A Retrospective Study: Characteristics and Management of Gonorrhea

Background: Gonorrhea (GO) is a sexually transmitted infection that remains an important clinical and public health problem worldwide. Its incidence tends to increase both in males and females. Given the scale of the public health impact of GO, the selection of appropriate therapy is essential. Purpose: This study aimed to evaluate the characteristics, management, and recovery of gonorrhea patients. Methods: The research material was obtained from the medical record of gonorrhea patients at the Sexually Transmitted Infections (STI) Outpatient Clinic, Dermatology and Venerelogy Department, Dr. Soetomo General Academic Teaching Hospital, Surabaya, from January 2016 to December 2018. Result: We found 84 new GO patients (0.02%) out of the total new outpatients at the Dermatology and Venereology Department, Dr. Soetomo General Academic Teaching Hospital, Surabaya. Most of them were males (92.9%), 17–25 years age group (52.4%), unmarried (67.9%), and heterosexual (90.5%). The majority of therapy is dual therapy, was combination of doxycycline and cefixime (78%). Only 34 patients (40.5%) attended the follow-up visits, and 94.1% of them recovered, and 5.9% presented with cystitis. Conclusion: The characteristics features of GO varies in each variable. One of important to control GO is provide effective and appropriate treatment and routinely clinical and laboratories were needed control.

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Nurse-led PrEP-RN clinic: a prospective cohort study exploring task-Shifting HIV prevention to public health nurses

BMJ Open ◽

10.1136/bmjopen-2020-040817 ◽

2021 ◽

Vol 11 (1) ◽

pp. e040817

Author(s):

Patrick O'Byrne ◽

Amanda Vandyk ◽

Lauren Orser ◽

Marlene Haines

Keyword(s):

Public Health ◽

Cohort Study ◽

High Risk ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Secondary Outcome ◽

Bivariate Analysis ◽

Transmitted Infection ◽

Sexually Transmitted ◽

Risk Criteria

ObjectiveTo report the results of a nurse-led pre-exposure prophylaxis (PrEP) delivery service.DesignThis was a prospective cohort study conducted from 5 August 2018 to 4 March 2020. It involved manual chart review to collect data. Variables were described using frequencies and percentages and analysed using χ2 testing. Those significant in bivariate analysis were retained and entered into a binary multiple logistic regression. Hierarchical modelling was used, and only significant factors were retained.SettingThis study occurred in an urban public health unit and community-based sexually transmitted infection (STI) clinic in Ottawa, Canada.ParticipantsOf all persons who were diagnosed with a bacterial STI in Ottawa and everyone who presented to our STI clinic during the study period, there were 347 patients who met our high-risk criteria for PrEP; these criteria included patients who newly presented with any of the following: HIV contacts, diagnosed with a bacterial STI or single use of HIV PEP. Further, eligibility could be determined based on clinical judgement. Patients who met the foregoing criteria were appropriate for PrEP-RN, while lower-risk patients were referred to elsewhere. Of the 347 patients who met our high-risk criteria, 47% accepted and 53% declined. Of those who accepted, 80% selected PrEP-registered nurse (RN).Primary and secondary outcome measuresUptake, acceptance, engagement and attrition factors of participants who obtained PrEP through PrEP-RN.Findings69% of participants who were eligible attended their intake PrEP-RN visit. 66% were retained in care. Half of participants continued PrEP and half were lost to follow-up. We found no significant differences in the uptake, acceptance, engagement and attrition factors of participants who accessed PrEP-RN regarding reason for referral, age, ethnicity, sexual orientation, annual income, education attainted, insurance status, if they have a primary care provider, presence or absence of depression or anxiety and evidence of newly acquired STI during the study period.ConclusionsNurse-led PrEP is an appropriate strategy for PrEP delivery.

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Sero-epidemiology and risk factors of syphilis in Makassar, Indonesia

Serbian Journal of Dermatology and Venerology ◽

10.2478/sjdv-2019-0006 ◽

2019 ◽

Vol 11 (2) ◽

pp. 43-49

Author(s):

Maryam Kusumawaty ◽

Khairuddin Djawad ◽

Muh Nasrum Massi ◽

Andi Muhammad Adam ◽

Siswanto Wahab ◽

...

