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https://www.readbyqxmd.com/read/28721112/current-perspectives-in-the-usa-on-the-diagnosis-and-treatment-of-pelvic-inflammatory-disease-in-adolescents
#1
REVIEW
William L Risser, Jan M Risser, Amanda L Risser
In this review, the epidemiology, diagnosis, and treatment of pelvic inflammatory disease (PID) are discussed from a USA perspective and the difficulties that USA adolescents face in recognizing and seeking care for PID and other sexually transmitted infections (STIs) are emphasized. Females aged 15-24 years have the highest incidence of cervical infection with Chlamydia trachomatis and Neisseria gonorrheae, the principal causes of PID. PID is common in this age group. However, the incidence of PID in the USA is not known, because it is not a reportable disease, and because clinicians vary in the criteria used for the diagnosis...
2017: Adolescent Health, Medicine and Therapeutics
https://www.readbyqxmd.com/read/28720106/caretaker-adolescent-communication-on-sexual-and-reproductive-health-a-cross-sectional-study-in-unguja-tanzania-zanzibar
#2
Saada A Seif, Thecla W Kohi, Candida S Moshiro
BACKGROUND: Caretakers/parents/caregivers/guardians play important roles in improving Sexual and Reproductive Health (SRH) of adolescents. Caretaker-adolescent sexual communication suggested to influence young people's sexual behaviours. Despite this significance, the communication is believed to be low in Unguja due to the increase of risky sexual behaviours among adolescents. This study assessed the pattern of such communication using IMB model as a framework. METHODS: This is a cross-sectional study targeted caretakers of adolescents aged 15-19...
July 18, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28716795/the-magnitude-of-and-factors-associated-with-loss-to-follow-up-among-patients-treated-for-sexually-transmitted-infections-a-multilevel-analysis
#3
Mache Tsadik, Yemane Berhane, Alemayehu Worku, Wondwossen Terefe
OBJECTIVES: The loss to follow-up (LTFU) among patients attending care for sexually transmitted infections (STIs) in Sub-Saharan Africa is a major barrier to achieving the goals of the STI prevention and control programme. The objective of this study was to investigate individual- and facility-level factors associated with LTFU among patients treated for STIs in Ethiopia. METHODS: A prospective cohort study was conducted among patients attending care for STIs in selected facilities from January to June 2015 in the Tigray region of Ethiopia...
July 17, 2017: BMJ Open
https://www.readbyqxmd.com/read/28716771/an-intervention-using-gamification-to-increase-human-immunodeficiency-virus-and-sexually-transmitted-infection-screening-among-young-men-who-have-sex-with-men-in-california-rationale-and-design-of-stick-to-it
#4
Christopher M Mejia, Daniel Acland, Raluca Buzdugan, Reva Grimball, Lauren Natoli, Mark R McGrath, Jeffrey D Klausner, Sandra I McCoy
BACKGROUND: In the United States, young men who have sex with men (YMSM) remain disproportionately affected by human immunodeficiency virus (HIV) and other sexually transmitted infections (STIs). Although routine HIV/STI screening is pivotal to the timely diagnosis of HIV and STIs, initiation of appropriate treatment, and reduced onward disease transmission, repeat screening is underused. Novel interventions that incorporate elements of games, an approach known as gamification, have the potential to increase routinization of HIV/STI screening among YMSM...
July 17, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28707101/the-use-of-acog-guidelines-perceived-contraindications-to-iud-and-implant-use-among-family-planning-providers
#5
Ash E Philliber, Heather Hirsch, Claire D Brindis, Rita Turner, Susan Philliber
Objectives The uptake and actual use of the current guidelines from the American College of Obstetrics and Gynecology (ACOG) is unknown. Methods Family planning providers across Colorado and Iowa were surveyed as part of statewide initiatives to reduce unintended pregnancy in 2010 and 2012, both before and after the release of the guidelines. These initiatives focused on the promotion of intrauterine devices (IUDs) and implants. These surveys included questions on providers' views regarding the suitability and safety of the copper T IUD, hormonal IUD, and single rod implant for various subgroups of clients...
