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Sexually Transmitted Infections

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https://www.readbyqxmd.com/read/28228485/probability-of-vertical-transmission-of-chlamydia-trachomatis-estimated-from-national-registry-data
#1
Minna Honkila, Erika Wikström, Marjo Renko, Heljä-Marja Surcel, Tytti Pokka, Irma Ikäheimo, Matti Uhari, Terhi Tapiainen
OBJECTIVES: Chlamydia trachomatis colonisation is common in pregnant women, and it has been claimed that mother-to-child transmission may occur in 10%-70% of deliveries. C. trachomatis infections are nevertheless rarely encountered in infants in clinical practice. In order to evaluate the reason for this discrepancy, we designed a nationwide study of the C. trachomatis vertical transmission. METHODS: Children with a possible C. trachomatis infection were identified from two national health registries in 1996-2011...
February 21, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28213536/partner-notification-harmonising-the-old-with-the-new
#2
LETTER
Gill Bell
No abstract text is available yet for this article.
February 17, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28202736/hiv-and-sti-s-among-men-who-have-sex-with-men-in-dodoma-municipality-tanzania-a-cross-sectional-study
#3
Elia John Mmbaga, Kåre Moen, Neema Makyao, Rose Mpembeni, Melkizedeck T Leshabari
OBJECTIVES: To determine the seroprevalence of HIV, STI and related risks among men who have sex with men (MSM) in Dodoma municipality, Tanzania. METHODS: A cross-sectional study using respondent-driven sampling was employed to recruit study participants aged 18 years and above. Data on sociodemographics, HIV/STI knowledge and sexual practices were collected. Blood samples were tested for HIV and selected STIs. RESULTS: A total of 409 participants aged from 18 to 60 years took part in this study...
February 15, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28196839/syphilis-bismuth-and-the-criminalisation-of-homosexuality
#4
LETTER
Michael Waugh
No abstract text is available yet for this article.
February 14, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28196838/screening-for-asymptomatic-neurosyphilis-in-hiv-patients-after-treatment-of-early-syphilis-an-observational-study
#5
Andrew Tomkins, Shazaad Ahmad, Darren E Cousins, Caroline M Thng, Francisco Javier Vilar, Stephen P Higgins
OBJECTIVE: To determine the prevalence of asymptomatic neurosyphilis (ANS) in HIV-positive individuals after treatment of early syphilis with single-dose benzathine penicillin G (BPG) or oral antibiotic alternatives. METHODS: Patients at high risk of neurosyphilis (defined by serum rapid plasma reagin (RPR) titre ≥1:32 and/or peripheral blood CD4 lymphocyte count ≤350/μL) underwent lumbar puncture (LP) at a median time of 8.2 months post treatment. ANS was diagnosed by a reactive cerebrospinal fluid (CSF) RPR test or CSF white blood cells (WBC) >20/μL plus a reactive CSF Treponema pallidum particle agglutination (TPPA) ≥1:640...
February 14, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28196837/culture-of-the-gonococcus-a-reliable-gold-standard
#6
LETTER
David Barlow
No abstract text is available yet for this article.
February 14, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28159917/frequency-and-determinants-of-consistent-sti-hiv-testing-among-men-who-have-sex-with-men-testing-at-sti-outpatient-clinics-in-the-netherlands-a-longitudinal-study
#7
Maartje Visser, Janneke C M Heijne, Arjan A Hogewoning, Fleur van Aar
OBJECTIVES: Men who have sex with men (MSM) are at highest risk for STIs and HIV infections in the Netherlands. However, official guidelines on STI testing among MSM are lacking. They are advised to test for STIs at least every six months, but their testing behaviour is not well known. This study aimed to get insight into the proportion and determinants of consistent 6-monthly STI testing among MSM testing at STI outpatient clinics in the Netherlands. METHODS: This study included longitudinal surveillance data of STI consultations among MSM from all 26 STI outpatient clinics in the Netherlands between 1 June 2014 and 31 December 2015...
February 3, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28159916/impact-of-deploying-multiple-point-of-care-tests-with-a-sample-first-approach-on-a-sexual-health-clinical-care-pathway-a-service-evaluation
#8
Emma M Harding-Esch, Achyuta V Nori, Aseel Hegazi, Marcus J Pond, Olanike Okolo, Anthony Nardone, Catherine M Lowndes, Phillip Hay, S Tariq Sadiq
OBJECTIVES: To assess clinical service value of STI point-of-care test (POCT) use in a 'sample first' clinical pathway (patients providing samples on arrival at clinic, before clinician consultation). Specific outcomes were: patient acceptability; whether a rapid nucleic acid amplification test (NAAT) for Chlamydia trachomatis/Neisseria gonorrhoeae (CT/NG) could be used as a POCT in practice; feasibility of non-NAAT POCT implementation for Trichomonas vaginalis (TV) and bacterial vaginosis (BV); impact on patient diagnosis and treatment...
