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Epidemiological treatment of chlamydia co-infection in MSM with a presumptive diagnosis of urethral gonorrhea in South Australia – Should we or shouldn’t we?

Epidemiological treatment of chlamydia co-infection in MSM with a presumptive diagnosis of urethral gonorrhea in South Australia – Should we or shouldn’t we?

A retrospective review of case notes data, analyzed for NG and CT co-infection in male patients was made over a 10 – year period from 2001 – 2010.The sites of NG and CT co-infection were analyzed. GC was confirmed by culture, CT by PCR. Data analysis was performed using STATA (version 10)
Over the study period the proportion of heterosexual males who were Gonococcal smear positive and found to have Chlamydia infection was 33/274 (12%) CI 8.4% – 16.5%. The proportion of MSM who were Gonococcal smear positive and found to have Chlamydia infection was 22/207 (13.4%) CI 9 – 18.8%. The numbers of heterosexual males and MSM with co-infection at different sites will also be presented.
Based on this study, the current guidelines at our Clinic were changed such that all MSM with a presumptive diagnosis of NG infection (made on gram stain) and treated, should also be given epidemiological treatment for Chlamydia infection as their heterosexual counterparts.

Speakers: Dr. Carole Khaw
Conference: AChSHM

RACP Sexual Health Medicine 2013

Gay men prefer partner notification by short message service (SMS) rather than e-postcards: a web-based evaluation

In 2006 two new innovative features were added to the WhyTest website; the ‘Tell them’ service allowing visitors to forward anonymous e-postcard or short message services (SMS) to sexual partners who may have been exposed to an STI, and the ‘remind me’ service allowing visitors to register for a 3, 6 or 12 monthly SMS reminder for a sexual health check. We describe the usage of the new website functionality, and recognition of a health promotion campaign conducted in January-June 2007 to promote these new features.

SMS reminders increase re-testing for repeat chlamydial infection in heterosexuals at a sexual health clinic

Repeat infection with Chlamydia trachomatis is common. If left untreated it can lead to onward transmission and in females it increases the risk of pelvic inflammatory disease by four-fold. In late 2008, Sydney Sexual Health Centre implemented a reminder system using short message service (SMS) to improve re-testing rates following treatment of chlamydial infection. Clinicians were advised to set up SMS reminders to be sent out at 3 months after the visit. We compared the frequency of re-screening within 1-4 months of the initial infection in women and heterosexual men who received the SMS in the 12 month period of January-December 2009 (intervention group) to a 18-month period before the SMS was introduced (historical control group) using a Chi-square test, and multivariate regression.

Download to Diagnosis: Reinforcing the Net - Testing for Chlamydia one year on.

Western Australia’s (WA) Online Chlamydia Program was launched in February 2010 as a case-finding vehicle aimed to address increasing rates of genital Chlamydia trachomatis (CT). The free test can be accessed via two websites (http://www.getthefacts.health.wa.gov.au & http:// www.couldihaveit.com.au). Participants must be 16 years or older, have a mobile telephone, access to a computer with printer and the ability to visit a PathWest specimen collection site. Specimens are tested for both chlamydia and gonorrhoea. All results are faxed to Fremantle’s B2 sexual Health Clinic. Positive results are actioned, negative results are available via a toll-free number.

Client feedback and satisfaction with an express STI screening service at an inner city sexual health centre

Sydney Sexual Health Centre (SSHC) commenced an express STI clinic (Xpress) for asymptomatic clients in March 2010, utilising CASI and self-collected samples. Client feedback and satisfaction was assessed over 6 months and comparisons made between priority groups. This was a cross sectional study questionnaire. Results were stratified by gender, MSM status, age (<25/>25) and sex work.

The CaddyShack Project: overcoming barriers in access to Chlamydia screening for young people

The concerning high prevalence of Chlamydia within the population of young people aged 16 – 25 in Australia has been well established. Creative strategies are required to overcome barriers to screening for this population, as improved screening rates will promote better understanding and management of this condition. Various initiatives have been designed to increase access to screening for young people, from awareness and education campaigns, to mail out home testing kits. Many initiatives have had limited success in overcoming inherent barriers to testing for this important population.

Improved partner notification through a web-based partner notification service: Let Them Know

Websites that assist individuals infected with an STI to contact their sexual partners using SMS and email have been established, but few have published data that demonstrate their effectiveness in enhancing notification of partners. In March 2010, the 'Let Them Know' website www.letthemknow.org.au - was expanded to support individuals diagnosed with one of five STIs to notify their partners. We undertook an evaluation of the service including feedback received by users.

Oropharyngeal carcinoma related to human papillomavirus

Human papillomavirus (HPV) induced oropharyngeal squamous cell carcinoma is a unique subtype of oropharyngeal cancer. It has a significantly better prognosis than that caused by tobacco and/ or alcohol. The incidence of HPV related oropharyngeal cancer is raising in the western countries.