Do all women attending urban sexual health services need testing for gonorrhoea?

Sexual Health ◽  
2005 ◽  
Vol 2 (4) ◽  
pp. 259 ◽  
Author(s):  
Tim R. H. Read ◽  
Marcus Y. Chen ◽  
Catriona S. Bradshaw ◽  
Sriyakantha Beneragama ◽  
Christopher K. Fairley
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Sexual Health ◽  
Medical Records ◽  
Health Centre ◽  
Identifiable Risk Factor ◽  
Health Centres ◽  
Health Services Need ◽  
Low Prevalence ◽  
Asymptomatic Women

Asymptomatic women are often screened for gonorrhoea at Australian sexual health centres. The medical records of all women diagnosed with gonorrhoea at the Melbourne Sexual Health Centre (MSHC) between January 2002 and December 2003 were audited and the database was examined for risk factors in all women tested in 2003. Fifteen cases of gonorrhoea were identified among women at MSHC, all had symptoms or an identifiable risk factor. Asymptomatic women without risk factors may not require screening for Neisseria gonorrhoeae in low prevalence populations.

scholarly journals Risk factors for urethral gonorrhoea infection among heterosexual males in Melbourne, Australia: 2007–17

Sexual Health ◽  
2019 ◽  
Vol 16 (5) ◽  
pp. 508 ◽  
Author(s):  
Tiffany R. Phillips ◽  
Christopher K. Fairley ◽  
Marcus Y. Chen ◽  
Catriona S. Bradshaw ◽  
Eric P. F. Chow
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Odds Ratio ◽  
Health Centre ◽  
Significant Risk ◽  
Significant Risk Factor ◽  
The Past ◽  
High Prevalence ◽  
Low Prevalence ◽  
Over Time

Background Since 2014 there has been an increase in gonorrhoea among heterosexuals in Australia. Sex with a partner from a country with high gonorrhoea prevalence has been identified as a risk factor for gonorrhoea in heterosexual females, but risk factors for heterosexual males remain unclear. This study determined risk factors for gonorrhoea among heterosexual males. Methods: Retrospective analysis was performed among heterosexual males attending Melbourne Sexual Health Centre (MSHC) between 1 January 2007 and 31 December 2017. Countries for overseas sexual partners were stratified as high-prevalence countries (HPC) or low-prevalence countries (LPC) based on the incidence of gonorrhoea. Results: The annual gonorrhoea positivity increased from 0.72% in 2007 to 1.33% in 2017 (Ptrend <0.001). Males attending MSHC as a contact of gonorrhoea had the highest odds of testing positive (adjusted odds ratio (aOR) 7.46; 95% confidence interval (CI) 4.46–12.49), followed by males identifying as Aboriginal and Torres Strait Islander (aOR 2.57; 95% CI 1.30–5.09), males who had injected drugs in the past 12 months (aOR 2.44; 95% CI 1.39–4.30) and males who had sex with a female from an HPC (aOR 2.18; 95% CI 1.77–2.68). Males aged ≥35 were at higher risk than those aged ≤24 years (aOR 1.44; 95% CI 1.14–1.82). Gonorrhoea positivity increased among males who had sex with females from an LPC (from 0.60% to 1.33%; Ptrend = 0.004) but remained the same over time among males who had sex with females from an HPC (2.14%; Ptrend = 0.143). Conclusions: There was an 80% increase in urethral gonorrhoea among heterosexual males between 2007 and 2017. Having sex with a female from an HPC is a significant risk factor for gonorrhoea. Gonorrhoea positivity among men having sex with a female from an HPC did not change over time, suggesting this risk factor has become less important.

Neisseria gonorrhoeae infection in urban Sydney women: prevalence and predictors

Sexual Health ◽  
2009 ◽  
Vol 6 (3) ◽  
pp. 241 ◽  
Author(s):  
Paula McDonagh ◽  
Nathan Ryder ◽  
Anna M. McNulty ◽  
Eleanor Freedman
Keyword(s):  
Sexual Health ◽  
Case Control Study ◽  
Health Centre ◽  
Case Control ◽  
Nucleic Acid Amplification ◽  
Health Clinic ◽  
Notification Rate ◽  
Low Prevalence ◽  
Asymptomatic Women ◽  
Control Study