February 3, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28148678/neisseria-gonorrhoeae-dna-bacterial-load-in-men-with-symptomatic-and-asymptomatic-gonococcal-urethritis
#9
David Priest, Jason J Ong, Eric P F Chow, Sepehr Tabrizi, Sam Phillips, Melanie Bissessor, Christopher K Fairley, Catriona S Bradshaw, Tim R H Read, Suzanne Garland, Marcus Chen
OBJECTIVE: Previous studies have quantified bacterial loads of Neisseria gonorrhoeae in the pharynx and rectum of men but not the urethra. We quantified the bacterial load of N. gonorrhoeae in men with symptomatic and asymptomatic urethral gonorrhoea infections. METHODS: Consecutive men diagnosed with urethral gonorrhoea by Aptima Combo 2 testing of urine at the Melbourne Sexual Health Centre between March and July 2016 were eligible for the study: symptomatic men with purulent urethral discharge and asymptomatic men with no urethral symptoms...
February 1, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28143901/assessment-of-atopobium-vaginae-and-gardnerella-vaginalis-concentrations-in-a-cohort-of-pregnant-south-african-women
#10
M J Redelinghuys, M M Ehlers, J E Bezuidenhoudt, P J Becker, M M Kock
OBJECTIVES: The purpose of this cross-sectional study was to assess Atopobium vaginae and Gardnerella vaginalis concentrations in pregnant women of different age groups, gestational age groups, vaginal flora categories and HIV status, and also to determine which DNA concentrations best discriminated between bacterial vaginosis (BV)-positive and non-BV categories. METHODS: Self-collected vaginal swabs were obtained from 220 pregnant women attending an antenatal clinic in Pretoria, Gauteng, South Africa, from July 2012 to December 2012...
January 31, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28137933/genomic-analysis-of-urogenital-and-rectal-neisseria-meningitidis-isolates-reveals-encapsulated-hyperinvasive-meningococci-and-coincident-multidrug-resistant-gonococci
#11
Odile B Harrison, Kevin Cole, Joanna Peters, Fiona Cresswell, Gillian Dean, David W Eyre, John Paul, Martin Cj Maiden
OBJECTIVE: Invasive meningococcal disease (IMD) outbreaks in men who have sex with men (MSM) have been associated with meningococcal colonisation of the urethra and rectum, but little is known about this colonisation or co-colonisation with the closely related gonococcus. Whole genome sequencing (WGS) was employed to explore these phenomena. METHODS: Meningococci isolated from the urogenital tract and rectum (n=23) and coincident gonococci (n=14) were analysed by WGS along with contemporary meningococci from IMD (n=11)...
January 30, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28130506/evaluation-of-hepatitis-c-testing-in-men-who-have-sex-with-men-and-associated-risk-behaviours-in-manchester-uk
#12
G Ireland, S Higgins, B Goorney, C Ward, S Ahmad, C Stewart, R Simmons, S Lattimore, V Lee
OBJECTIVE: To determine the prevalence of newly diagnosed hepatitis C virus (HCV) and associated risk behaviours among men who have sex with men (MSM) in Manchester. METHOD: A survey among MSM attending four genitourinary medicine clinics in Manchester was carried out over 9 months in 2013. Participants were asked about recent sexual behaviour, recreational drug use and HIV status. All men were offered an HCV test. RESULTS: Overall, 2030 MSM completed a questionnaire and accepted an HCV test...
January 27, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28130505/a-national-evaluation-using-standardised-patient-actors-to-assess-sti-services-in-public-sector-clinical-sentinel-surveillance-facilities-in-south-africa
#13
Pamela K Kohler, Eva Marumo, Suzanne L Jed, Gladys Mema, Sean Galagan, Kenneth Tapia, Erushka Pillay, Julia DeKadt, Evasen Naidoo, Julia C Dombrowski, King K Holmes
OBJECTIVES: Quality concerns in STI service delivery and missed opportunities for integration with HIV testing and prevention services in South Africa have been well documented. This national evaluation aimed to evaluate current utilisation and adherence to national STI guidelines, including partner notification and integration with HIV services, for diagnosis and management of STIs. METHODS: Facility surveys assessed infrastructure and resource availability, and standardised patient (SP) assessments evaluated quality of STI care in 50 public clinics in nine provinces in South Africa...
