Rwandan MSM. METHODS: In this cross-sectional study, we recruited through peer referral men aged between 18 and 60 years, who reported sex with men at least once in the 12 months prior to the survey. Representativeness was increased using 'seeds' from a variety of sources. Signed informed consent was obtained from all participants...
April 21, 2018: Sexually Transmitted Infections
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