Background: The notification rate of female gonorrhoea in urban Sydney is very low. With the increasing use of nucleic acid amplification tests (NAAT), demonstrating a low prevalence of gonorrhoea in women would have important implications for the reliability of positive results. We determined the prevalence of female cervical gonorrhoea in our urban sexual health clinic and identified associated clinical, behavioural and demographic variables that may allow more targeted screening practices. Methods: The Sydney Sexual Health Centre database was used to identify women tested for cervical gonorrhoea between 1997 and 2007. Diagnostic, demographic and behavioural information were extracted to ascertain the prevalence of gonorrhoea and describe variables associated with infection. Additionally, a case control study was conducted of cervical gonorrhoea cases from January 2000 to December 2005, with two gonorrhoea negative women selected for each case as controls. A blinded researcher examined each medical record to determine genital symptoms, being a contact of gonorrhoea, sex work, sex outside of Australia, injecting drug use. Results: Between 1997 and 2007, 77 women were diagnosed with cervical gonorrhoea, a prevalence of 0.37%. Results of the case control study reveal that women with gonorrhoea were more likely to be symptomatic [odds ratio (OR) 3.7, 95% confidence interval (CI) 1.7–8.4], be a known contact of gonorrhoea (OR 264, 95% CI 149–470), or have had recent sex overseas, or with a partner from overseas (OR 1.75, 95% CI 1.11–2.75). Conclusion: Cervical gonorrhoea infection is rare in our urban sexual health clinic, and even more unlikely in asymptomatic women without risk factors. This low prevalence of gonorrhoea, particularly in asymptomatic women, decreases the reliability of positive NAAT test results. This has important implications for the screening of asymptomatic women presenting to urban sexual health clinics in Australia.

scholarly journals Risk factor of severe preeclampsia in Dr. Soetomo Hospital Surabaya in 2015

2018 ◽  
Vol 25 (1) ◽  
pp. 6 ◽  
Author(s):  
Amelia Rahmah Kartika ◽  
Muhammad Ilham Aldika Akbar ◽  
Pirlina Umiastuti
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Pregnant Women ◽  
Medical Records ◽  
Maternal Obesity ◽  
Significant Risk ◽  
Severe Preeclampsia ◽  
History Of

Objectives: to determine which of the risk factors above associated with the occurrence of severe preeclampsia at dr. Soetomo Hospital, Surabaya during 2015.Materials and Methods: The type and design of the study were analytic and retrospective. This study was held in the dr. Soetomo Hospital from April until November 2016. The instrument of the study was the medical records then being coded and analysed. The samples were 134 pregnant women, consisting of 67 pregnant women with severe preeclampsia as cases and 67 pregnant women as controls.Results: Maternal obesity (OR= 5,786; 95% CI: 2,300–14,555), history of hypertension (OR= 6,693; 95% CI: 1,848–24,237) and secondary elderly primi (OR= 6,384; 95% CI: 1,357–30,031) are associated with the development of severe preeclampsia.Conclusion: In conclusion, the significant risk factors of severe preeclampsia in dr. Soetomo Hospital Surabaya during 2015 are obesity, history of hypertension and secondary elderly primi variables.

scholarly journals Complications of intra-aortic balloon in a cohort of hospitalized patients: implications for nursing care

2009 ◽  
Vol 17 (5) ◽  
pp. 658-663 ◽  
Author(s):  
Renata Bacelar Silva de Assis ◽  
Karina Azzolin ◽  
Marta Boaz ◽  
Eneida Rejane Rabelo
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Vascular Disease ◽  
Peripheral Vascular Disease ◽  
Nursing Care ◽  
Medical Records ◽  
Retrospective Cohort ◽  
Vascular Complications ◽  
Clinical Situation ◽  
Peripheral Vascular

OBJECTIVES: To describe complications associated to the use of intra-aortic balloon pumps (IABP), and their relationship with dwelling time, presence of risk factors/comorbidities, and nursing records. METHODS: Retrospective cohort study, in which medical records were analyzed through the completion of specifically designed forms. RESULTS: In total, 104 patients were included, with mean age 65±11 years, 52% men; 26 (25%) of them presented vascular complications, more frequently ischemia (25%); peripheral vascular disease was the risk factor/comorbidity more frequently related to complications (56.3%; p=0.003). Nursing records showed that the use of catheter was recorded in 30 cases (29%), and the patient's clinical situation after its removal in 28 cases (27%). CONCLUSION: This study showed that the frequency of complications related to IABP is high. Considering risk factor/comorbidity factors, peripheral vascular disease was significantly associated to complications. Nursing records were sub-optimal.