January 27, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28108702/is-rectal-douching-and-sharing-douching-equipment-associated-with-anorectal-chlamydia-and-gonorrhoea-a-cross-sectional-study-among-men-who-have-sex-with-men
#14
Rca Achterbergh, J J van der Helm, W van den Boom, T Heijman, I G Stolte, M S van Rooijen, Hjc de Vries
INTRODUCTION: Men who have sex with men (MSM) are at high risk for anorectal chlamydia and gonorrhoea infections. Many MSM use rectal douches in preparation for sex, which might break down the mucosal barrier function and facilitate the acquisition of STI. We determined whether rectal douching or sharing douching equipment was associated with anorectal chlamydia and gonorrhoea. METHODS: In a cross-sectional study among 994 MSM attending the STI outpatient clinic of Amsterdam between February and April 2011, data were collected on rectal douching, sexual behaviour and STI...
January 20, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28108701/willingness-to-use-and-have-sex-with-men-taking-hiv-pre-exposure-prophylaxis-prep-results-of-online-surveys-of-australian-gay-and-bisexual-men-2011-2015
#15
Martin Holt, Toby Lea, Heather-Marie Schmidt, Johann Kolstee, Jeanne Ellard, Dean Murphy, Hong-Ha Truong, John de Wit
OBJECTIVE: Assess willingness to use HIV pre-exposure prophylaxis (PrEP), support for others using it and willingness to have sex with partners using PrEP among Australian gay and bisexual men (GBM). METHODS: National, online cross-sectional surveys of Australian GBM were conducted in 2011, 2013 and 2015. Scales measuring support for and willingness to have sex with men using PrEP were developed in 2015 using factor analysis. Trends and associations with key measures were analysed using multivariate logistic regression...
January 20, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28108700/what-does-the-latest-research-evidence-mean-for-practitioners-who-work-with-gay-and-bisexual-men-engaging-in-chemsex
#16
EDITORIAL
Jamie Frankis, Dan Clutterbuck
No abstract text is available yet for this article.
January 20, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28108699/an-evaluation-study-of-the-becton-dickinson-probetec-qx-bdqx-trichomonas-vaginalis-trichomoniasis-molecular-diagnostic-test-in-two-large-urban-std-services
#17
Craig Tipple, Michael Rayment, Sundhiya Mandalia, Lisa Walton, Sinead O'Neill, John Murray, Alan O'Riordan, Monica Rebec, Laura Harrington, Rachael Jones, Dawn Wilkinson
OBJECTIVES: The BASHH guidelines recommend molecular tests to aid diagnosis of Trichomonas vaginalis (TV) infection; however many clinics continue to use relatively insensitive techniques (pH, wet-prep microscopy (WPM) and culture). Our objectives were to establish a laboratory pathway for TV testing with the Becton-Dickinson Qx (BDQx) molecular assay, to determine TV prevalence and to identify variables associated with TV detection. METHODS: A prospective study of 901 women attending two urban sexual health services for STI testing was conducted...
January 20, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28093460/a-double-edged-sword-does-highly-active-antiretroviral-therapy-contribute-to-syphilis-incidence-by-impairing-immunity-to-treponema-pallidum
#18
REVIEW
Michael L Rekart, Wilfred Ndifon, Robert C Brunham, Jonathan Dushoff, Sang Woo Park, Sanjana Rawat, Caroline E Cameron
BACKGROUND AND HYPOTHESIS: Recently, the world has experienced a rapidly escalating outbreak of infectious syphilis primarily affecting men who have sex with men (MSM); many are taking highly active antiretroviral therapy (HAART) for HIV-1 infection. The prevailing hypothesis is that HAART availability and effectiveness have led to the perception among both individuals who are HIV-1 infected and those who are uninfected that HIV-1 transmission has become much less likely, and the effects of HIV-1 infection less deadly...
January 16, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28093459/syphilis-and-hiv-is-haart-at-the-heart-of-this-epidemic
#19
EDITORIAL
Susan Tuddenham, Maunank Shah, Khalil G Ghanem
No abstract text is available yet for this article.
January 16, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28082662/sustained-effect-of-couples-hiv-counselling-and-testing-on-risk-reduction-among-zambian-hiv-serodiscordant-couples
#20
Kristin M Wall, William Kilembe, Bellington Vwalika, Lisa B Haddad, Shabir Lakhi, Udodirim Onwubiko, Naw Htee Khu, Ilene Brill, Roy Chavuma, Cheswa Vwalika, Lawrence Mwananyanda, Elwyn Chomba, Joseph Mulenga, Amanda Tichacek, Susan Allen
BACKGROUND: We present temporal trends in self-reported and biological markers of unprotected sex and sex with concurrent partners in discordant couples receiving couples' voluntary HIV counselling and testing (CVCT). METHODS: Heterosexual Zambian HIV-serodiscordant couples were enrolled into longitudinal follow-up in an open cohort (1994-2012). Multivariable Anderson-Gill models explored predictors of self-report and biological indicators of unprotected sex within (including sperm on a vaginal swab, incident pregnancy or incident linked HIV infection) and outside (including self-report, STI and unlinked HIV infection) the union...
January 12, 2017: Sexually Transmitted Infections
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