scholarly journals The eSexual Health Clinic system for management, prevention, and control of sexually transmitted infections: exploratory studies in people testing for Chlamydia trachomatis

2017 ◽  
Vol 2 (4) ◽  
pp. e182-e190 ◽  
Author(s):  
Claudia S Estcourt ◽  
Jo Gibbs ◽  
Lorna J Sutcliffe ◽  
Voula Gkatzidou ◽  
Laura Tickle ◽  
...  
2020 ◽  
Author(s):  
Han Chunxia ◽  
Ai Zisheng

Abstract Background Sexually transmitted infections (STIs) are mainly transmitted by sexual contact or similar sexual contact, which can cause diseases of genitourinary organs ,accessory lymphatic system and major organs of the whole body. STIs include clinically symptomatic diseases and asymptomatic infections. The World Health Organization (WHO) reports that More than 1 million sexually transmitted infections (STIs) are acquired every day worldwide.By analyzing the temporal trend of the sexually transmitted infections incidence in China in the past 20 years, we can provide a scientific basis for the further development of prevention and control measures related to sexually transmitted infections. Methods Joinpoint regression model is used to fit the incidence data of three sexually transmitted diseases in China from 1999 to 2018. Annual percentage change (APC) and Average annual percentage Change (AAPC) are calculated to evaluate the temporal trend changes of the incidence of three major sexually transmitted diseases. Results The overall incidence of AIDS/HIV has been on the rise for 20 years, rising by an average of 33.7% per year (P < 0.05). The most obvious increase is in 2002–2005, an average annual increase of 102.5%. The overall incidence of gonorrhea is on a downward trend, decreasing by 4.9% per year on average (P < 0.05).However, its incidence shows a slow rising trend from 2012 to 2018, with an average annual increase of 6.0%. The overall incidence of syphilis is also on the rise, increasing by an average of 9.1% per year (P < 0.05). Except 1999–2003, the incidence of syphilis shows a downward trend, and the other time stages shows a significant upward trend. Conclusions In the past 20 years, the corresponding measures have been taken in China for sexually transmitted infections and achieved remarkable results, but the three major sexually transmitted infections are still in the forefront of the reported notifiable infectious diseases incidence in China. At the same time, all sexually transmitted infections are beginning to shift from high-risk population to the general population, especially adolescents and the floating population.Therefore, China should still pay more attention to the prevention and control of STIs to hold back their further spread or epidemic.


2020 ◽  
Author(s):  
Han Chunxia ◽  
Ai Zisheng

Abstract Background:The aim of our study was to analyze the trend changes and region distribution changes of three sexually transmitted infections (STIs) in China and provided a scientific basis for the government to make prevention and control measures.Methods:This study used Joinpoint regression model to fit the morbidity data of three STIs in China from 1999 to 2018. Annual percentage change (APC) and Average annual percentage Change (AAPC) were calculated to evaluate the trend changes of three STIs. We also used hierarchical clustering analysis to analyze the region distribution of three STIs in China from 2003-2018.Results :We analyzed the morbidity data of three STIs in 1999-2018 derived from China Health Statistics Yearbook. The final model of AIDS was the 3 Joinpoint model (P = 0.01) with an annual average percent change (AAPC) of 33.7 (95% CI: 26.1-41.8, P < 0.001). The final model of gonorrhea was the 1 Joinpoint model (P= 0.0025) with an annual average percent change (AAPC) of -4.9 (95% CI: -6.2- -3.6, P < 0.001). The final model of gonorrhea was the 1 Joinpoint model (P < 0.05) with an annual average percent change (AAPC) of 9.1 (95% CI:6.9-11.4, P < 0.001). The region distribution of the morbidity of three STIs mainly concentrated in the southeast coastal areas and Xinjiang, other areas showed low epidemic levels.Conclusions: In a word, the morbidity of three STIs in China is still increasing slowly, the form of prevention and control for STIs is still very severe, especially in coastal provinces and Xinjiang. Therefore, it is necessary to actively popularize knowledge related to STIDs, and carry out large-scale peer education, further reduce epidemic of sexually transmitted infections in China.


2004 ◽  
Vol 39 (4) ◽  
pp. 533-538 ◽  
Author(s):  
A. S. M. Abdullah ◽  
S. H. Ebrahim ◽  
R. Fielding ◽  
D. E. Morisky

2019 ◽  
Vol 77 (3) ◽  
pp. 233-238 ◽  
Author(s):  
Catarina Soares Queirós ◽  
João Borges da Costa

The global burden of sexually transmitted infections remains high, with significant associated morbidity and mortality. Gonorrhea is the second most notified sexually transmitted infection in Europe, and its incidence has been increasing in the last years. Although traditionally considered a treatable infection, antimicrobial resistance of Neisseria gonorrhoeaeincludes at present also macrolides, tetracyclines, sulfonamides and trimethoprim combinations, quinolones, and even cephalosporins. These high levels of gonococcal resistance to antimicrobials resulting in untreatable infections in the future may become one of the greatest challenges to the prevention and control of sexually transmitted infections, which may be a significant major public health issue. Therefore, the development of novel antimicrobials and/or new dual antimicrobial therapy regimens is urgently needed. In this paper, evolution of antimicrobial resistance of Neisseria gonorrhoeae is reviewed, along with new drugs currently under development for the treatment of this infection.


2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Nazmul Alam ◽  
Anadil Alam ◽  
Pierre Fournier

This study used a quasi-experimental pre-post design to test whether short training can improve medicine sellers’ (MSs) practices and skills for prevention and control of sexually transmitted infections (STIs) in Bangladesh. The training included lectures, printed materials, and identification of referral sites. Difference-in-differences estimation was used to determine the effects of intervention on key primary and secondary outcomes. Advice given by the MSs in intervention group for partner treatment and condoms use increased significantly by 11% and 9%, respectively, after adjusting for baseline differences in education, religion, age, duration of training, and study site. Referral of clients to qualified service providers increased by 5% in the intervention group compared to the comparison group, but this change was not found to be statistically significant. Significantly higher proportion of MSs in the intervention group recognized the recommended medications as per the national syndromic management guidelines in Bangladesh for treatment of urethral discharge and genital ulcer symptoms. Short training intervention was found to be effective in improving MSs’ practice of promoting condom use and partner treatment to the clients. We anticipate the need for broad based training programs of MSs to improve their skills for the prevention and control of STI/HIV in Bangladesh.


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