Unsupervised screening for chlamydia and gonorrhoea in backpacker hostels in Manly, Sydney

Sexual Health ◽  
2013 ◽  
Vol 10 (2) ◽  
pp. 185 ◽  
Author(s):  
Stephen C. Davies ◽  
Brooke Shepherd ◽  
Rebecca Wiig ◽  
Iain Kaan
Keyword(s):  
Chlamydia Trachomatis ◽  
Neisseria Gonorrhoeae ◽  
Sexual Partner ◽  
Pilot Project ◽  
Sexual Partners ◽  
Priority Group ◽  
A Priority ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Young international backpackers frequently have new sexual partners. We conducted a pilot project of unsupervised screening for chlamydia (Chlamydia trachomatis) and gonorrhoea (Neisseria gonorrhoeae) by self-collected specimens at two backpacker hostels in Manly, Sydney. The median age was 24 years for men and 23 years for women. A new sexual partner during travel was reported by 94%, of whom only 20% always using condoms. The prevalence of chlamydia was 11.9% (14.3% of 35 men and 10.2% of 49 women). No cases of gonorrhoea were detected. Half of the dispensed testing kits went missing or were tampered with, and there was spoilage of the receptacle bins, which persisted despite a redesign to a more secure and locked box. While populations such as young backpackers may be a priority group for sexually transmissible infection screening, we advise caution for projects contemplating an unsupervised model.

Analysis of females with Chlamydia trachomatis infections attending a sexually transmissible infection clinic in Singapore in 2010

Sexual Health ◽  
2013 ◽  
Vol 10 (5) ◽  
pp. 470
Author(s):  
Lynette C. M. Low ◽  
Feng Ling G. Tan ◽  
Ellen Chan ◽  
Martin Chio ◽  
Roy Chan ◽  
...  
Keyword(s):  
Chlamydia Trachomatis ◽  
Sexual Partners ◽  
Diagnostic Methods ◽  
Chlamydia Infection ◽  
Skilled Workers ◽  
Population Demographics ◽  
Sexual Histories ◽  
Rising Incidence ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Background Chlamydia (Chlamydia trachomatis) is the most commonly diagnosed sexually transmissible infection (STI) in Singapore, with rising incidence. Method: Random sampling was performed on all chlamydia-positive samples collected from female patients who attended a women’s clinic from January 2010 to December 2010. Some 250 electronic medical records were analysed. Population demographics, sexual histories, symptoms, diagnostic methods and management were recorded. Results: One hundred and forty-two (56.8%) patients were under 25 years of age. The predominant race diagnosed with Chlamydia cervicitis were Chinese (116 cases, 46.4%) followed by 86 (34.4%) Malays and 20 (8%) Filipinos. Sixty-three (25.2%) were skilled workers and (47) 18.8% were students. Professionals and office workers together formed 68 (27.2%) of the patients. Some 248 (99.2%) patients were heterosexual and 2 (0.8%) patients were bisexual; 229 (91.6%) patients had regular partners, 18 (7.2%) had casual partners and 3 (1.2%) had both. Concurrency prevalence accounted for 49 cases (19.6%) and condom use was less common. Patients were generally asymptomatic, with 114 (45.5%) presenting with symptoms. One hundred and eight (43.2%) patients had 2–5 sexual partners in their lifetime. Patients with a termination made up 12% of our cohort. This episode of infection was the first diagnosis of an STI for 198 (79.2%) patients; 24 (9.6%) of patients had been previously diagnosed with chlamydia. Conclusion: Chlamydia infection was most prevalent in skilled workers and their regular partners with heterosexual practices under 25 years old. Most patients had 2–5 sexual partners and did not use condoms consistently or at all.

