Searching videos
Please Sign In or Create an account
A laboratory network for sentinel surveillance of chlamydia: Results after 2 years of the ACCESS laboratory network (2008-2009)

A laboratory network for sentinel surveillance of chlamydia: Results after 2 years of the ACCESS laboratory network (2008-2009)

All Australian diagnostic laboratories testing for chlamydia were invited to participate. Data was collected from 15 large laboratories (4 private and 11 public) representing five jurisdictions, between 2008 and 2009. Laboratories extracted demographic and chlamydia testing data from their information systems which were de-identified with a non-reversible unique code using GRHANITE® software. We describe testing rates and the proportion positive (positivity) by patient demographic characteristics.
A total of 416,996 test results were collated; 69% (288,671) were in 16-29 year olds; 210,405 (73%) were women and 78,266 (27%) men. Chlamydia positivity was higher in 16-29 year old men (11.5%, (95%CI:11.3-11.8) than women (7.6%,95%CI:7.4-7.7). Chlamydia positivity declined steadily as age increased for both women and men; positivity rates among women aged 16-19, 20-24 and 25-29 years were 11.7%, 7.9% and 4.4%, respectively, and positivity rates among men aged 16-19, 20-24 and 25-29 years were 14.4%, 12.9% and 8.8%, respectively.

The ACCESS Laboratory Network successfully implemented the first national laboratory-based sentinel surveillance system for chlamydia, representing 50-70% of total testing by integrating public and private laboratory data. The findings show more women than men are being tested, high positivity rates, and positivity declines as age increases highlighting the need for strategies to increase testing among young people, particularly men. The ACCESS Laboratory Network provides a platform for potential expansion to other sexually transmissible infections to inform and evaluate prevention initiatives.

Areas of Interest / Categories: Australasian Sexual Health Conference 2011

Australasian Sexual Health Conference 2011

Current Medical Treatment of Premature Ejaculation

Over the past 20-30 years, the Premature Ejaculation (PE) treatment paradigm, previously limited to behavioural psychotherapy, has expanded to include drug treatment. Animal and human sexual psychopharmacological studies have demonstrated that serotonin and 5-HT receptors are involved in ejaculation and confirm a role for SSRIs in the treatment of PE. Multiple well-controlled evidence-based studies have demonstrated the efficacy and safety of SSRIs in delaying ejaculation, confirming their role as first-line agents for the medical treatment of lifelong and acquired PE. Daily dosing of SSRIs is associated with superior fold increases in IELT compared to on-demand SSRIs.

The importance of mobility in sustaining high STI prevalence in remote indigenous communities

Despite high rates of screening and treatment in many remote Indigenous communities in Australia, diagnosis rates for sexually transmitted infections (STI), chlamydia and gonorrhoea in particular, remain alarmingly high. One contributing factor may be the high rate of temporary mobility for residents of remote communities. We use mathematical modelling to explore the impact of mobility on STI transmission within remote communities.

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.

Lighting the fire, not filling the pail - positioning sexuality in the Australian curriculum

This symposium presentation will discuss conceptual approaches to how processes underway to develop the Australian Curriculum might link to improved sexual health outcomes. It will also explore the assumptions underpinning the ‘partnership’ between health and education sectors to uncover both the opportunities and the pitfalls for those who want to promote young people’s learning. 

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.

High chlamydia prevalence found among young Australian men and women - results from the Australian Chlamydia Control Effectiveness Pilot (ACCEPt).

ACCEPt is a multi-state cluster randomised trial that aims to increase annual chlamydia testing in 16-29 year olds attending general practice. 54 postcodes (80% in rural areas) are being randomised to a multi-faceted intervention and GP clinics within each postcode enrolled. The primary outcome is change in chlamydia prevalence, and a prevalence study is being conducted at the beginning and end of the trial. We report on the findings of the baseline prevalence study.

Surgical Aspects of Transgender Medicine

Surgery for gender dysphoria was not routinely available prior to the 80’s, surgery and psychiatry having had an unhappy liaison. While gender dysphoria is DSM classified it’s not because it is deemed to be an illness, rather than to give guidelines as to establishing a diagnosis, and surgery is now deemed to be an appropriate activity.

Recently Added

Responding to the needs of consumers with complex trauma histories a consumer perspective Copy

This presentation, "Responding to the needs of consumers with complex trauma histories a consumer perspective" focuses on the needs of adult survivors of child abuse, highlighting the frequent

Defining the concept of spirituality among Filipino counselors and clients.

Sport and physical activity in the treatment of refugee trauma survivors of torture and trauma

Community acceptance of refugees in a new refugee resettlement location, Armidale, NSW

Theme and Variations: The way the Complex Traumatic past becomes the Complex Traumatic present

Long walk to health: Working with the survivors of refugee trauma with a history of early childhood abuse

Limits in Neurofeedback Rehabilitation: What we need to know