Introduction of a proforma in the management of under age attendees at a genitourinary clinic

2005 ◽  
Vol 16 (4) ◽  
pp. 278-280 ◽  
Author(s):  
S Holkar ◽  
K E Rogstad

The aim of this review was evaluation of a recently developed proforma for improving assessment and management of patients under the age of 16 in the genitourinary (GU) medicine clinic. A case-note review of all under-16s attending between June 2000 and March 2001 was undertaken (109 patients). Comparison with review from 1998 prior to proforma introduction was carried out. In all, 99 proformas were completed. Fewer young patients were seen solely by junior doctors since proforma introduction (27–45%) ( P=0.012), more were referred to health advisors (79% versus 66%) ( P=0.056), but follow-up remains suboptimal (72% versus 78%). Possibility of abuse was assessed in 102 patients (17 cases of nonconsensual sex versus six in 1998). In all, 54% were using no contraception and only 21% were consistently using barrier methods; 41% had sexually transmitted infections diagnosed. The proforma is useful for collecting data and directing management when completed fully, and has revealed greater numbers of children involved in risky behaviour and abuse.

Sexual Health ◽  
2005 ◽  
Vol 2 (2) ◽  
pp. 77 ◽  
Author(s):  
Frieda M-T. Behets ◽  
Kathleen Van Damme ◽  
Andry Rasamindrakotroka ◽  
Marcia Hobbs ◽  
Kristi McClamroch ◽  
...  

Background: Too little is known about the many women who generate income in Madagascar by trading sex. Methods: Clinical and laboratory exams were offered to 493 non-care seeking female sex workers (SWs) in Antananarivo and 493 in Tamatave. SWs were recruited by peers in their community; they were interviewed, counselled and treated for sexually transmitted infections (STIs) at recruitment and re-evaluated 2 months later. Results: One hundred and eighty six (38%) of the SWs in Antananarivo and 113 (23%) in Tamatave did not complete primary school (P < 0.0001). The incidence rates per person per month in Antananarivo and Tamatave, respectively, were 0.09 and 0.08 for gonorrhoea; 0.05 and 0.03 for chlamydia; 0.24 and 0.15 for trichomoniasis; 0.07 and 0.05 for syphilis. At follow-up, consistent condom use with clients was reported by 56 (12%) SWs in Antananarivo and 137 (29%) in Tamatave (P < 0.0001); 320 (70%) SWs in Antananarivo and 11 (2%) in Tamatave reported sex with a non-paying partner in the past month (P < 0.0001). In Antananarivo, 422 (92%) of the SWs thought they were at no or low risk of having an STI compared to 100 (21%) in Tamatave (P = 0.02). At follow-up, 277 (61%) SWs reported no birth control for their last sex act in Antananarivo, compared to 26 (5%) in Tamatave (P < 0.0001). Socio-demographic and behavioural risk factors for incident gonorrhoea, chlamydia and trichomoniasis varied by city. Conclusions: Strategies to address the needs of women who trade sex should include educational and economic opportunities; should tackle male partners of SWs; promote dual protection against unintended pregnancy and STIs, while taking into account local socio-demographic and behavioural characteristics.


2017 ◽  
Vol 29 (3) ◽  
pp. 251-258 ◽  
Author(s):  
Andreas Schönfeld ◽  
Torsten Feldt ◽  
Tafese B Tufa ◽  
Hans M Orth ◽  
André Fuchs ◽  
...  

Human immunodeficiency virus (HIV) continues to be a major global public health issue and omnipresent sexually transmitted infections (STIs) increase the risk of HIV acquisition. Moreover, STIs and HIV in pregnant women can harm the unborn child. In this study, we systematically investigated the prevalence of HIV, relevant STIs and vaginal group B streptococcus colonization among pregnant women presenting at Asella Teaching Hospital in central Ethiopia and their effect on perinatal mortality. A follow-up was performed six weeks after delivery. A total of 580 women were included, of which 26.6% tested positive for at least one pathogen ( Chlamydia trachomatis 9.8%, trichomoniasis 5.3%, hepatitis B 5.3%, gonorrhoea 4.3%, group B streptococcus 2.4%, syphilis 2.2%, HIV 2.1%). None of the HIV infections were previously undiagnosed, indicating effective HIV screening activities in the region. Follow-up data were available for 473 (81.6%) children, of which 37 (7.8%) were stillborn or died within the first six weeks of life. Infection with Trichomonas vaginalis and recruitment at obstetric ward (versus antenatal care) were associated with mortality. High prevalence of STIs in pregnant women and their impact on the unborn child demonstrate the need for screening and treatment programmes in order to prevent perinatal mortality.


