High rates of chlamydia found among 12- to 16-year-olds attending a rural sexual health clinic: implications for practice

Sexual Health ◽  
2016 ◽  
Vol 13 (2) ◽  
pp. 193 ◽  
Author(s):  
Jane Elizabeth Tomnay ◽  
Lauren Coelli ◽  
Jane Simone Hocking
Keyword(s):  
Ectopic Pregnancy ◽  
Inflammatory Disease ◽  
Sexual History ◽  
Health Clinic ◽  
Sexually Active ◽  
Retrospective Audit ◽  
Rural Service ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection ◽  
Test Treatment

Background Chlamydia is the most commonly diagnosed bacterial sexually transmissible infection (STI) and is asymptomatic in ~80% of women. If untreated, potential consequences include pelvic inflammatory disease, ectopic pregnancy and infertility. Methods: In 2014, a retrospective audit was undertaken at a rural service to determine what proportion of patients were aged 12–16 years, infected with chlamydia and their reasons for attending the clinic. Results: There were 111 patients aged 12–16 years attending during 2011–2014; 104 (95%) were female. One hundred and ninety-four chlamydia tests were conducted, with the proportion of patients having at least one test annually being 100% in 2011, 81% in 2012, 72% in 2013 and 78% in 2014. There was no difference in the proportion tested by age during the study (P = 0.59). Forty-six tests were positive for chlamydia (23.7%; 95%CI: 17.8%, 30.9%) with proportions decreasing with increasing age from 46.7% (95%CI: 16.4%, 79.5%) in 12- or 13-year-olds to 15.5% (95%CI: 9.4%, 24.2%) in 16-year-olds (P = 0.02). The reasons for attending when a chlamydia test was ordered included: (i) fear of pregnancy (18.3%, 34/185); (ii) symptoms (16.7%, 31/185); (iii) STI test/treatment (32.4%, 60/185); and (iv) contraception (32.4%, 60/185). Only 29.7% (33/111) would have been tested if symptoms or requesting a test were impetus. Conclusion: Sexually active 12- to 16-year-olds should be tested for chlamydia, and establishing their sexual history is crucial. Amending the current Australian guidelines to annual testing of any sexually active person under the age of 30 years should be considered.

Addressing sexually transmissible infection in HIV-positive patients. A clinical audit

Sexual Health ◽  
2007 ◽  
Vol 4 (1) ◽  
pp. 75 ◽  
Author(s):  
Danielle Esler ◽  
Catriona Ooi
Keyword(s):  
New England ◽  
Clinical Audit ◽  
Sexual History ◽  
Hiv Positive ◽  
History Taking ◽  
Health Unit ◽  
Sti Testing ◽  
Sexual History Taking ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Australian guidelines for sexual history taking and sexually transmissible infection (STI) screening of HIV-positive patients do not exist. An audit was conducted to assess current practices of sexual history taking and STI testing of HIV-positive patients attending Hunter New England Sexual Health Unit.

scholarly journals Australian sexually transmissible infection and HIV testing guidelines for asymptomatic men who have sex with men 2014: a review of the evidence

Sexual Health ◽  
2014 ◽  
Vol 11 (3) ◽  
pp. 217 ◽  
Author(s):  
David J. Templeton ◽  
Phillip Read ◽  
Rajesh Varma ◽  
Christopher Bourne
Keyword(s):  
Nucleic Acid Amplification ◽  
Effective Control ◽  
Sexually Active ◽  
Chlamydia Testing ◽  
Sexually Transmissible Infections ◽  
Sex With Men ◽  
Time Required ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection ◽  
Asymptomatic Men

Men who have sex with men (MSM) in Australia and overseas are disproportionately affected by sexually transmissible infections (STIs), including HIV. Many STIs are asymptomatic, so regular testing and management of asymptomatic MSM remains an important component of effective control. We reviewed articles from January 2009–May 2013 to inform the 2014 update of the 2010 Australian testing guidelines for asymptomatic MSM. Key changes include: a recommendation for pharyngeal chlamydia (Chlamydia trachomatis) testing, use of nucleic acid amplification tests alone for gonorrhoea (Neisseria gonorrhoeae) testing (without gonococcal culture), more frequent (up to four times a year) gonorrhoea and chlamydia testing in sexually active HIV-positive MSM, time required since last void for chlamydia first-void urine collection specified at 20 min, urethral meatal swab as an alternative to first-void urine for urethral chlamydia testing, and the use of electronic reminders to increase STI and HIV retesting rates among MSM.