Men's attitudes towards chlamydia screening: a narrative review

Sexual Health ◽  
2012 ◽  
Vol 9 (2) ◽  
pp. 120 ◽  
Author(s):  
Myles Balfe ◽  
Ruairi Brugha ◽  
Emer O'Connell ◽  
Deirdre Vaughan ◽  
Diarmuid O'Donovan
Keyword(s):  
General Practice ◽  
Chlamydia Trachomatis ◽  
Narrative Review ◽  
Future Research ◽  
Chlamydia Screening ◽  
Perceived Vulnerability ◽  
Screening Services ◽  
Urine Testing ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Objectives Chlamydia trachomatis is a sexually transmissible infection (STI) that affects significant numbers of men. Research on men’s perspectives on chlamydia screening (or testing) has been limited. We conducted a narrative review to examine: (1) what factors encourage or discourage men from attending health services for chlamydia screening, and/or from accepting screening once it has been offered to them, and (2) where men want chlamydia screening services to be located. Methods: A narrative review of the recent peer-reviewed literature (published between 1999 and 2009) on men’s attitudes towards chlamydia screening. To be included, articles had to explore men’s perspectives on screening (which could be ascertained through quantitative or qualitative studies, or from relevant discussion papers or reviews). Results: Forty-eight articles were included in all. Men’s attitudes towards chlamydia screening are influenced by their knowledge about the infection, their perceived vulnerability to the infection, the degree of embarrassment and shame that they associate with screening and the stigma that they associate with screening. Men prefer to be offered urine testing for chlamydia. Men want to be offered screening by non-judgemental professionals. Men’s attitudes towards screening for chlamydia in general practice, genito-urinary medicine clinics, home and outreach settings are also explored in this review. Conclusions: Several factors influence men’s attitudes towards screening. Two central themes underlie and influence many of these factors: men’s needs to make positive impressions on others, and men’s identification with particular ideals of masculinity. The review concludes with suggestions for future research on this topic.

Association between sexually transmissible infection testing, numbers of partners and talking to partners and friends about sexual health: survey of young adults

Sexual Health ◽  
2017 ◽  
Vol 14 (4) ◽  
pp. 378 ◽  
Author(s):  
Natalie A. Hendry ◽  
Graham Brown ◽  
Gary W. Dowsett ◽  
Marina Carman
Keyword(s):  
At Risk ◽  
Young Adults ◽  
Sexual Health ◽  
Health Knowledge ◽  
Sexual Partners ◽  
Group Method ◽  
Friendship Networks ◽  
Sti Testing ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Background Young adults, aged 18–30 years, comprise the largest proportion of sexually transmissible infection (STI) notifications in Australia compared with other age groups. Understanding the influence of partner and friendship networks on their STI testing practices may enhance health promotion efforts to increase testing for this group. Method: Participants aged 21–30 years, living in Australia for ≥3 years, were recruited within nightlife precincts in Melbourne, Australia. They completed a survey on demographic items, sexual health attitudes, sexual health knowledge and STI testing experiences and perceptions. Responses to items related to talking to partners and friends about STI testing were allocated partner and friend communication scores. Analyses included χ2 tests of independence and independent sample t-tests. Results: Overall, 36.5% (61/167) of participants had tested for STIs in the previous 12 months. Of those who had tested for STIs, most had significantly higher numbers of sexual partners in the same period (P < 0.05), and were significantly more likely to have felt at risk of STI acquisition (P < 0.05). Significantly greater mean partner and friend communication scores were associated with higher numbers of sexual partners, feeling at risk of STIs, and testing for STIs in the previous 12 months (all P < 0.05). There were no significant differences when participants were stratified by gender or age. Conclusion: Talking to partners and friends about STI testing is associated with testing rates for young adults. Feeling at risk and increased numbers of sexual partners may be associated with the promotion of STI testing among friends and partners.

scholarly journals Profil uretritis gonokokus dan non-gonokokus di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode Januari – Desember 2012

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Alson . Sambonu ◽  
Nurdjannah J. Niode ◽  
Herry E.J. Pandeleke
Keyword(s):  
Chlamydia Trachomatis ◽  
Neisseria Gonorrhoeae ◽  
Sexual Partner ◽  
Ureaplasma Urealyticum ◽  
Burning Sensation ◽  
Purulent Discharge ◽  
Gonococcal Infection ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Gonococcal Urethritis

