The clinical load of HIV and AIDS for genitourinary physicians

1998 ◽  
Vol 9 (10) ◽  
pp. 567-570
Author(s):  
Mohsen Shahmanesh ◽  
Charles Lacey
Keyword(s):  
Postgraduate Training ◽  
Hiv And Aids ◽  
Hiv Care ◽  
Teaching Hospitals ◽  
Hiv Positive ◽  
Specialist Training ◽  
Hiv Patients ◽  
Hiv Management ◽  
Genitourinary Medicine ◽  
The Uk

We aimed to investigate the extent of genitourinary medicine (GUM) involvement in the clinical management of HIV. A questionnaire survey was conducted on GUM consultants in the UK and the Irish Republic. Clinics were divided into teaching hospitals (THs) undertaking both undergraduate and postgraduate training in GUM, non-teaching training (NTT) centres undertaking specialist training only and non-teaching (NT) centres. Information was obtained on 241 of the 250 consultants on the Royal College of Physician's GUM Committee's records from 117 GUM clinics (including all THs and NTT centres). Four (1 TH and 2 NTT centres) GUM clinics did not see HIV-positive patients, 62 saw 10-99 patients, 18 reported 100-999 and 4 with over 1000 patients attending in 1996. Thirty-five per cent of the 55 THs and NTT centres had over 100 HIV patients. Consultants were involved in the outpatient care of HIV patients in 99.5% and GUM trainees in 85.5% clinics. Overall 47 clinics have their own inpatient HIV beds and 176 consultants (73%) had full (100) or significant (76) input to inpatient HIV management. Only 29% of THs and 12.5% of NTT centres had none or minor input into HIV care. HIV inpatient on-call commitment by the GUM trainees was reported by 64% of training centres. GUM services provide a major input into outpatient and inpatient care of HIV-infected patients in the UK.

What do HIV-positive patients in Plymouth think about sharing details of their HIV status with other health-care workers?

2012 ◽  
Vol 23 (9) ◽  
pp. 647-648 ◽  
Author(s):  
Z Warwick ◽  
R Lillicrap
Keyword(s):  
Primary Care ◽  
Health Care Workers ◽  
Hospital Staff ◽  
Structured Interview ◽  
Hiv Care ◽  
Hiv Positive ◽  
Hiv Status ◽  
Opt Out ◽  
Care Workers ◽  
Genitourinary Medicine

We carried out a prospective structured interview with 71% of the HIV cohort in Plymouth to establish patients’ views on recording HIV status and details of HIV care in routine hospital and primary care notes. Forty-nine percent of patients did not want their HIV status routinely documented in hospital notes and 57% did not want hospital staff to have access to results of sexual health screens (SHSs). In light of these results, we plan to offer patients the option to opt out of using hospital notes for documentation of their HIV care and will be providing SHSs under a separate genitourinary medicine (GU) patient number.

Retaining HIV-positive patients in HIV care: a personalised approach for those at risk of loss to follow-up at an inner city sexual health service

Sexual Health ◽  
2018 ◽  
Vol 15 (1) ◽  
pp. 91
Author(s):  
Loretta Healey ◽  
Catherine C. O'Connor
Keyword(s):  
Health Service ◽  
Sexual Health ◽  
Text Messages ◽  
Hiv Care ◽  
Hiv Positive ◽  
Hiv Patients ◽  
Loss To Follow Up ◽  
Sexual Health Service ◽  
Lost To Follow Up

In 2013 a personalised approach to follow-up of HIV patients who had withdrawn from HIV care was taken at RPA Sexual Health, a Sydney metropolitan sexual health service. HIV patients were telephoned, sent text messages, emailed and sent letters multiple times where applicable. With this intervention 20 of 23 people who had withdrawn from HIV care re-engaged. Since that time, active follow-up of all people diagnosed with HIV has resulted in only 2% of HIV patients at RPA Sexual Health being lost to follow-up.

What is the extent of repeat prescriptions for post-exposure prophylaxis for HIV after sexual exposure among men who have sex with men in the UK?

