Counselling improves follow-up HIV testing at Week 6 for HIV postexposure prophylaxis recipients

Demographic and clinical variables of clients attending a sexual health centre in western Sydney from 1 July 2009 to 30 June 2011 were examined to determine if nonoccupational HIV postexposure prophylaxis (NPEP) was being dispensed according to national guidelines,1 and to identify factors associated with completion of follow-up. The results showed that 95.8% of antiretroviral prescriptions were consistent with national guidelines.1 Consultation with a social worker significantly improved attendance for six week follow up serology (P = 0.027).

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49. SYPHILIS SCREENING PROFILE AT SEXUAL HEALTH CLINIC, ST GEORGE HOSPITAL & SUTHERLAND HOSPITAL

Sexual Health ◽

10.1071/shv4n4ab49 ◽

2007 ◽

Vol 4 (4) ◽

pp. 303

Author(s):

H. Tran ◽

P. Konecny ◽

C. Carmody

Keyword(s):

Sexual Health ◽

Health Centre ◽

Health Clinic ◽

Sexual Health Information ◽

Presenting Symptoms ◽

Information Program ◽

Syphilis Screening ◽

Behavioural Factors ◽

Syphilis Serology

A retrospective analysis was conducted to describe the cases of Syphilis identified and managed at Short Street Centre and The Sutherland Sexual Health Centre, in South Eastern Sydney and Illawarra Area, from January 2000 to June 2007. Syphilis serology is routinely offered as part of an STI screen to new and follow-up patients as appropriate. Information on the diagnoses, demographic and other variables was extracted from the clinical database Sexual Health Information Program (SHIP) and analysed in SPSS v11. Information on age, gender, relationship status, country of birth, presenting symptoms, stage of Syphilis, type of treatment and subsequent RPR levels were confirmed from patient records. An analysis of the relative frequency of the stages of Syphilis from over 130 patients will be presented and their relationship to a number of demographic and behavioural factors.

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Exposure to blood and body fluid: factors associated with noncompliance in follow-up HIV testing among health care workers

Air Medical Journal ◽

10.1016/s1067-991x(97)90102-4 ◽

1997 ◽

Vol 16 (2) ◽

pp. 63

Keyword(s):

Health Care ◽

Hiv Testing ◽

Health Care Workers ◽

Body Fluid ◽

Factors Associated ◽

Care Workers

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Why Patients Do Not Comply With Headache Diaries?

10.21203/rs.3.rs-152653/v2 ◽

2021 ◽

Author(s):

Cláudia Borbinha ◽

Isabel Pavão Martins

Keyword(s):

Clinical Practice ◽

Medication Overuse ◽

Good Clinical Practice ◽

Clinical Variables ◽

Factors Associated ◽

Headache Center

Abstract Background/ObjectiveHeadache calendars are part of good clinical practice in headache clinics. However, patients’ compliance is rather variable. We aim to identify factors associated with poor compliance.MethodsConsecutive patients observed in follow-up visits of a tertiary headache center were divided into two groups; with a fullfilled calendar (Calendar compliers, CC) and without calendar (Calendar noncompliers, CNC). Incomplete /forgotten records were excluded. Demographic and clinical variables were compared, and CNC were asked the reasons for not filling the calendar. ResultsFrom 93 patients (45.6±13.3 years, on average; 83 females), the majority with migraine (96.8%), 61.3% were CC. CNC were more likely to have medication overuse (34.5% vs. 12.3%, p=0.01) and had a tendency to be paid workers (79.3% vs. 52.6%, p=0.05) compared to CC.Most CC considered calendars useful to improve doctors and patients knowledge about headaches.ConclusionsAlthough these results need to be evaluated in other contexts, they suggest that patients with medication overuse have a more denial attitute towards headache records and may need additional reinforcement.

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Follow-up of renal impairment results among attendees taking HIV Pre-Exposure Prophylaxis at a Sydney Sexual Health Clinic

International Journal of STD & AIDS ◽

10.1177/0956462420922751 ◽

2020 ◽

Vol 31 (7) ◽

pp. 689-693

Author(s):

NB Comninos ◽

R Foster ◽

R Varma ◽

C Bourne

Keyword(s):

Renal Impairment ◽

Sexual Health ◽

Service Provision ◽

Filtration Rate ◽

Estimated Glomerular Filtration Rate ◽

Health Centre ◽

Health Clinic ◽

Immunodeficiency Virus ◽

Exposure Prophylaxis

Renal monitoring is recommended for Pre-Exposure Prophylaxis (PrEP) users. We aimed to explore follow-up and outcomes among PrEP users with renal impairment (defined as estimated glomerular filtration rate <65 mL/min/1.73 m2) attending Sydney Sexual Health Centre. Time to follow-up was analysed for impairment results over a 12-month period (January–December 2018); 48/2504 (1.9%) tests among 1700 attendees showed impairment. Follow-up occurred in 39/48 (81.3%) impairment results after a median of 42 days. PrEP was ceased in 3/6 cases of non-resolving/persisting impairment, with one case of subsequent human immunodeficiency virus infection. Maintaining engagement and follow-up of those with renal impairment are important aspects of PrEP service provision.