Abstract: Gonococcal urethritis (GU) is a sexually transmitted infection (STI) which is caused by Neisseria Gonorrhoeae bacteria. In GU, there is an urethral inflammation caused by negative Gram diplococcus ( its natural reservoir is human) and the symptoms are purulent discharge from external urethral orificium, burning sensation during urination, distal urethra itching, dysuria, vaginal or penile discharge, and erection pain. Non-Gonococcal Urethritis (NGU) is an urethral inflammation that is not caused by Gonococcal infection, but due to Chlamydia trachomatis and Ureaplasma urealyticum. The symptoms are penile discharge, burning sensation and pain during urination, and itching. This study aimed to obtain the profiles of gonococcal and non-gonococcal urethritis in Dermatovenereology Clinic of Prof. Dr. R. D. Kandou General Hospital Manado from January to December 2012. This was a retrospective descriptive study based on GU and NGU types, symptoms, sexual partner, occupation, and farmacological therapy. The results showed that of 74 STI cases there were 11 GU cases (14.9%) and 4 UNG cases (5.4%). Most of GU and NGU patients were 25-44 years (n = 10, 66.7%), with dysuria (n = 11, 73.3%), prostitute as sexual partner (n = 10, 66.7%), working as entrepreneur (n = 12, 80%), and farmacological therapy for GU is cefixime (n = 9, 81.8%) and for NGU is doxycyclin (n = 3, 75%). Keywords: gonococcal urethritis, non-gonococcal urethritis Abstrak: Uretritis gonore (UG) merupakan suatu penyakit infeksi menular seksual (IMS) yang disebabkan oleh kuman Neisseria gonorrhoeae. Pada UG terjadi peradangan uretra oleh diplokokus Gram negatif yang reservoir alaminya ialah manusia dan ditandai adanya pus yang keluar dari orifisium uretra eksternum, rasa panas, gatal di bagian distal uretra, disuria, polakisuria, keluar duh tubuh dari ujung uretra yang kadang-kadang disertai darah dalam urin, dan disertai rasa nyeri saat ereksi. Uretritis non Gonore (UNG) adalah suatu peradangan pada uretra yang bukan disebabkan oleh infeksi gonokokus seperti Chlamydia trachomatis dan Ureaplasma urealyticum dengan gejala seperti discharge dari penis, rasa terbakar atau sakit saat buang air kecil dan gatal. Penelitian ini bertujuan untuk mengetahui profil uretritis gonokokus dan non gonokokus di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode Januari-Desember 2012. Jenis penelitian ini deskriptif retrospektif berdasarkan jenis penyakit UG dan UNG, umur, keluhan, pasangan seksual, pekerjaan, dan terapi farmakologis. Hasil penelitian menunjukkan dari 74 kasus IMS terdapat 11 kasus UG (14,9%) dan 4 kasus UNG (5,4%). Penderita UG dan UNG terbanyak pada kelompok umur 25-44 tahun (n = 10, 66,7%), dengan keluhan disuria (n = 11, 73,3%), pasangan seksual dengan WPS (n = 10, 66,7%), pekerjaan wiraswata (n = 12, 80%), serta terapi farmakalogis pada UG ialah cefixime (n = 9, 81,8%) dan pada UNG ialah doxycyclin (n = 3, 75%).Kata kunci: uretritis gonokokus, uretritis non gonokokus

scholarly journals Screening for asymptomatic Chlamydia trachomatis, Neisseria gonorrhoeae, and Mycoplasma genitalium in medical students in Barcelona

2020 ◽  
Vol 2 ◽  
pp. 134-136
Author(s):  
Josep Riera-Monroig ◽  
Evelin L. Corbeto ◽  
Jordi Bosch ◽  
Irene Fuertes
Keyword(s):  
Medical Students ◽  
Chlamydia Trachomatis ◽  
Neisseria Gonorrhoeae ◽  
Sexual Partner ◽  
Medical Knowledge ◽  
Mycoplasma Genitalium ◽  
Sexually Transmitted ◽  
Vaginal Swabs ◽  
Positive Results ◽  
Urine Specimens

Objectives: No previous studies had been performed on asymptomatic sexually transmitted infections (STIs) in Spanish university students. Therefore, the aim of the study was to determine the prevalence of Neisseria gonorrhoeae (NG), Chlamydia trachomatis (CT), and Mycoplasma genitalium (MG) in this group. Material and Methods: All medical students were invited to participate in the study between September 2017 and June 2019. First-void urine specimens were collected from men and vaginal swabs from women. Results: Four females had positive results. The prevalence of CT and MG in women was 4.0% and 2.4%. All individuals with positive results had stable partners. CT infection was associated with having stable and sporadic sexual partner in the previous year. The frequency of positive results was higher in those women who had sought an app-based sexual partner. Conclusion: The prevalence of asymptomatic STI in medical students was similar (rather than lower) to that in same age individuals in the area. Medical knowledge might not protect from STI acquisition.

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