scholarly journals Risk factors of death among children with Dengue Hemorrhagic fever

2021 ◽  
Vol 3 (2) ◽  
pp. 57-64
Author(s):  
Herry D Nawing ◽  
Nini Meutia Pelupessy ◽  
Merry Sabir ◽  
Husein Albar
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Dengue Hemorrhagic Fever ◽  
Medical Records ◽  
Independent Risk Factor ◽  
Hemorrhagic Fever ◽  
Hematocrit Level ◽  
Severe Condition ◽  
Who Criteria ◽  
Ig G

Background: Dengue hemorrhagic fever (DHF) is still periodically around developing countries including Indonesia. Morbidity and mortality of DHF can be reduced if early diagnosis and appropriate management. Objective: Our study evaluate risk factors of death in pediatric DHF patients hospitalized in Wahidin Sudirohusodo Hospital Makassar. Methods:  we review the medical records of patients aged ≤ 18 years from January 2016 to December 2018 with confirmed DHF  based on WHO criteria and serologically positive anti-dengue Ig M or positive anti-dengue IgM and Ig G. Results: During the study period, 70 patients aged 1-17 years with the complete medical records enrolled in this study.  The DHF severity consisted of 37 cases (52,9%) with shock(DSS) and 33 cases (41,7%) without shock and  mostly of them was  admitted to the hospital on > 3 days of fever (63 cases /90,0%). Boys were predominantly (39/55,7%) found than girls (31/44,3%) and the majority of cases above 5 years (50/71,4%) with well-nourished patients in 46 cases (65,7%).  The hematocrit level ≥ 40 mg/dl, platelets ≤ 40.000/mm3, and leukocyte ≤ 4000 mm3/l were observed in 41 cases (58,6%), 36 cases (51,4%), and  48 cases (68,6%); respectively. Death was observed in four girls (5.7%) (p 0,034/OR 1,148/ 95% CI 1,003 - 1,315) with DSS because of  severe condition on admission. Conclusions: Girl was an  independent risk factor of death among children with DHF.   

Missed opportunities for HIV pre-exposure prophylaxis during a rapid scale-up program at Sydney Sexual Health Centre

Sexual Health ◽  
2019 ◽  
Vol 16 (6) ◽  
pp. 591
Author(s):  
David Atefi ◽  
Ruthy McIver ◽  
Christopher Bourne
Keyword(s):  
Sexual Health ◽  
Medical Records ◽  
Health Centre ◽  
Scale Up ◽  
Missed Opportunities ◽  
Standard Component ◽  
Hiv Acquisition ◽  
Risk Of Hiv Acquisition ◽  
Exposure Prophylaxis ◽  
Missed Opportunity

We aimed to estimate HIV pre-exposure prophylaxis (PrEP) uptake and missed opportunities for PrEP through a retrospective review of medical records of clients at high risk of HIV attending the Sydney Sexual Health Centre. Most clients (69%) were taking PrEP, and 7% of those eligible for PrEP were classified as a missed opportunity for PrEP. Although missed opportunities were uncommon, PrEP discussions should be a standard component of care for all clients at risk of HIV acquisition.

scholarly journals Risk Factors in Post-LASIK Corneal Ectasia

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Mehmet Gurkan Tatar ◽  
Feride Aylin Kantarci ◽  
Aydin Yildirim ◽  
Haşim Uslu ◽  
Hatice Nur Colak ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Medical Records ◽  
Laser In Situ Keratomileusis ◽  
Common Risk Factor ◽  
Corneal Ectasia ◽  
The Mean ◽  
Forme Fruste Keratoconus ◽  
Thin Cornea

Purpose. To evaluate the risk factors for post-laser in situ keratomileusis (LASIK) ectasia.Materials and Methods. Medical records of 42 eyes of 28 (10 women, 18 men) patients who developed corneal ectasia after LASIK were retrospectively reviewed. Topographical features and surgical parameters of those patients were evaluated.Results. The mean age of patients was34.73±6.50(23–48) years and the mean interval from LASIK to the diagnosis of post-LASIK ectasia was36.0±16.92(12–60) months. The following factors were determined as a risk factors: deep ablation (>75 μm) in 10 eyes, FFK (forme fruste keratoconus) in 6 eyes, steep cornea (>47 D) in 3 eyes, pellucid marginal degeneration (PMD) in 2 eyes, thin cornea (<500 μm) in 2 eyes, thin and steep cornea in 2 eyes, thin cornea and deep ablation in 5 eyes, FFK and steep cornea in 2 eyes, and FFK, steep cornea, and deep ablation in 1 eye. However no risk factor has been determined in 9 eyes (21.4%).Conclusion. The findings of our study showed that most of the patients who developed post-LASIK ectasia have a risk factor for post-LASIK ectasia. However, the most common risk factor was deep ablation.

