The demographical and clinical features of patients reattending a genitourinary medicine clinic and the role of counselling on subsequent incidence of sexually transmitted infections

2008 ◽  
Vol 19 (3) ◽  
pp. 168-171
Author(s):  
K Manavi ◽  
N Bolton
Keyword(s):  
Sexually Transmitted Infections ◽  
Clinical Features ◽  
Sexually Transmitted ◽  
Medicine Clinic ◽  
Genitourinary Medicine

scholarly journals Improving surveillance of sexually transmitted infections using mandatory electronic clinical reporting: the genitourinary medicine clinic activity dataset, England, 2009 to 2013

2014 ◽  
Vol 19 (48) ◽  
Author(s):  
E J Savage ◽  
H Mohammed ◽  
G Leong ◽  
S Duffell ◽  
G Hughes
Keyword(s):  
Sexually Transmitted Infections ◽  
Surveillance System ◽  
Risk Groups ◽  
Successful Implementation ◽  
Longitudinal Analyses ◽  
Sexually Transmitted ◽  
Medicine Clinic ◽  
New Codes ◽  
Genitourinary Medicine ◽  
Clinic Activity

A new electronic surveillance system for sexually transmitted infections (STIs) was introduced in England in 2009. The genitourinary medicine clinic activity dataset (GUMCAD) is a mandatory, disaggregated, pseudo-anonymised data return submitted by all STI clinics across England. The dataset includes information on all STI diagnoses made and services provided alongside demographic characteristics for every patient attendance at a clinic. The new system enables the timely analysis and publication of routine STI data, detailed analyses of risk groups and longitudinal analyses of clinic attendees. The system offers flexibility so new codes can be introduced to help monitor outbreaks or unusual STI activity. From January 2009 to December 2013 inclusive, over twenty-five million records from a total of 6,668,648 patients of STI clinics have been submitted. This article describes the successful implementation of this new surveillance system and the types of epidemiological outputs and analyses that GUMCAD enables. The challenges faced are discussed and forthcoming developments in STI surveillance in England are described.

The uptake of HIV testing among patients with chlamydial or gonococcal infections attending a genitourinary medicine clinic

2006 ◽  
Vol 17 (3) ◽  
pp. 193-195 ◽  
Author(s):  
K Manavi ◽  
A McMillan
Keyword(s):  
High Risk ◽  
Hiv Testing ◽  
Sexual Activity ◽  
Sexually Transmitted Infections ◽  
Chlamydial Infection ◽  
Gonococcal Infection ◽  
Sexually Transmitted ◽  
Medicine Clinic ◽  
Counselling Needs ◽  
Genitourinary Medicine

Bacterial sexually transmitted infections (STIs) may be markers of high-risk sexual activity. Counselling for these infections provides an opportunity for promoting HIV testing. The aim of the present study was to compare the uptake of HIV testing between patients with gonorrhoea or chlamydial infections and those without a bacterial STI. A study on patients screened for chlamydial or gonococcal infections in the Department of Genitourinary (GU) Medicine, Edinburgh between 1 July 2002 and 30 June 2003. The overall uptake of HIV testing among patients screened for chlamydial and gonococcal infections was 2263 (37%) of 6184 and 2012 (44%) of 4583, respectively ( P < 0.0002). Uptake of HIV testing was significantly higher among uninfected patients: for chlamydial infection, 17% of 1857 infected patients versus 45% of 4327 uninfected patients ( P < 0.0002); and for gonococcal infection, 24% of 256 infected patients versus 45% of 4327 uninfected patients ( P < 0.0002). The policy of pre-test counselling needs to be redesigned in order to improve the uptake of HIV testing among patients with high-risk sexual activity.

Modernization in GUM/HIV services: what does it mean?

