Are sexually transmitted infections associated with child sexual exploitation in under 16 year olds attending Genitourinary Medicine clinics in the UK?

Author(s):  
Chris Ward
2021 ◽  
Vol 14 (3) ◽  
pp. 168-174
Author(s):  
Harsha Dhokia

Sexually transmitted infections (STIs) have often been managed in genitourinary medicine clinics. However, with increasing rates of STIs, more patients are now presenting to primary care services. It can be a sensitive subject for patients, who may be embarrassed to attend. A non-judgemental approach and knowledge about STIs are important in easing patients’ anxieties. This article provides an overview of the most common STIs in the UK, including presenting features and primary care investigation and management.


1998 ◽  
Vol 9 (9) ◽  
pp. 543-544 ◽  
Author(s):  
Ranjana Rani ◽  
Jarvis S. Jebakumar ◽  
Kevin Mackway Jones ◽  
Mukti N. Bhattacharyya

The aim of the study was to assess provisions for management of sexually transmitted infections STIs , emergency contraception and pregnancy test in UK emergency departments. Postal questionnaires were sent to all consultant led emergency departments in the UK in January 1996. The response rate was 64 . Most departments made direct referrals to genitourinary medicine GUM clinics and most had access to appropriate clinics. While 55 had facilities for diagnosis of at least one of the 3 common STIs Chlamydia trachomatis , Neisseria gonorrhoeae and herpes simplex , only 6.25 had facilities for all 3. A minority of units provided training in the management of STIs. Emergency physicians should be trained in the early management of STIs and a coordinated working relationship should be developed between emergency and GUM departments to provide optimal sexual health care.


2003 ◽  
Vol 14 (2) ◽  
pp. 89-98 ◽  
Author(s):  
Angela J Robinson ◽  
Karen Rogstad

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.


1998 ◽  
Vol 9 (1) ◽  
pp. 9-15 ◽  
Author(s):  
Anne M Johnson

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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