Crystal Methamphetamine Use and Sexually Transmitted Infection: The Importance of Sexual History Taking

2006 ◽  
Vol 10 (3-4) ◽  
pp. 73-84 ◽  
Author(s):  
Susan Blank
Keyword(s):  
Sexually Transmitted Infection ◽  
Sexual History ◽  
History Taking ◽  
Crystal Methamphetamine ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Methamphetamine Use ◽  
Sexual History Taking

College students’ preferences for information on self-initiated sexually transmitted infection testing

2020 ◽  
pp. 001789692095969
Author(s):  
Oluwamuyiwa Winifred Adebayo ◽  
Jocelyn C Anderson ◽  
Britney M Wardecker
Keyword(s):  
College Students ◽  
Sexually Transmitted Infection ◽  
Qualitative Content Analysis ◽  
Low Cost ◽  
Transmitted Disease ◽  
Structured Interview ◽  
Sexual History ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Sti Testing

Objective: The purpose of this study was to identify preferences for content, method of delivery and frequency of information to encourage self-initiated sexually transmitted infection (STI) testing. Design: Qualitative study involving individual in-depth interviews with 35 college students aged 18–24 years. Setting: A university in Central Pennsylvania, USA. Method: Data were collected using a demographic and sexual history questionnaire, Sexually Transmitted Disease Knowledge Questionnaire and a semi-structured interview guide. Transcribed interviews were analysed using qualitative content analysis. Results: Findings from the study document STI testing information preferences as they relate to self-initiated testing. The majority of participants preferred receiving STI testing information through email. Themes within their accounts included Actionable Information Content, Frequently Accessed Delivery Method, and Routine STI Testing Information. Conclusion: The high incidence of STIs among US college students is an indication of the need to increase diagnosis and treatment to reduce transmission. Study findings have implications for the development and evaluation of low-cost interventions to improve the uptake of STI testing and reduce STI burden among college students.

Tackling STI epidemics through the HIV clinic: is sex high enough on the agenda?

2008 ◽  
Vol 19 (10) ◽  
pp. 711-712 ◽  
Author(s):  
R A Ferrand ◽  
S De Silva ◽  
J D Cartledge
Keyword(s):  
Significant Proportion ◽  
Sexual History ◽  
High Rate ◽  
Hiv Positive ◽  
Medical Problems ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Sexual History Taking ◽  
Sex With Men ◽  
A Prospective Study

Sexually transmitted infection (STI) rates among men having sex with men continue to increase. HIV services may operate independently to genitourinary medicine clinics and the sexual health of HIV-positive patients may be of low priority in the context of medical problems related to HIV. A prospective study of HIV-positive gay men was conducted in a London outpatient clinic over a three-month period. Data were available for 90 men. Forty-five percent had STI screens in the preceding six months. These revealed a high rate of infections; 26 infections diagnosed in 14 men in the study period. Fifty-seven percent of the 90 men in the study had more than one partner in the past three months and approximately one-third had unprotected sexual activity. A significant proportion of men were unaware of recent outbreaks of hepatitis C and lymphogranuloma venereum and of HIV postexposure prophylaxis. We therefore recommend that sexual history-taking, STI screens and health promotion should become a routine feature of HIV outpatient consultations in this group.

scholarly journals 857. Discussion and Initiation of HIV Pre-exposure Prophylaxis Were Rare Following Diagnoses of Sexually Transmitted Infections among Veterans

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S519-S520
Author(s):  
Takaaki Kobayashi ◽  
Puja Van Epps ◽  
Marissa Maier ◽  
Lauren Beste ◽  
Brice Beck ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Chart Review ◽  
Case Control Study ◽  
Case Control ◽  
Sexual History ◽  
History Taking ◽  
Sexually Transmitted ◽  
Sexual History Taking ◽  
Exposure Prophylaxis ◽  
Control Study

