scholarly journals Sexually transmissible infection control programs for men who have sex with men – what will they look like in 2020?

Sexual Health ◽  
2017 ◽  
Vol 14 (1) ◽  
pp. 126 ◽  
Author(s):  
Oliver N. Refugio ◽  
Chelsea Roberts ◽  
Richard West ◽  
Jeffrey D. Klausner
Keyword(s):  
Health Care ◽  
Infection Control ◽  
Care Delivery ◽  
Control Programs ◽  
Sexually Transmissible Infections ◽  
Novel Approaches ◽  
Sex With Men ◽  
Prevention Methods ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

The resurgence of sexually transmissible infections among men who have sex with men is a concern for sexual health. Traditional strategies have relied on the promotion of condom use, regular testing, treatment, and partner management. Future sexually transmissible infection control programs must combine current prevention methods with novel approaches that target the providers, patients, and mechanisms of health care delivery.

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.

Sexually transmissible infection testing guidelines for men who have sex with men

Sexual Health ◽  
2008 ◽  
Vol 5 (2) ◽  
pp. 189 ◽  
Author(s):  
Chris Bourne ◽  
Barry Edwards ◽  
Miranda Shaw ◽  
Andrew Gowers ◽  
Craig Rodgers ◽  
...  
Keyword(s):  
Infection Control ◽  
Sexually Transmitted Infection ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Sex With Men ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection ◽  
Sydney Australia

Since 2002, biennial production of sexually transmissible infection testing guidelines for men who have sex with men has supported sexually transmitted infection control efforts in inner Sydney, Australia.

scholarly journals Rectal self-sampling in non-clinical venues for detection of sexually transmissible infections among behaviourally bisexual men

Sexual Health ◽  
2012 ◽  
Vol 9 (2) ◽  
pp. 190 ◽  
Author(s):  
Brian Dodge ◽  
Barbara Van Der Pol ◽  
Michael Reece ◽  
David Malebranche ◽  
Omar Martinez ◽  
...  
Keyword(s):  
Total Sample ◽  
Health Concern ◽  
Bisexual Men ◽  
Chlamydia Trachomatis Infection ◽  
Overall Acceptability ◽  
Sexually Transmissible Infections ◽  
High Prevalence ◽  
Sex With Men ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Rectal sexually transmissible infections are a common health concern for men who have sex with men but little is known about these infections among men who have sex with both men and women. Self-obtained rectal specimens were collected from a diverse sample of behaviourally bisexual men. From a total sample of 75 bisexual men, 58 collected specimens. A relatively high prevalence of rectal Chlamydia trachomatis infection was found. Participants who collected specimens reported overall acceptability and comfort with self-sampling. Future efforts are needed focusing on increasing awareness of and options for rectal sexually transmissible infection testing among bisexual men.

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.

Early diagnosis of HIV among men who have sex with men in Western Australia: impact of a peer-led sexually transmissible infection testing service

Sexual Health ◽  
2015 ◽  
Vol 12 (4) ◽  
pp. 360 ◽  
Author(s):  
Byron C. Minas ◽  
Carolien M. Giele ◽  
Sue C. Laing ◽  
Lisa Bastian ◽  
Andrew W. Burry ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Hiv Testing ◽  
Testing Service ◽  
Sti Testing ◽  
Time Periods ◽  
Sex With Men ◽  
The Impact ◽  
Western Australian ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Background In July 2010, the Western Australian AIDS Council established the ‘M Clinic’, a peer-led STI testing service for MSM. This study describes trends in HIV notifications among MSM in WA from 2004 to 2013, particularly the impact of the M Clinic on newly acquired HIV diagnoses. Methods: The number and proportion of MSM HIV cases with newly acquired infection were compared for the 2004–2006, 2007–2009 and 2011–2013 time periods. Data from 2010 were excluded as the M Clinic opened in July 2010. Results: Between the 2004–2006 and 2007–2009 periods, the number of MSM with newly acquired HIV increased by 50% (23 to 33 cases) and the number of newly acquired cases as a proportion of all new HIV diagnoses among MSM increased from 27% to 35% (30% increase) (P = 0.25). In the 2011–2013 period, the number of newly acquired HIV cases among MSM more than doubled to 70 cases and comprised 53% of all new HIV diagnoses among MSM (P < 0.05). Of the 70 newly acquired HIV cases in the 2011–2013 period, 30% (n = 21) were diagnosed at the M Clinic. Conclusions: The proportion of MSM HIV notifications that were newly acquired increased between 2004 and 2013 in WA, with the greatest increase seen after the M Clinic commenced operation. A peer-led approach to HIV testing should be considered in order to achieve early diagnosis and treatment of HIV among MSM.