2003 ◽  
Vol 14 (2) ◽  
pp. 89-98 ◽  
Author(s):  
Angela J Robinson ◽  
Karen Rogstad
Keyword(s):  
Quality Of Service ◽  
Sexually Transmitted Infections ◽  
21St Century ◽  
Working Group ◽  
Local Population ◽  
Hiv Services ◽  
Sexually Transmitted ◽  
Measuring Outcomes ◽  
Genitourinary Medicine

Genitourinary medicine services are expected to modernize in order to meet the needs of the NHS in the 21st century. Although increased funding is essential, there is a need for services to look at new ways of delivering care in order to deal with the increasing rate of sexually transmitted infections (STIs) including HIV in the community. This must include a review of skill-mix and roles. Some changes may appear to lower the quality of service. There must be auditing of changes to ensure that standards are not lowered. A short-lived working group was put together at the request of the RCP joint speciality committee for GUM consisting of representatives from diverse GUM clinics which have all been involved in extensive modernization of their service in order to meet demand. This report does not hold all the answers but provides suggestions for clinics wishing to initiate change. Changes must be appropriate to the local population and access pressures. More extreme measures may only be appropriate in the most severely stretched clinics and with consideration of measuring outcomes.

scholarly journals Social cohesion, condom use, and sexually transmitted infections among female sex workers living with HIV in the Dominican Republic

2018 ◽  
Vol 30 (1) ◽  
pp. 64-71 ◽  
Author(s):  
MA Carrasco ◽  
C Barrington ◽  
M Perez ◽  
Y Donastorg ◽  
D Kerrigan
Keyword(s):  
Dominican Republic ◽  
Condom Use ◽  
Sexually Transmitted Infections ◽  
Social Cohesion ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Pregnancy Intentions ◽  
Sexually Transmitted ◽  
Living With Hiv

This cross-sectional study examines the relationship between social cohesion with consistent condom use (CCU) and sexually transmitted infections (STIs) among the Abriendo Puertas (Opening Doors) cohort of female sex workers (FSWs) living with human immunodeficiency virus (HIV) in the Dominican Republic (n = 228). Using data from the follow-up survey of the cohort, we conducted multivariate logistic regression to explore these dynamics. Social cohesion was significantly associated with CCU between FSWs living with HIV and their clients in the last month (adjusted odds ratio [AOR] = 1.65, 95% confidence interval [CI]: 1.11–2.45) and STI prevalence among FSWs (AOR: 3.76, CI: 1.159–12.162). Social cohesion was not associated with CCU between FSWs living with HIV and their steady partners. However, both illicit drug use in the past six months (AOR = 0.11, CI: 0.023–0.57) and pregnancy intentions (AOR = 0.11; CI: 0.02–0.42) were significantly associated with CCU with steady partners. Findings highlight the differential role of social cohesion on condom use outcomes between FSWs living with HIV and their paying clients versus steady partners. Research on the pathways via which cohesion influences condom use among sex workers and their clients is merited, as is research regarding the role of drug use and pregnancy intentions on condom use with steady partners.

Outcomes in genitourinary medicine: whose priority?

1998 ◽  
Vol 9 (1) ◽  
pp. 9-15 ◽  
Author(s):  
Anne M Johnson
Keyword(s):  
Surveillance Systems ◽  
Primary Role ◽  
Sexually Transmitted ◽  
Complex Interactions ◽  
Measuring Outcomes ◽  
Genitourinary Medicine ◽  
The Uk ◽  
And Control ◽  
Health Function

Summary: The primary role of genitourinary medicine (GUM) services in the UK is the treatment and control of sexually transmitted diseases (STDs). The origins of the service lie in its public health function, yet measuring outcomes locally and nationally is not straightforward. Difficulties arise from the complex interactions between sexual behaviour, the biology of STDs and the role of clinical services; from the potential consequences of the National Health Service (NHS) internal market on national STD control; and from the limitations of information and surveillance systems. This paper considers each of these areas in turn and concludes with some proposals for measuring GUM outcomes locally and nationally which might potentially satisfy the concerns of commissioners and providers.

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