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Factors Associated with Loss-to-Follow-Up during Behavioral Interventions and HIV Testing Cohort among Men Who Have Sex with Men in Nanjing, China

PLoS ONE ◽

10.1371/journal.pone.0115691 ◽

2015 ◽

Vol 10 (1) ◽

pp. e115691 ◽

Cited By ~ 5

Author(s):

Weiming Tang ◽

Xiping Huan ◽

Ye Zhang ◽

Tanmay Mahapatra ◽

Jianjun Li ◽

...

Keyword(s):

Hiv Testing ◽

Behavioral Interventions ◽

Loss To Follow Up ◽

Factors Associated ◽

Sex With Men

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Chlamydia and HIV testing, contraception advice, and free condoms offered in general practice: a qualitative interview study of young adults’ perceptions of this initiative

British Journal of General Practice ◽

10.3399/bjgp17x691325 ◽

2017 ◽

Vol 67 (660) ◽

pp. e490-e500 ◽

Cited By ~ 2

Author(s):

Leah Ffion Jones ◽

Ellie Ricketts ◽

Katy Town ◽

Claire Rugman ◽

Donna Lecky ◽

...

Keyword(s):

General Practice ◽

Young Adults ◽

Sexual Health ◽

Hiv Testing ◽

Service Providers ◽

Qualitative Interviews ◽

Chlamydia Screening ◽

Routine Practice ◽

National Guidelines ◽

Qualitative Interview Study

BackgroundOpportunistic chlamydia screening is actively encouraged in English general practices. Based on recent policy changes, Public Health England piloted 3Cs and HIV in 2013–2014, integrating the offer of chlamydia testing with providing condoms, contraceptive information, and HIV testing (referred to as 3Cs and HIV) according to national guidelines.AimTo determine young adults’ opinions of receiving a broader sexual health offer of 3Cs and HIV at their GP practice.Design and settingQualitative interviews were conducted in a general practice setting in England between March and June 2013.MethodThirty interviews were conducted with nine male and 21 female patients aged 16–24 years, immediately before or after a routine practice attendance. Data were transcribed verbatim and analysed using a thematic framework.ResultsParticipants indicated that the method of testing, timing, and the way the staff member approached the topic were important aspects to patients being offered 3Cs and HIV. Participants displayed a clear preference for 3Cs and HIV to be offered at the GP practice over other sexual health service providers. Participants highlighted convenience of the practice, assurance of confidentiality, and that the sexual health discussion was appropriate and routine. Barriers identified for patients were embarrassment, unease, lack of time, religion, and patients believing that certain patients could take offence. Suggested facilitators include raising awareness, reassuring confidentiality, and ensuring the offer is made in a professional and non-judgemental way at the end of the consultation.ConclusionGeneral practice staff should facilitate patients’ preferences by ensuring that 3Cs and HIV testing services are made available at their surgery and offered to appropriate patients in a non-judgemental way.

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Exploring barriers to sexual transmitted infections (STIs) and HIV testing among young black sub-Sahara African (BSSA) communities in diaspora, UK

Journal of Public Mental Health ◽

10.1108/jpmh-05-2020-0038 ◽

2020 ◽

Vol 19 (4) ◽

pp. 281-289

Author(s):

Shinga Nicole Nyashanu ◽

Mathew Nyashanu ◽

Mandu Stephene Ekpenyong

Keyword(s):

Mental Health ◽

Sexual Health ◽

Hiv Testing ◽

Hiv Stigma ◽

Content Type ◽

Research Participants ◽

One To One ◽

Stis And Hiv ◽

The Uk

Purpose Sexual transmitted infections (STIs) are associated with high stigma leading to poor sexual health-seeking behaviour and mental health problems. Although human immunodeficiency virus (HIV) prevention has generally been successful in many communities across the world, statistics for young people have remained relatively low, especially among most affected communities such as the black sub-Sahara African (BSSA) communities. This paper aims to explore the barriers to STIs and HIV testing among young BSSA communities living in the UK. Design/methodology/approach The research study used an explorative qualitative approach. The study included 6 focus groups comprising 10 people each (N = 60), and 12 one-to-one follow-up interviews were held with the research participants. Two one-to-one follow-up interviews were held from each focus group (N = 12). Findings The study found that perceived risk taking, perceived HIV test embarrassment, sexual health professionals’ attitudes, perceived HIV as death sentence, limited educational awareness and general HIV stigma prevented research participants from testing and impacted on their mental health well-being. Originality/value There is a need to increase sexual health and mental health education awareness among young BSSA communities. More importantly culturally sensitive interventions to reduce the impact of HIV stigma need to be rolled out in different diverse communities. This study is the first of its kind to look at the barriers affecting young BSSA communities in accessing sexual health testing services in the UK.