scholarly journals Variáveis intervenientes no desempenho dos programas de controle e prevenção de infecção relacionada à assistência à saúde/ Intervenient variables in the performance of health care-associated infection control programs

2019 ◽  
Vol 18 (2) ◽  
Author(s):  
Hadelândia Milon Oliveira ◽  
Rúbia Aparecida Lacerda
Keyword(s):  
Health Care ◽  
Infection Control ◽  
Control Programs ◽  
Health Care Associated Infection

Objetivo:Avaliar as variáveis que interferem no desempenho Programas de Controle e Prevenção de Infecção Relacionada à Assistência à Saúde. Método:Estudo quantitativo de análise por estatística descritiva, em hospitais, a partir de 50 leitos. Dois instrumentos de forma utilizados na coleta de dados: O primeiro,com caracterização geral dos hospitais e dos Programas de Controle e Prevenção de Infecção Relacionada à Assistência à Saúde. O segundo,com os quatro indicadores clínicos de avaliação de Programas de Controle e Prevenção de Infecção Relacionada à Assistência à Saúde, previamente construídos e validados. Resultados: Os melhores escores foram relacionados à: entidades mantenedoras privadas; existência de algum tipo de certificação/acreditação; composição da equipe do Serviço de Controle de Infecção Hospitalar formada por enfermeiro, médico e outros (técnico de enfermagem e/ou bioquímico e/ou administrativo); vínculo empregatício institucionalizado do enfermeiro e médico;carga horária exclusiva dos enfermeiros e médicos que atuam no Serviço de Controle de Infecção Hospitalar; tempo de experiência dos enfermeiros e médicos; capacitação em controle e prevenção de Infecção Hospitalar na admissão de recursos humanos.Conclusão: Foi possível verificar as interferências das variáveis no desempenho dos programas de controle de infecção hospitalar.

scholarly journals Young Black Gay/Bisexual and Other Men Who Have Sex With Men: A Review and Content Analysis of Health-Focused Research Between 1988 and 2013

2015 ◽  
Vol 11 (5) ◽  
pp. 1388-1405 ◽  
Author(s):  
Ryan M. Wade ◽  
Gary W. Harper
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Sexual Health ◽  
Psychosocial Functioning ◽  
Care Delivery ◽  
Extensive Literature ◽  
Content Areas ◽  
Health Domains ◽  
Health Related ◽  
Sex With Men

Black young gay, bisexual, and other men who have sex with men (YGBMSM) are at high risk for negative health outcomes, though this population is underrepresented in the health literature. An extensive literature review and content analysis of health-related peer-reviewed articles (1988-2013) was conducted that targeted Black YGBMSM, examining five content areas: sexual health, health care, substance use, psychosocial functioning, and sociostructural factors. A coding sheet was created to collect information on all content areas and related subtopics and computed descriptive statistics. Out of 54 articles, most were published after 2004 ( N = 49; 90.7%) and addressed some aspect of sexual health ( N = 50; 92.6%). Few articles included content on psychosocial functioning, including bullying/harassment, suicide, and racial/ethnic identity. Data on health care delivery/receipt and health insurance were underrepresented; tobacco use and substance abuse were seldom addressed. Important sociostructural factors, including sexual networks and race-based discrimination, were poorly represented. Last, there was a noteworthy deficit of qualitative studies and research exploring intersectional identity and health. This review concludes that studies on Black YGBMSM health places sex at the forefront to the neglect of other critical health domains. More research is needed on the diverse health issues of a vulnerable and underexamined population.

scholarly journals Are printed sexually transmissible infection materials for patients appropriate? A physician perspective

Sexual Health ◽  
2008 ◽  
Vol 5 (3) ◽  
pp. 307 ◽  
Author(s):  
Asaduzzaman Khan ◽  
David Plummer
Keyword(s):  
General Practitioners ◽  
New South ◽  
New South Wales ◽  
Postal Survey ◽  
Physician Perspective ◽  
South Wales ◽  
Sexually Transmissible Infections ◽  
Information Materials ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

The data from a postal survey of 409 general practitioners (GPs) practicing in New South Wales are analysed to explore GPs’ concerns, if any, about available printed information materials on sexually transmissible infections (STI) for patients. Just over half (55%) of GPs considered the materials for patients to be inadequate and/or inappropriate with 18% considering the materials as too technical for many patients and 13% considering the materials mostly out of date. Over a fifth reported that either STI materials were not available in their clinic or they did not know where to get those materials.

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