2003 ◽  
Vol 16 (3) ◽  
pp. 209-217
Author(s):  
Erin C. Raney ◽  
Julie Méthot

Hormonal and barrier contraceptive choices have undergone unprecedented expansion over the past decade. Oral contraceptives have been joined by products with alternative hormone delivery systems, including transdermal, injectable, and intravaginal. In addition, the doses and chemical structures of the estrogen and progestin components have been altered to improve tolerability. Barrier methods continue to offer nonhormonal options with varied levels of protection from sexually transmitted infections. With the expansion of choices, consideration of individual needs is key to maximizing effectiveness and tolerability. Future advancements will continue to focus on individualized options as well as expanded male contraceptive devices.


2021 ◽  
Vol 9 (4) ◽  
pp. 369-377
Author(s):  
Olorunsola Abimbola ◽  
Adegoke Adedokun

Background: Sexually transmitted infections are one of the health outcomes of risky sexual behaviour and they constitute health burdens among young population. The study assessed the knowledge, prevalence and contributing factors for sexually transmitted infections among young patients seen at two general outpatient clinics.Method: The study adopted a cross-sectional design using a sample size of 370 unmarried young patients that were sexually active. Quantitative data was obtained using structured questionnaires and samples were taken to determine the causative organisms of sexually transmitted infections (STI). Analysis was done with SPSS, chi-square was used to test for association between STI and influencing factors and statistical level of significance was set at 5%. Results: General knowledge assessment showed 90.3% of the respondents knew STIs. Specific STI knowledge showed HIV/AIDS was known by 88.9% and chancroid by 14%. About 26% of the respondent presented with itch, 22.1% with vaginal discharge and 5.9% with swelling on the perineum. Organisms identified were Candida albicans (47%), Non-gonococcal urethritis (17.7%) and the least was Herpes 21.96%. Prevalence of STI was significantly associated with risky sexual behaviour (÷ = 8.437; p = 2 20.004), tertiary education (÷ = 5.330; p= 0.021) and poor family functioning (÷ = 5.507; p=0.005).Conclusion: Sexually transmitted infection was associated with risky sexual behaviour, education on behavioural change towards safe sexual practice is a tool that can help prevent the spread of the infection.   French title: Infections sexuellement transmissibles chez les jeunes patients dans deux cliniques générales ambulatoires dans le sud-ouest du Nigéria : Évaluation des connaissances et des facteurs de risque Contexte général de l'étude : Les infections sexuellement transmissibles sont l'un des effets sur la santé des comportements sexuels à risque et elles constituent un fardeau pour la santé de la population jeune. L'étude a évalué les connaissances, la prévalence et les facteurs contributifs des infections sexuellement transmissibles chez les jeunes patients vus dans deux cliniques ambulatoires générales.Méthode de l'étude : L'étude a adopté une conception transversale en utilisant un échantillon de 370 jeunes patients célibataires qui étaient sexuellement actifs. Des données quantitatives ont été obtenues à l'aide d'un questionnaire structuré et des échantillons ont été prélevés pour déterminer les organismes responsables des infections sexuellement transmissibles (IST). L'analyse a été effectuée avec SPSS, le test du chi carré a été utilisé pour tester l'association entre les IST et les facteurs d'influence et le niveau de signification statistique a été fixé à 5 %.Résultat de l'étude: L'évaluation des connaissances générales a montré que 90,3 % des répondants connaissaient les IST. Les connaissances spécifiques sur les ISTont montré que le VIH/SIDAétait connu à 88,9 % et le chancre mou à 14 %. Environ 26 % des répondantes présentaient des démangeaisons, 22,1 % des pertes vaginales et 5,9 % un gonflement du périnée. Les organismes identifiés étaient le Candida albicans (47 %), l'urétrite non gonococcique (17,7 %) et le moins était l'herpès 1,96 %. La prévalence des IST était significativement associée aux comportements sexuels à risque (÷ 2 = 8,437 ; p = 0,004), à l'enseignement supérieur (÷ 2 = 5,330 ; p = 0,021) et au mauvais fonctionnement de la famille (÷2 = 5,507 ; p = 0,005).Conclusion : Les infections sexuellement transmissibles étaient associées à des comportements sexuels à risque, l'éducation sur le changement de comportement vers une pratique sexuelle sans risque est un outil qui peut aider à prévenir la propagation de l'infection.


2002 ◽  
Vol 6 (39) ◽  
Author(s):  
E Adams

Risky sexual behaviour and the disproportionate burden of STIs in certain population subgroups across Europe was a strong message emerging from the 18th Congress on Sexually Transmitted Infections (IUSTI-EUROPE 2002), held on the 12-14 September in Vienna, Austria. Complete conference programme and abstracts are available at reference 1, and will shortly be available online at http://www.iusti-europe-2002.org/).


2014 ◽  
Vol 47 (5) ◽  
pp. 507-512 ◽  
Author(s):  
Roman Krivochenitser ◽  
Erica Bicker ◽  
David Whalen ◽  
Cynthia Gardiner ◽  
Jeffrey S. Jones

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