July 13, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28703726/motherhood-and-risk-for-human-immunodeficiency-virus-sexually-transmitted-infections-among-female-sex-workers-in-the-mexico-us-border-region
#6
Argentina E Servin, Elizabeth Reed, Kimberly C Brouwer, Carlos Magis-Rodriguez, Sabrina Boyce, Steffanie A Strathdee, Jay G Silverman
BACKGROUND: Globally, female sex workers (FSWs) have been identified as a high-risk group for human immunodeficiency virus (HIV) and sexually transmitted infections (STIs). However, as women of reproductive age, FSWs also have children. Few studies have investigated if financial responsibilities associated with motherhood increase women's vulnerability to HIV and STIs among FSWs. METHODS: From March 2013 to March 2014, 603 FSWs aged ≥18 years were recruited from Tijuana and Ciudad Juarez (Mexico) to participate in a study assessing HIV/STI risk environments...
August 2017: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/28701272/sexually-transmitted-infections-challenges-ahead
#7
REVIEW
Magnus Unemo, Catriona S Bradshaw, Jane S Hocking, Henry J C de Vries, Suzanna C Francis, David Mabey, Jeanne M Marrazzo, Gerard J B Sonder, Jane R Schwebke, Elske Hoornenborg, Rosanna W Peeling, Susan S Philip, Nicola Low, Christopher K Fairley
WHO estimated that nearly 1 million people become infected every day with any of four curable sexually transmitted infections (STIs): chlamydia, gonorrhoea, syphilis, and trichomoniasis. Despite their high global incidence, STIs remain a neglected area of research. In this Commission, we have prioritised five areas that represent particular challenges in STI treatment and control. Chlamydia remains the most commonly diagnosed bacterial STI in high-income countries despite widespread testing recommendations, sensitive and specific non-invasive testing techniques, and cheap effective therapy...
July 7, 2017: Lancet Infectious Diseases
https://www.readbyqxmd.com/read/28700394/medication-adherence-condom-use-and-sexually-transmitted-infections-in-australian-preexposure-prophylaxis-users
#8
Luxi Lal, Jennifer Audsley, Dean A Murphy, Christopher K Fairley, Mark Stoove, Norm Roth, Richard Moore, Ban K Tee, Nalagafiar Puratmaja, Peter L Anderson, David Leslie, Robert M Grant, John De Wit, Edwina Wright
OBJECTIVE: HIV preexposure prophylaxis (PrEP) decreases risk of HIV acquisition; however, its efficacy is closely dependent on adherence. There is also concern that the preventive effect of PrEP may be offset by risk compensation, notably an increase in condomless anal sex. DESIGN: Multisite, open-label demonstration study that recruited people at current or recent risk of HIV infection in Melbourne, Australia. METHODS: Participants were recruited from three general practice clinics and one sexual health clinic in Melbourne and consented to take daily tenofovir/emtricitabine (TFV/FTC) for 30 months...
July 31, 2017: AIDS
https://www.readbyqxmd.com/read/28698334/a-randomised-controlled-trial-to-evaluate-the-impact-of-sexual-health-clinic-based-automated-text-message-reminders-on-testing-of-hiv-and-other-sexually-transmitted-infections-in-men-who-have-sex-with-men-in-china-protocol-for-the-t2t-study
#9
Huachun Zou, Xiaojun Meng, Andrew Grulich, Shujie Huang, Tianjian Jia, Xuan Zhang, Zhenzhou Luo, Yi Ding, Ligang Yang, Jinmei Han, Weiying Chen, Heping Zheng, Bin Yang
INTRODUCTION: The frequency of screening for HIV and other sexually transmitted infections (STIs) among men who have sex with men (MSM) is still low in China. METHODS AND ANALYSIS: A sexual health clinic based randomised controlled trial will be conducted in Guangzhou, Wuxi and Shenzhen, China, enrolling 600 MSM. Eligibility will be judged by the pre-programed iPad based questionnaire: (1) age ≥18 years and (2) have had two or more male anal sex partners, or condomless anal sex with a casual male sex partner, or an STI history, in the past 6 months, and (3) provides a valid mobile phone number...
July 10, 2017: BMJ Open
https://www.readbyqxmd.com/read/28697679/increased-synthetic-drug-abuse-and-trends-in-hiv-and-syphilis-prevalence-among-female-drug-users-from-2010-2014-from-beijing-china
#10
Yanming Sun, Wei Guo, Guiying Li, Shufang He, Hongyan Lu
The objective of this study was to monitor the trend of addiction drug use and its relationship with sexually transmitted infections (STIs) among female drug users (FDUs). Serial cross-sectional surveys were conducted during 2010-2014 among FDUs in Beijing to collect information on addiction drug usage, sexual behaviors, and STI prevalence. Characteristics were analyzed and compared between traditional and synthetic drug users among FDUs by logistic regression method. A total of 3859 FDUs were surveyed during 2010-2014, with the median age being 32...
