The views of genitourinary medicine (GUM) clinic users on unlinked anonymous testing for HIV: evidence from a pilot study of clinics in two English cities

This study examines the requirement for testing patients for other sexually transmitted infections (STIs) and bacterial vaginosis (BV) when diagnosed with genital chlamydia during opportunistic screening. Data were collected on all patients participating in the Department of Health chlamydia screening pilot study in Portsmouth. One thousand two hundred and forty-five women and 490 men with genital chlamydia were seen in Portsmouth genitourinary medicine (GUM) department. Of the women screened in GUM, 28% had coexisting STIs and 21% had BV. The corresponding figures for those initially screened in the community were 4% and 17%. An increased number of female sexual partners of male patients (76%) and male partners of female patients (55%) of the GUM group had co-infections; 58% of male partners from the community group had another STI. The increased morbidity associated with these infections warrants screening of all patients with chlamydia for other STIs and BV.

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Chlamydia—inside out

International Journal of STD & AIDS ◽

10.1258/095646202760029831 ◽

2002 ◽

Vol 13 (6) ◽

pp. 406-410 ◽

Cited By ~ 1

Author(s):

Andrea Dodd ◽

Diane Lesley Comber ◽

Mary Hernon

Keyword(s):

Pilot Study ◽

Sexual Health ◽

Community Health ◽

Health Care Professionals ◽

Time Management ◽

Partner Notification ◽

Phone Calls ◽

Complementary Role ◽

Genitourinary Medicine

The aim was to inform other health care professionals within the field of sexual health about the expanding role of the health adviser in genitourinary medicine. It also highlights the complementary role of a community health adviser that may develop if the chlamydia pilot study became a national screening programme. An audit of time management and workload created by partner notification for the positive patients generated by the chlamydia pilot was undertaken. This was done prospectively over a two-month period and the data were collected by the health advisers in the genitourinary medicine department. The results showed that 164 people generated by the pilot study were treated for chlamydia (80 cases and 84 partners): 25 letters and 8 phone calls were required to achieve this. The national sexual health strategy now addresses the issue of integration of sexual health services. It may be suggested that the role of the health adviser could be fundamental to this strategy and development of a community health adviser may then evolve.

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Prevalence of maternal HIV infection in Scotland based on unlinked anonymous testing of newborn babies

The Lancet ◽

10.1016/0140-6736(91)93261-7 ◽

1991 ◽

Vol 337 (8757) ◽

pp. 1565-1567 ◽

Cited By ~ 47

Author(s):

F. Cockburn ◽

D.M. Tappin ◽

R.W.A. Girdwood ◽

R. Kennedy ◽

A.J. Brown ◽

...

Keyword(s):

Hiv Infection ◽

Anonymous Testing ◽

Unlinked Anonymous Testing ◽

Maternal Hiv ◽

Maternal Hiv Infection

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Hepatitis C virus among genitourinary clinic attenders in Scotland: unlinked anonymous testing

International Journal of STD & AIDS ◽

10.1258/0956462011916686 ◽

2001 ◽

Vol 12 (1) ◽

pp. 17-21 ◽

Cited By ~ 4

Author(s):

D Goldberg ◽

S Cameron ◽

G Sharp ◽

S Burns ◽

G Scott ◽

...

Keyword(s):

Hepatitis C Virus ◽

Hepatitis C ◽

Anonymous Testing ◽

Unlinked Anonymous Testing

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Hepatitis C virus among high and low risk pregnant women in Dundee: unlinked anonymous testing

British Journal of Obstetrics and Gynaecology ◽

10.1016/s0306-5456(00)00089-9 ◽

2001 ◽

Vol 108 (4) ◽

pp. 365-370 ◽

Cited By ~ 6

Author(s):

D Goldberg ◽

P.G McIntyre ◽

R Smith ◽

K Appleyard ◽

J Dunlop ◽

...