scholarly journals Risk Factors and Outcome of Preterm Labour in Tertiary Health Centre

2020 ◽  
Vol 32 (2) ◽  
pp. 90-93
Author(s):  
Mst Afroza Khanum ◽  
Salma Lavereen ◽  
Moniruzzaman ◽  
Romana
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Preterm Birth ◽  
Preterm Delivery ◽  
Preterm Labour ◽  
Health Centre ◽  
Preterm Births ◽  
Neonatal Morbidity ◽  
Vaginal Infection ◽  
History Of

Background: Currently preterm labour is one of the most challenging problems confronting the obstetricians and perinatologists. This unfortunate episode accounts for 50-75% of the perinatal mortality. Methods: A cross sectional study was conducted on 210 pregnant women with preterm labour admitted in Monno Medical College Hospital, Manikganj from June 2014 to December 2015, to study the causes and outcome of preterm birth in Tertiary health centre of Manikganj. Results: Occurence of preterm birth was 13.82%; 47.14% occured between 34-37 weeks of gestation; 33.80% occured 31-33 weeks of gestation and occurred in 28-30 weeks 19.04%. About 22% patients presenting with preterm labour had a past history of abortions and 14.3% had a history of preterm delivery. Premature rupture of membranes was found to be the most common risk factor related with preterm labour in the present pregnancy. Genitourinary tract infection was the next important risk factor of preterm labour; 24.8% (86) patients had either vaginal infection (19.5%) or urinary infection (21.4%) or both. Another important risk factor identified in this study was antepartum haemorrage which was cause in 11.4 % cases. Preterm babies commonly suffered from various complications like jaundice (32.1%), respiratory distress syndrome (22.6%), asphyxia (13.5%), sepsis, hypoglycemia and coagulopathy. Conclusion: Most of the preterm births occured between 34-37 weeks of gestation. Most common risk factors of preterm births are history of abortion and preterm delivery in previous pregnancy; PROM UTI vaginal infection, PIH and APH in correct pregnancy. Newborn jaundice, RDS and birth asphyxia are the common neonatal morbidity in preterm labour. Identifying risk factors to prevent the onset of preterm labour and advanced neonatal care unit can help decrease neonatal morbidity and mortality. Bangladesh J Obstet Gynaecol, 2017; Vol. 32(2) : 90-93

scholarly journals Impact of cardiovascular risk factors on the clinical presentation and survival of pulmonary embolism without identifiable risk factor

2020 ◽  
Vol 12 (10) ◽  
pp. 5411-5419
Author(s):  
Nuria Rodríguez-Núñez ◽  
Alberto Ruano-Raviña ◽  
Adriana Lama ◽  
Lucía Ferreiro ◽  
Jorge Ricoy ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pulmonary Embolism ◽  
Risk Factor ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Clinical Presentation ◽  
Identifiable Risk Factor

Recurring obstructive bronchitis as a risk factor asthma among children

2014 ◽  
Vol 20 (30) ◽  
pp. 78-82
Author(s):  
Павловская ◽  
Lyudmila Pavlovskaya ◽  
Бораева ◽  
Tatyana Boraeva
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Respiratory Tract ◽  
Medical Records ◽  
Significant Risk ◽  
Number Of Patients

In the present study there were analyzed the medical records of children aged 6 months to 15 years who were hospitalized in the pulmonary department of СRСH Vladikavkaz diagnosed with recurring obstructive bronchitis. It was found out that for the period from 2001 to 2009 there was a significant increase in the number of patients with recurrent, obstructive bronchitis. It was revealed a number of significant risk factors for the formation of asthma among children with ROB. It was determined the symptoms allowing to suspect the formation of asthma among children of the early ages, among which, first of all, it should be identified the recurring symptoms of respiratory tract, nocturnal episodes of coughing, which are equivalents of suffocation in infants.

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