Sexual Health ◽  
2016 ◽  
Vol 13 (6) ◽  
pp. 595 ◽  
Author(s):  
Carrie Llewellyn ◽  
Harriet Martin ◽  
Eileen Nixon
Keyword(s):  
High Risk ◽  
Hiv Positive ◽  
Post Exposure Prophylaxis ◽  
Post Exposure ◽  
Genitourinary Medicine ◽  
Sex With Men ◽  
The Uk ◽  
Exposure Prophylaxis ◽  
Prevention Of Hiv ◽  
Repeat Prescriptions

People who repeatedly present for post-exposure prophylaxis (PEP) for prevention of HIV following a high-risk sexual exposure are of concern according to the British HIV Association PEP guidelines. The aim of this audit was to determine the extent of repeat PEP prescriptions for men who have sex with men (MSM) by conducting a retrospective review of patient notes from a 5-year period at one genitourinary medicine clinic. Over the 5 years, 107 of 929 MSM (11.5%; 95% confidence interval: 9.45–13.55) received more than one PEP prescription (repeat range 1–8; mean = 3.3, s.d. = 1.44). Forty percent of these had received three or more PEP prescriptions. Seven of the 107 became HIV positive. Patients need to be offered and encouraged to take up behavioural risk reduction interventions at the time of each PEP prescription.

scholarly journals Analysis of the Consequences of the COVID-19 Pandemic on the Continuum of the Care in a Cohort of HIV-Positive Patients Followed in a Single Center of Northern Italy.

2020 ◽  
Author(s):  
Eugenia Quiros-Roldan ◽  
Paola Magro ◽  
Canio Carriero ◽  
Annacarla Chiesa ◽  
Issa El Hamad ◽  
...  
Keyword(s):  
Antiretroviral Drugs ◽  
Hiv Care ◽  
Hiv Positive ◽  
Hiv Diagnosis ◽  
Hiv Patients ◽  
Medical Visits ◽  
Missed Visits ◽  
Hiv Continuum Of Care ◽  
New Strategies ◽  
The Continuum

Abstract Background: During the COVID-19 pandemic, hospitals faced increasing pressure, where HIV patients risked to either acquire SARS-Cov-2 and to interrupt the HIV continuum of care.Methods: retrospective, observational study. We compared the numbers of medical visits performed, antiretroviral drugs dispensed and the number of new HIV diagnosis and of hospitalizations in a cohort of HIV patients followed by the Spedali Civili of Brescia, between the bimester of the COVID-19 pandemic peak and the bimester of October-November 2019.Results: We observed a reduction in the number of new HIV diagnosis from 6.4 in 2019 to 2.5 per month in 2020, a raise of missed visits from 5% to 8%, a drop in ART dispensation especially for not-protease inhibitors and an increase of hospitalized HIV patients due to COVID-19.Conclusions: Our experience highlights the importance of a resilient healthcare system and the need to implement new strategies in order to guarantee the continuum of HIV care even in the context of emergency.

Genitourinary medicine

2016 ◽  
Keyword(s):  
Public Health ◽  
Clinical Evidence ◽  
Hiv And Aids ◽  
Nucleic Acid Amplification ◽  
Health Concern ◽  
Public Health Concern ◽  
Sexually Transmitted ◽  
Diagnostic Technology ◽  
Genitourinary Medicine ◽  
The Uk

In the UK, the continued rise in sexually transmitted infections remains a key public health concern. Since the advent of HIV infection, many genitourinary medicine specialists have also undertaken the management of HIV and AIDS, and there has been a move towards closer links or integration with contraception/family planning under the umbrella of sexual health, creating a continually shifting and developing field. Advances in diagnostic technology, such as the recent nucleic acid amplification tests for gonorrhoea, continue to make this specialty as fascinating and satisfying as ever, combining the science of medicine with the art of clinical practice. This chapter covers some of these recent advances, focusing on the key clinical evidence currently shaping this specialty.