January 1, 2017: International Journal of STD & AIDS
https://www.readbyqxmd.com/read/28696858/enhancing-the-science-of-discovery-in-public-health-systems-and-services-research-through-participatory-research-methods
#11
William C Livingood, Lori A Bilello, Ulyee Choe, Katryne Lukens-Bull
The objective was to combine cost analysis and participatory research to identify actionable cost-saving opportunities in public health services for sexually transmitted infections (STI). This study used a mixed-methods approach of analyzing Florida public health data, combined with participatory research approaches to data collection including quantitative web-based surveys, qualitative in-depth interviews, and group discussions. Florida surveillance and administrative data on STIs and county health department (CHD) costs of services for 2012 were analyzed in addition to primary data collected from all Florida CHDs during 2014 and 2015...
July 11, 2017: Population Health Management
https://www.readbyqxmd.com/read/28692536/asymptomatic-anorectal-chlamydia-trachomatis-and-neisseria-gonorrhoeae-infections-are-associated-with-systemic-cd8-t-cell-activation
#12
Vinicius A Vieira, Vivian I Avelino-Silva, Natalia B Cerqueira, Dayane A Costa, Priscilla R Costa, Ricardo P Vasconcelos, Valdez R Madruga, Ronaldo Ismério Moreira, Brenda Hoagland, Valdiléa G Veloso, Beatriz Grinsztejn, Esper G Kallás
BACKGROUND: Oral pre-exposure prophylaxis (PrEP) has been established as a pivotal strategy in HIV prevention. However, bacterial sexually transmitted infections (STIs), such as Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG), are also highly prevalent. Although the presence of STI-related mucosal lesions is a known risk factor for HIV acquisition, the potential increase in risk associated with asymptomatic STIs is not completely understood. Recent data demonstrated higher T cell activation is a risk factor for sexually acquired HIV-1 infection...
July 7, 2017: AIDS
https://www.readbyqxmd.com/read/28684610/rapid-accurate-point-of-care-tests-combining-diagnostics-and-antimicrobial-resistance-prediction-for-neisseria-gonorrhoeae-and-mycoplasma-genitalium
#13
Syed Tariq Sadiq, Fulvia Mazzaferri, Magnus Unemo
In addition to inadequate access to early diagnosis and treatment with antimicrobial agents for patients and sexual contacts, management and control of STIs is significantly challenged by emergence and spread of antimicrobial resistance (AMR), particularly for STIs such as Neisseria gonorrhoeae and Mycoplasma genitalium This is further compounded by use of nucleic acid amplification techniques for diagnosis, resulting in reduced phenotypic AMR testing for N. gonorrhoeae and absence or suboptimal AMR surveillance for guiding treatment of both STIs in many settings...
July 6, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28683744/understanding-sexual-healthcare-seeking-behaviour-why-a-broader-research-perspective-is-needed
#14
Fiona Mapp, Kaye Wellings, Ford Hickson, Catherine H Mercer
BACKGROUND: Despite effective and accessible treatments, many sexually transmitted infections (STIs) in high-income countries go untreated, causing poor sexual health for individuals and their partners. Research into STI care has tended to focus on biomedical aspects of infections using patient samples and prioritised attendance at healthcare services. This approach overlooks the broader social context of STIs and healthcare-seeking behaviours, which are important to better understand the issue of untreated infections...
July 6, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28681823/comparative-analysis-of-syndromic-case-management-and-polymerase-chain-reaction-based-diagnostic-assays-for-treatment-of-neisseria-gonorrhoeae-chlamydia-trachomatis-and-genital-mycoplasmas-in-patients-of-genitourinary-discharge
#15
Nazneen Arif, Sujeesh Sebastian, Neena Khanna, Seema Sood, Benu Dhawan
To respond to the situation of high prevalence and need for effective treatment for sexually transmitted infections (STIs) in low-resource settings, syndromic diagnostic approach was recommended by the World Health Organization and was adopted by National AIDS Control Organization at the primary health centre level. A retrospective study was undertaken in symptomatic patients attending an STI clinic to validate the syndromic approach for genitourinary discharge syndrome. For aetiological diagnosis, culture and/or polymerase chain reaction was used...