New Xpress Sexually Transmissible Infection Screening Clinic Improves Patient Journey and Clinic Capacity at a Large Sexual Health Clinic

2013 ◽  
Vol 40 (1) ◽  
pp. 75-80 ◽  
Author(s):  
Vickie Knight ◽  
Nathan Ryder ◽  
Rebecca Guy ◽  
Heng Lu ◽  
Handan Wand ◽  
...  
Keyword(s):  
Sexual Health ◽  
Health Clinic ◽  
Patient Journey ◽  
Screening Clinic ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Differences in access to healthcare and utilisation of HIV and sexually transmissible infection services between men who have sex with men and men who have sex only with women: results of the 2006–10 National Survey of Family Growth in the United States

Sexual Health ◽  
2013 ◽  
Vol 10 (4) ◽  
pp. 363 ◽  
Author(s):  
Guoyu Tao ◽  
Karen W. Hoover
Keyword(s):  
The United States ◽  
Access To Healthcare ◽  
Sexually Active ◽  
The Past ◽  
Sti Testing ◽  
Family Growth ◽  
Sex With Men ◽  
To Receive ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Background Men who have sex with men (MSM) experience disparities in access to healthcare and have specific healthcare needs. Methods: We analysed data from the 2006–10 National Survey of Family Growth (NSFG) to examine differences in access to healthcare and HIV and sexually transmissible infection (STI) related health services by MSM and non-MSM among men in the United States aged 15–44 years who have ever had sex. MSM and sexually active MSM were identified in the NSFG as men who had ever had oral or anal sex with another man, or who had sex in the past 12 months with another man, respectively. Access was measured by the type of health insurance, having a usual place for receiving healthcare and type of usual place. Results: Of men aged 15–44 years who have ever had sex, there were no significant differences between MSM and non-MSM in the three access measures. MSM were more likely than non-MSM to receive HIV counselling (22.5% v. 8.3%) and STI testing (26.2% v. 15.6%) in the past 12 months, or to ever have had HIV testing (67.8% v. 44.6%). STI testing in the past 12 months was reported by 38.7% of sexually active MSM. Conclusion: Our findings show no significant differences in access to healthcare between MSM and non-MSM. MSM were more likely to receive HIV- and STI-related preventive services than non-MSM. However, the low STI testing rate among MSM highlights the need for interventions to increase STI testing, and HIV and STI counselling for MSM.

Correlates of sexually transmissible infection testing among a sample of at-risk young Australians

2017 ◽  
Vol 23 (3) ◽  
pp. 272 ◽  
Author(s):  
Caitlin H. Douglass ◽  
Alyce M. Vella ◽  
Margaret E. Hellard ◽  
Megan S. C. Lim
Keyword(s):  
At Risk ◽  
Sexual Debut ◽  
Sexually Active ◽  
The Past ◽  
Chlamydia Testing ◽  
Testing Rate ◽  
Sti Testing ◽  
Not At Risk ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Annual chlamydia testing is recommended for all sexually active Australians aged 15–29 years; however, the testing rate is below recommended levels. Three surveys at a Melbourne music festival were conducted over 2012–14 to identify correlates of sexually transmissible infection (STI) testing among young people at risk of STIs. In total, 3588 participants were recruited; 72% reported having sex in the past year. Based on sexual behaviours, 38% of sexually active participants were classified as at risk of contracting STIs. In the past year, at-risk participants had significantly higher odds of reporting a STI test (37%) than participants classified as not at risk (24%) (OR=1.9; CI=1.6–2.3). Among at-risk participants, correlates of STI testing in the past year included being aged 20–24 years, visiting a GP, higher knowledge levels, earlier sexual debut and reporting more than five lifetime partners. Testing rates in our sample did not meet levels required to reduce chlamydia prevalence. However, the testing rate was higher in at-risk participants than participants who were not at risk. Future programs aiming to increase chlamydia testing should improve knowledge and promote the importance of testing after risk exposure, particularly among 16- to 19-year-olds.

Evaluation of knowledge and utility of the 2014 Australian sexually transmissible infection and HIV testing guidelines for asymptomatic men who have sex with men among general practitioners in Sydney

Sexual Health ◽  
2018 ◽  
Vol 15 (1) ◽  
pp. 96
Author(s):  
David J. Templeton ◽  
Phillipe C. G. Adam ◽  
Rajesh Varma ◽  
Phillip Read ◽  
Chistopher Bourne ◽  
...  
Keyword(s):  
Hiv Testing ◽  
General Practitioners ◽  
Evaluation Study ◽  
Sexual History ◽  
Positive Outcomes ◽  
Novel Approaches ◽  
Sex With Men ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection ◽  
Asymptomatic Men

The Australian sexually transmissible infection and HIV testing guidelines for asymptomatic men who have sex with men were updated in 2014. An evaluation study targeting Sydney-based general practitioners was conducted among 85 clinicians. Respondents with knowledge of guideline recommendations were significantly more likely to feel comfortable asking men who have sex with men about their sexual history (98.1% vs 81.3%, P = 0.039), and to recommend at least annual testing (94.0% vs 68.8%, P = 0.015), 3-month retesting after chlamydia or gonorrhoea treatment (96.2% vs 73.3%, P = 0.017) and syphilis testing with routine HIV monitoring bloods (90.2% vs 57.1%, P = 0.037). Familiarity with the guidelines was associated with a range of positive outcomes on general practitioners’ clinical practice. Novel approaches are required to ensure more widespread distribution of future guidelines.