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Why Patients Do Not Comply With Headache Diaries?

10.21203/rs.3.rs-152653/v1 ◽

2021 ◽

Author(s):

Cláudia Borbinha ◽

Isabel Pavão Martins

Keyword(s):

Clinical Practice ◽

Medication Overuse ◽

Good Clinical Practice ◽

Poor Compliance ◽

Clinical Variables ◽

Factors Associated ◽

Headache Center

Abstract Background: Headache calendars are part of good clinical practice in headache clinics. However, patients’ compliance is rather variable. We aim to identify factors associated with poor compliance. Methods: Consecutive patients observed in follow-up visits of a tertiary headache center were divided into two groups; with a fullfilled calendar (Calendar compliers, CC) and without calendar (Calendar noncompliers, CNC). Incomplete / forgotten records were excluded. Demographic and clinical variables were compared, and CNC were asked the reasons for not filling the calendar. Results: From 93 patients (45.6±13.3 years, on average; 83 females), the majority with migraine (96.8%), 61.3% were CC. CNC were more likely to have medication overuse (34.5% vs. 12.3%, p=0.01) and had a tendency to be paid workers (79.3% vs. 52.6%, p=0.05) compared to CC. Most CC considered calendars useful to improve doctors and patients knowledge about headaches.Conclusions: Although these results need to be evaluated in other contexts, they suggest that patients with medication overuse have a more denial attitute towards headache records and may need additional reinforcement.

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Updated US Public Health Service Guidelines for the Management of Occupational Exposures to Human Immunodeficiency Virus and Recommendations for Postexposure Prophylaxis

Infection Control and Hospital Epidemiology ◽

10.1086/672271 ◽

2013 ◽

Vol 34 (9) ◽

pp. 875-892 ◽

Cited By ~ 184

Author(s):

David T. Kuhar ◽

David K. Henderson ◽

Kimberly A. Struble ◽

Walid Heneine ◽

Vasavi Thomas ◽

...

Keyword(s):

Public Health ◽

Human Immunodeficiency Virus ◽

Hiv Testing ◽

Public Health Service ◽

Occupational Exposures ◽

Expert Consultation ◽

Postexposure Prophylaxis ◽

Immunodeficiency Virus ◽

Hiv Exposure

This report updates US Public Health Service recommendations for the management of healthcare personnel (HCP) who experience occupational exposure to blood and/or other body fluids that might contain human immunodeficiency virus (HIV). Although the principles of exposure management remain unchanged, recommended HIV postexposure prophylaxis (PEP) regimens and the duration of HIV follow-up testing for exposed personnel have been updated. This report emphasizes the importance of primary prevention strategies, the prompt reporting and management of occupational exposures, adherence to recommended HIV PEP regimens when indicated for an exposure, expert consultation in management of exposures, follow-up of exposed HCP to improve adherence to PEP, and careful monitoring for adverse events related to treatment, as well as for virologie, immunologic, and serologic signs of infection. To ensure timely postexposure management and administration of HIV PEP, clinicians should consider occupational exposures as urgent medical concerns, and institutions should take steps to ensure that staff are aware of both the importance of and the institutional mechanisms available for reporting and seeking care for such exposures. The following is a summary of recommendations: (1) PEP is recommended when occupational exposures to HIV occur; (2) the HIV status of the exposure source patient should be determined, if possible, to guide need for HIV PEP; (3) PEP medication regimens should be started as soon as possible after occupational exposure to HIV, and they should be continued for a 4-week duration; (4) new recommendation—PEP medication regimens should contain 3 (or more) antiretroviral drugs (listed in Appendix A) for all occupational exposures to HIV; (5) expert consultation is recommended for any occupational exposures to HIV and at a minimum for situations described in Box 1; (6) close follow-up for exposed personnel (Box 2) should be provided that includes counseling, baseline and follow-up HIV testing, and monitoring for drug toxicity; follow-up appointments should begin within 72 hours of an HIV exposure; and (7) new recommendation—if a newer fourth-generation combination HIV p24 antigen-HIV antibody test is utilized for follow-up HIV testing of exposed HCP, HIV testing may be concluded 4 months after exposure (Box 2); if a newer testing platform is not available, follow-up HIV testing is typically concluded 6 months after an HIV exposure.

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