April 2017: Indian Journal of Medical Microbiology
https://www.readbyqxmd.com/read/28679630/condomless-sex-in-hiv-diagnosed-men-who-have-sex-with-men-in-the-uk-prevalence-correlates-and-implications-for-hiv-transmission
#16
Marina Daskalopoulou, Alison J Rodger, Andrew N Phillips, Lorraine Sherr, Jonathan Elford, Jeffrey McDonnell, Simon Edwards, Nicky Perry, Ed Wilkins, Simon Collins, Anne M Johnson, William J Burman, Andrew Speakman, Fiona C Lampe
OBJECTIVE: HIV transmission is ongoing among men who have sex with men (MSM) in the UK. Sex without a condom (condomless sex, CLS) is the main risk factor. We investigated the prevalence of and factors associated with types of CLS. METHODS: Cross-sectional questionnaire study in UK HIV clinics in 2011/2012 (ASTRA). MSM diagnosed with HIV for ≥3 months reported on anal and vaginal sex, CLS with HIV-serodifferent partners (CLS-D) and CLS with HIV-seroconcordant (CLS-C) partners in the previous 3 months...
July 5, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28679521/use-of-nucleic-acid-amplification-testing-for-the-diagnosis-of-extragenital-sexually-transmitted-infections-naat-detection-of-stis-in-rectal-and-pharyngeal-swabs
#17
Lisa A Cosentino, Claire S Danby, Lorna K Rabe, Ingrid Macio, Leslie A Meyn, Harold C Wiesenfeld, Sharon L Hillier
Nucleic acid amplification testing (NAAT) is the preferred method to detect Chlamydia trachomatis and Neisseria gonorrhoeae, but no commercial tests are cleared by the US Food and Drug Administration for use with extragenital swab samples. This study evaluated the performance of Gen-Probe Aptima® Combo2 assay (Aptima) and the Cepheid Xpert® CT/NG assay (Xpert) to detect C.trachomatis and N. gonorrhoeae in rectal and pharyngeal samples from 224 men and 175 women reporting a history of anal receptive sexual intercourse...
July 5, 2017: Journal of Clinical Microbiology
https://www.readbyqxmd.com/read/28671779/-sexually-transmitted-infections-in-emergency-setting
#18
Dominique Schwab, Frank Bally, Florence Selz Amaudruz
The emergency room is a stressful environment with poor privacy. Even so, sexually transmitted infections (STIs) need to be handled in such a setting. Some STIs can hide behind common clinical pictures. Signs and symptoms of acute retroviral syndrome, other STIs as well as the initiation of postexposure prophylaxis (PEP) need to be known and managed by an emergency physician and are discussed in this article.
August 10, 2016: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28669325/assessing-association-between-iwantthekit-risk-quiz-tool-and-sexually-transmitted-infection-positivity-in-male-users-for-sexually-transmitted-infection-screening
#19
Anuj V Patel, Charlotte A Gaydos, Mary Jett-Goheen, Mathilda Barnes, Laura Dize, Perry Barnes, Yu-Hsiang Hsieh
Our previous pilot study during 2010-2013, based on the IWantTheKit (IWTK) home self-collection program for sexually transmitted infections (STIs), showed that voluntary risk score tool predicted STIs well in female volunteers compared to their male counterparts. Risk score became a required part of the IWTK program in August 2013. We investigated association of IWTK risk score and presence of STI in 592 male participants living in Maryland and Washington DC from August 2013 to April 2015. The risk score quiz includes questions on demographic and sexual risk behavior...
January 1, 2017: International Journal of STD & AIDS
https://www.readbyqxmd.com/read/28668360/reproductive-coercion-in-high-school-aged-girls-associations-with-reproductive-health-risk-and-intimate-partner-violence
#20
Jennifer L Northridge, Ellen J Silver, Hina J Talib, Susan M Coupey
STUDY OBJECTIVE: To determine the prevalence of reproductive coercion, a form of intimate partner violence (IPV) including contraceptive sabotage and pregnancy pressure, among urban high-school-aged girls and to examine its associations with reproductive health risks. DESIGN: and Setting: A self-administered survey completed by high-school-aged girls living in high-poverty neighborhoods while awaiting medical care in a pediatric emergency room, inpatient service, school-based and hospital-based clinics...
June 28, 2017: Journal of Pediatric and Adolescent Gynecology
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