Young women's misperceptions about sexually transmissible infection testing: a 'clean and clear' misunderstanding

Sexual Health ◽  
2007 ◽  
Vol 4 (4) ◽  
pp. 273 ◽  
Author(s):  
Sara K. Head ◽  
Richard A. Crosby ◽  
Lydia A. Shrier ◽  
Gregory R. Moore
Keyword(s):  
Young Women ◽  
Sexual Debut ◽  
Risk Behaviour ◽  
Healthcare Setting ◽  
Cross Sectional Study ◽  
Sexual Risk Behaviour ◽  
Cross Sectional ◽  
Sti Testing ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Background: This exploratory study investigated young women’s perceptions of sexually transmissible infection (STI) testing received during gynaecological care. Correlates of the incorrect perception that STI testing occurred were assessed. Methods: Cross-sectional study of sexually active young women, age 18–24 years, attending a university healthcare setting for gynaecological care (n = 109). Two hundred and four women were approached and 87 were ineligible; of the remaining 117, 93.2% chose to enrol. Results: Of the women enrolled, 25.7% falsely perceived that they were STI tested (labelled ‘clean and clear’). Only approximately one in seven (14.7%) accurately understood the STI for which they were tested. In multivariate analyses, controlling for race, STI symptoms, depression, number of lifetime visits to the gynaecologist, and suspicion of current STI, three variables were significant: minority race (adjusted odds ratio (AOR) = 4.84, confidence interval (CI) = 1.38–16.96, P = 0.01), earlier age at sexual debut (AOR = 4.67, CI = 1.73–12.57, P = 0.002), and previous STI diagnosis (AOR = 3.38, CI = 1.07–10.66, P = 0.04). Comment: The findings suggest that many young women may have an inaccurate understanding of the STI testing they undergo during gynaecological care and may operate under the misperception they are ‘clean and clear’ of STI. Women with said misperception were more likely to be of minority race and report relatively earlier age of sexual debut and previous STI diagnosis. Further investigation is warranted to determine whether the ‘clean and clear’ misperception influences young women’s sexual risk behaviour.

Exploring the acceptability of online sexually transmissible infection testing for rural young people in Victoria

2014 ◽  
Vol 22 (1) ◽  
pp. 40-44 ◽  
Author(s):  
Jane E. Tomnay ◽  
Lisa Bourke ◽  
Christopher K. Fairley
Keyword(s):  
Young People ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

scholarly journals ECTOPIC PREGNANCY

2011 ◽  
Vol 18 (01) ◽  
pp. 24-27
Author(s):  
AFROZA ABBAS ◽  
H. AKRAM
Keyword(s):  
Ectopic Pregnancy ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
International Studies ◽  
Reproductive Health Care ◽  
Nulliparous Women ◽  
Causative Factors ◽  
Contraceptive Utilization ◽  
Labour Room ◽  
Timely Referral

Objective: To find out the causative factors for rising rate of ectopic pregnancy in young women at periphery. Design: Descriptive study. Place and Duration of Study: Maula Bakhsh Teaching Hospital ( Obstetrical and gynaecological unit) Sargodha , from January 2008 – December 2008. Patients and Methods: All patients who were presented in labour room emergency and gynaecological out patients department with confirmed diagnosis of ectopic pregnancy on USG were included in the study. A pre-formed proforma was used to record the details about the demographic features, pre-existing risk factors for ectopic pregnancy, clinical features at presentation and management. Results: Frequency of ectopic pregnancy was too high in our study compared to international studies. Majority of patients were young and nullipara. Leading risk factor is pelvic inflammatory disease due to septic induced abortion. 92% of patients had acute presentation. Conclusions: Rising rate of ectopic pregnancy was found in young, nulliparous women secondary to pelvic inflammatory disease. The frequency can be reduced by awareness of reproductive health care, liberal contraceptive utilization, acceptable adequate planned family. Early diagnosis and timely referral may be helpful in treating the patients prior to tubal rupture with decreased morbidity and mortality.

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