Specialist psychiatric training in Britain: An Irish graduate's perspective

1997 ◽  
Vol 14 (2) ◽  
pp. 60-62 ◽  
Author(s):  
James V Lucey
Keyword(s):  
European Union ◽  
National Health Service ◽  
Postgraduate Training ◽  
Current Status ◽  
Psychiatric Training ◽  
Specialist Training ◽  
The Past ◽  
Eu Directives ◽  
Uk National Health Service ◽  
The Uk

AbstractMany Irish graduates chose to pursue specialist psychiatric training in Britain. Regulations governing UK specialist training are currently changing in response to European Union (EU) directives. Furthermore, over the past five years the UK national health service has undergone significant reforms. This paper reviews the current status of British postgraduate training and examines the options for Irish doctors who take this route to a career in psychiatry.

scholarly journals The use of Hall technique preformed metal crowns by specialist paediatric dentists in the UK

BDJ ◽  
2018 ◽  
Vol 224 (1) ◽  
pp. 48-52 ◽  
Author(s):  
A Roberts ◽  
A McKay ◽  
S Albadri
Keyword(s):  
Postgraduate Training ◽  
Paediatric Dentistry ◽  
British Society ◽  
Teaching Hospitals ◽  
Undergraduate Teaching ◽  
Dental Services ◽  
Preformed Metal Crowns ◽  
Specialist Practice ◽  
The Uk ◽  
Hall Technique

Abstract Background Hall technique preformed metal crowns (HTPMCs) have been increasing in use recently, but little is currently known about their use by specialists. Aim To investigate the views and usage of HTPMCs by UK specialist paediatric dentists. Design This was a prospective questionnaire-based study, distributed online to all specialists on the British Society of Paediatric Dentistry email list between July and September 2014. Results Ninety-four questionnaires were completed. The majority of respondents, 65% (61) worked in teaching hospitals, followed by community dental services, 37% (35). Ninety-six percent (89) reported that they used HTPMCs in their practice. Fifty-eight percent (54) used HTPMCs as a treatment option for restoring symptomless carious primary molars, and 15% (14) only when unable to provide conventional restoration. Twenty-three percent (21) used HTPMCs as the treatment of choice. Only 4% (4) of respondents never used them. Sixty percent (53) had been using HTPMCs for over five years. Seventy-six percent (68) would consider placing HTPMCs under inhalation sedation, and 26% (23) under general anaesthesia. Over 90% (85) believed that HTPMCs are suitable for undergraduate teaching, general practice, postgraduate training and specialist practice. Conclusion HTPMCs are widely used among specialist paediatric dentists in the UK.

Screening, diagnosis and management of early syphilis in genitourinary medicine clinics in the UK

2005 ◽  
Vol 16 (5) ◽  
pp. 348-352 ◽  
Author(s):  
K E Rogstad ◽  
I Simms ◽  
K A Fenton ◽  
S Edwards ◽  
M Fisher ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Confirmatory Test ◽  
Hiv Positive ◽  
Test Results ◽  
Serological Tests ◽  
Early Syphilis ◽  
Genitourinary Medicine ◽  
Dark Ground ◽  
The Uk ◽  
Syphilis Serology

New diagnoses of syphilis in the UK increased eight-fold between 1997 and 2002. This study, conducted in 2002, demonstrated that 31% of clinics were not confident of their expertise to obtain an adequate specimen for dark ground microscopy (DGM), and 35% were not confident of their expertise to detect treponemes on DGM. In all, 64% of clinics had observed adherence problems in HIV-positive patients treated with parenteral regimens, as against 42% with oral regimens. Also, 51% of clinics waited more than a week for the results of initial serological tests for syphilis, and 88% of clinics waited more than a week for confirmatory test results. Other concerns include the failure to perform syphilis serology consistently whenever HIV-positive patients were at risk, and the widespread use of doxycycline as a therapy for syphilis in HIV-positive patients despite concerns that this is not known to be fully treponemicidal in cerebrospinal fluid.

Generalized mycobacteriosis with secondary lesions of the spine in HIV positive patients

MedAlliance ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 54-60
Keyword(s):  
Antibiotic Therapy ◽  
Granulomatous Inflammation ◽  
Hiv Positive ◽  
Hiv Patients ◽  
Histological Picture ◽  
Clinical Observations ◽  
Spinal Lesion ◽  
Secondary Lesion

2 clinical observations of generalized forms of mycobacteriosis in HIV (+) patients complicated by secondary spinal lesion are described. Anamnestic data on the presence of mycobacteriosis of the lungs allowed to suspect a secondary lesion of the spine. Verification of the diagnosis is possible only with bacteriological confirmation, since the histological picture is nonspecific and resembles tuberculous granulomatous inflammation. Treatment of spondylitis caused by non-tuberculous mycobacteria is complex and includes both surgical rehabilitation of the focus and long-term (at least 1 year) antibiotic therapy.

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