Keyword(s):

Risk Factors ◽

Hiv Transmission ◽

Treponema Pallidum ◽

Public Health Problem ◽

Sexual Relationships ◽

Capital City ◽

Major Public Health Problem ◽

Transmitted Infection ◽

Sexually Transmitted ◽

Increased Risk

Abstract Introduction. Syphilis is an infectious disease caused by Treponema pallidum spirochete and is mainly transmitted by sexual contact. Syphilis has the potential to cause serious complications and is closely related to human immunodeficiency virus (HIV) infection thus making syphilis still a major public health problem. In Indonesia, surveys of high-risk populations in 2007 and 2011 reported an increase in the prevalence of syphilis, especially in men who have sexual relationships with other men (MSM). Moreover, studies have described risk factors for HIV transmission including MSM, heterosexual contacts, Intravenous (IV) drug use, and infected partners. Objectives. To assess the epidemiological aspects and risk factors for syphilis in Makassar, as well as the correlation with a coinfection of other sexually transmitted infections. Material and Methods. This study is a multi-centre cross-sectional descriptive study with consecutive sampling. We evaluated cases for eligibility by confirming the diagnosis based on the serological result using rapid plasma reagin assay (RPR), Treponema pallidum haemagglutination (TPHA), and HIV screening kit. The cases were analyzed based on epidemiological features, risk factors and clinical findings, co-infection with other sexually transmitted infection (ST), and stadium of the disease. Results. A total of 79 serologically confirmed syphilis cases were collected between January 2017 and December 2018 in Makassar, the capital city of South Sulawesi province in Indonesia. Of the 63 male subjects (79.7%), 38 (48.1%) were homosexual/MSM, and in 41 cases of HIV-infected subjects, 25 (60.9%) of them were also MSM. Conclusion. Our study showed there was a significant correlation between syphilis and an increased risk of HIV transmission in MSM groups. The higher number of cases of syphilis and HIV co-infection among MSM can increase transmission of both infections and should be considered a major risk factor for syphilis in Makassar.

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Staff awareness concerning the existence and composition of the nutritional support team in an academic teaching hospital in northern germany

Clinical Nutrition ESPEN ◽

10.1016/j.clnesp.2020.09.513 ◽

2020 ◽

Vol 40 ◽

pp. 578

Author(s):

A. Schlappa ◽

J. Kray ◽

F. Fritz ◽

L. Konert ◽

L. Schwarz ◽

...

Keyword(s):

Teaching Hospital ◽

Nutritional Support ◽

Northern Germany ◽

Academic Teaching ◽

Support Team ◽

Academic Teaching Hospital

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Pornography as a US Public Health Problem

10.1093/oso/9780190075477.003.0001 ◽

2021 ◽

pp. 1-15

Author(s):

Emily F. Rothman

Keyword(s):

Public Health ◽

Public Health Problem ◽

The United States ◽

Coalition Building ◽

Public Health Approach ◽

Sexually Explicit Material ◽

Sexually Transmitted ◽

Dating Abuse ◽

Explicit Material ◽

Sexually Explicit

Pornography is being indicted as a public health crisis in the United States and elsewhere, but the professional public health community is not behind the recent push to address pornography as a public health threat. While pornography may not be contributing directly to mortality or acute morbidity for a substantial percentage of people, it may be influencing other public health problems, such as sexual violence, dating abuse, compulsive behavior, and sexually transmitted infections. However, the evidence to support pornography as a causal factor is mixed, and there are numerous other factors that have more strongly established associations with these outcomes of interest. Throughout history, repressive forces have inflated the charges against sexually explicit material in order to advance a morality-based agenda. Nevertheless, a public health approach and tried public health practices, such as harm reduction and coalition-building, will be instrumental to addressing the emergence of mainstream Internet pornography.

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Response to the Letter to the Editor by Zhengcai Lou, MD Regarding “Outcomes of Adopting Endoscopic Tympanoplasty in an Academic Teaching Hospital”

Annals of Otology Rhinology & Laryngology ◽

10.1177/0003489420928990 ◽

2020 ◽

Vol 129 (12) ◽

pp. 1247-1248

Author(s):

Bin Li ◽

Stephen Asche ◽

Robert Yang ◽

Bevan Yueh ◽

Manuela Fina

Keyword(s):

Teaching Hospital ◽

Academic Teaching ◽

Letter To The Editor ◽

Academic Teaching Hospital ◽

Endoscopic Tympanoplasty

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Empiric antimicrobial treatment for asymptomatic sexual contacts of sexually transmitted infection in the era of antimicrobial resistance: time to rethink?

International Journal of STD & AIDS ◽

10.1177/0956462418799181 ◽

2018 ◽

Vol 30 (2) ◽

pp. 137-139 ◽

Cited By ~ 7

Author(s):

Elizabeth Pearce ◽

Derek J Chan ◽

Don E Smith

Keyword(s):

Antimicrobial Resistance ◽

Sexually Transmitted Infection ◽

Public Health Problem ◽

Antimicrobial Treatment ◽

Transmitted Infection ◽

Sexually Transmitted ◽

The Public ◽

Retrospective Audit ◽

Laboratory Confirmation ◽

Sexual Contacts

Prudent prescribing of antimicrobials is essential in ameliorating the public health problem of antimicrobial resistance. This retrospective audit assesses whether empiric antimicrobial treatment for asymptomatic sexual contacts of sexually transmitted infection is appropriate based on laboratory confirmation.

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