Keyword(s):

Hepatitis C Virus ◽

Hepatitis C ◽

Pregnant Women ◽

Low Risk ◽

Anonymous Testing ◽

Unlinked Anonymous Testing

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Monitoring HIV through sentinel surveillance in Morocco

Eastern Mediterranean Health Journal ◽

10.26719/2002.8.1.141 ◽

2002 ◽

Vol 08 (01) ◽

pp. 141-149

Author(s):

E. El Harti

Keyword(s):

Pulmonary Tuberculosis ◽

Preventive Measures ◽

Hiv Prevalence ◽

Sentinel Surveillance ◽

High Rate ◽

Sexually Transmitted ◽

Testing Procedures ◽

Anonymous Testing ◽

Hiv Epidemic ◽

Unlinked Anonymous Testing

HIV sentinel surveillance was performed in five provinces of Morocco in 1993, expanded to 10 provinces in 1996. The activity was done by unlinked anonymous testing procedures. We analysed the data from 1993 to 1999. The groups studied were sexually transmitted infections, clinic attendees, pregnant women and patients with pulmonary tuberculosis. The results show that overall HIV prevalence rate over the whole period in 10 cities was 0.10% [45/44, 233]. Casablanca had a significantly high rate with 0.39% [10/2567]. The patients with pulmonary tuberculosis displayed the highest prevalence with 0.36% [9/2530]. These data confirm the assumption that the HIV epidemic is low in Morocco. However, the increase of HIV prevalence lately calls for reinforcing preventive measures to limit its spread.

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Prevalence of HIV-1 infection among heterosexual men and women attending genitourinary clinics in Scotland: unlinked anonymous testing

BMJ ◽

10.1136/bmj.315.7118.1281 ◽

1997 ◽

Vol 315 (7118) ◽

pp. 1281-1282 ◽

Cited By ~ 7

Author(s):

G Scott ◽

D Goldberg ◽

M Weir ◽

S Cameron ◽

J Peutherer ◽

...

Keyword(s):

Heterosexual Men ◽

Men And Women ◽

Anonymous Testing ◽

Unlinked Anonymous Testing ◽

Hiv 1

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Hepatitis C virus among genitourinary clinic attenders in Scotland: unlinked anonymous testing

International Journal of STD & AIDS ◽

10.1177/095646240101200104 ◽

2001 ◽

Vol 12 (1) ◽

pp. 17-21 ◽

Cited By ~ 4

Author(s):

D Goldberg ◽

S Cameron ◽

G Sharp ◽

S Burns ◽

G Scott ◽

...

Keyword(s):

Hepatitis C Virus ◽

Hepatitis C ◽

Anonymous Testing ◽

Unlinked Anonymous Testing

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Unlinked anonymous testing to estimate HIV prevalence among pregnant women in Catalonia, Spain, 1994 to 2009

Eurosurveillance ◽

10.2807/ese.16.32.19940-en ◽

2011 ◽

Vol 16 (32) ◽

Author(s):

D Carnicer-Pont ◽

J Almeda ◽

J Luis Marin ◽

C Martinez ◽

M V Gonzalez-Soler ◽

...

Keyword(s):

Sampling Method ◽

Metabolic Diseases ◽

Hiv Infections ◽

Hiv Prevalence ◽

Antibody Detection ◽

Anonymous Testing ◽

Immunodeficiency Virus ◽

Unlinked Anonymous Testing ◽

The Mean ◽

Detection Programme

This paper estimates the prevalence of human immunodeficiency virus (HIV) infections in women giving birth and women voluntarily terminating pregnancy over a period of sixteen years in Catalonia. Samples for HIV antibody detection were collected from the Neonatal Early Detection Programme for congenital metabolic diseases that covers 99% of infants born in Catalonia. The sampling method collected information of 50% of births every year and of all women attending three clinics for voluntary interruption of pregnancy. Using two sequential immunoassays we analysed unlinked anonymous blood spot samples from 549,689 newborns between 1994 and 2009 and from 31,904 women who voluntarily interrupted pregnancy between 1999 and 2006. HIV prevalence among women giving birth decreased from 3.2 per 1,000 in 1994 to 1.7 per 1,000 in 2009 (p<0.01) and the mean age of infected mothers increased from 26 years in 1994 to 32 years in 2009 (p=0.001). A decrease in HIV prevalence was also observed in women voluntarily terminating pregnancy, from 2.3 per 1,000 in 1999 to 1.0 per 1,000 in 2006 (p<0.01). In contrast, estimated HIV prevalence in mothers born outside Spain increased from 2.2 per 1,000 in 2002 to 3 per 1,000 in 2009 (p<0.01) and their average age increased from 27 years in 2003 to 31 years in 2009 (p<0.01).

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