Abstract Background Healthcare encounters for the diagnosis and treatment of sexually transmitted infections (STIs) are common and represent a window of opportunity to discuss and initiate HIV pre-exposure prophylaxis (PrEP). Little is known about how frequently PrEP is discussed and initiated in association with encounters for STIs. Methods We conducted a retrospective cohort and nested case control study in the national Veterans Administration (VA) healthcare system to determine the frequency of PrEP discussion and initiation in association with clinical encounters for bacterial STIs (i.e. early syphilis, gonorrhea, and chlamydia). We used administrative data to identify patients with a first STI based on ICD 9 / 10 codes from January 2013–December 2018 , excluding patients with prior HIV diagnosis or PrEP use, or STI diagnosed in context of a visit to initiate PrEP (Figure 1). We used pharmacy data to determine the frequency of PrEP initiation within 90 days of the encounter for STI in this cohort. In the case control study, we matched 90 PrEP starters to 180 non-starters by day of STI diagnosis and reviewed chart notes from the STI diagnosis encounter to determine frequency of documentation of sexual history taking and PrEP discussions among subsequent PrEP initiators and non-initiators. Results We identified 23,312 patients with a first STI, of whom 90 (0.4%) started PrEP within 90 days. Adjusting for age, PrEP initiation was associated with urban residence (OR=5.0, 95Cl 1.8–13.4), White compared to Black race (OR=1.7, 95 Cl 1.1–2.8), and syphilis diagnosis (OR = 7.4, 95 Cl 4.7–11.6, table 1). Chart review revealed that discussion of PrEP was rare among people with STIs who did not subsequently start PrEP (1.1%, 95 CI 0.1–4.0, table 2). PrEP initiation was associated with documentation of any sexual history (80.0% of initiators vs. 51.0% of non-initiators, p < 0.01) and discussion of PrEP (52.2% vs. 1.1%, p < 0.01) during the initial STI diagnosis encounter. Figure 1. Study flow chart Table 1. Characteristics of patients with a first healthcare encounter with an STI diagnosis, by PrEP initiation within 90 days of encounter. N= 23,312 Table 2. Chart review findings from case control study. Ninety people who initiated PrEP (i.e., “cases”) were randomly matched to 180 who did not initiate PrEP (i.e., “controls”) by date of STI. Conclusion Discussion and initiation of PrEP were rare in association with healthcare encounters for STIs. Not all individuals with STIs will benefit from starting PrEP, but interventions are needed to improve low rates of sexual history-taking and discussion of PrEP during healthcare encounters for STIs. Disclosures Bruce Alexander, PharmD, Bruce Alexander Consulting (Independent Contractor)

Rectal cancer mimic: a rare case of syphilitic proctitis

2020 ◽  
Vol 13 (12) ◽  
pp. e235522
Author(s):  
Rajashri Veeresh Patil ◽  
Iain Stephenson ◽  
Cathy J Richards ◽  
Yvette Griffin
Keyword(s):  
Rectal Cancer ◽  
Sexually Transmitted Infection ◽  
Rare Case ◽  
Surgical Intervention ◽  
Secondary Syphilis ◽  
Sexual History ◽  
Diagnostic Challenge ◽  
Rare Presentation ◽  
Transmitted Infection ◽  
Sexually Transmitted

Syphilitic proctitis is a rare presentation of sexually transmitted infection that poses a diagnostic challenge as it mimics rectal cancer clinically, radiologically and endoscopically. We report a case of a 66-year-old male patient with a background of HIV infection presenting with obstructive bowel symptoms and initial diagnosis of rectal cancer on CT. Sigmoidoscopy and histopathology were non-diagnostic. A diagnosis of secondary syphilis was suspected after obtaining sexual history and diagnostic serology, avoiding planned surgical intervention.

How do UK medical graduates rate their knowledge and skills in sexual health and HIV medicine? A national survey

2009 ◽  
Vol 20 (5) ◽  
pp. 324-329 ◽  
Author(s):  
C Estcourt ◽  
N Theobald ◽  
D Evans ◽  
N Lomax ◽  
A Copas ◽  
...  
Keyword(s):  
Sexual Health ◽  
Learning Outcomes ◽  
Postal Questionnaire ◽  
Sexual History ◽  
History Taking ◽  
Transmitted Infection ◽  
Clinical Indicators ◽  
Knowledge And Skills ◽  
Medical Graduates ◽  
Sexual History Taking

The objectives of this study are to determine self-assessed knowledge and skills in sexual health and HIV medicine in preregistration house officers and to explore undergraduate experiences of teaching and assessment in these subjects prior to the launch of National Core Learning Outcomes in Sexual and Reproductive Health and HIV. The study was designed as a postal questionnaire survey. The participants were all UK medical graduates of August 2004. The response rate 1737/4746 (36%). The main outcome measures were Doctors’ views on their preparedness to manage patients with sexual health and HIV-related problems. Since graduation, 90% of respondents had seen at least one patient with a sexually transmitted infection or HIV-related issue. Seventy-six percent felt confident to take a sexual history. In all, 63% and 53% felt competent in male and female genital examination, respectively. Forty-three percent felt they could conduct an appropriate HIV pretest discussion and 59% felt they could recognize clinical indicators suggestive of HIV. Seventy-eight percent had been formally assessed in sexual health and 55% in HIV medicine. Increased confidence in sexual history taking, HIV pretest discussion and recognition of HIV indicators was associated with a longer duration of teaching and formal examination. In conclusion, although the proportion of recent graduates confident in sexual history taking is encouraging, their lack of skill in discussing HIV testing, risk assessment and recognition of possible HIV presentations must be addressed. Integration of National Core Learning Outcomes into all undergraduate curricula is a key step in reducing inconsistencies in undergraduate training.

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