scholarly journals Child sexual exploitation and the association with sexually transmitted infections in under 16 year olds attending Genitourinary medicine clinics

2017 ◽  
Author(s):  
Chris Ward
Keyword(s):  
Sexually Transmitted Infections ◽  
Sexual Exploitation ◽  
Sexually Transmitted ◽  
Child Sexual Exploitation ◽  
Genitourinary Medicine

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.

The diagnosis of hepatitis C in a semi-rural genitourinary medicine clinic

2002 ◽  
Vol 13 (12) ◽  
pp. 847-849
Author(s):  
A R Markos
Keyword(s):  
Risk Factors ◽  
Hepatitis C ◽  
Drug Use ◽  
Sexually Transmitted Infections ◽  
Intravenous Drug Use ◽  
Sex Partners ◽  
Routine Test ◽  
Sexually Transmitted ◽  
History Of ◽  
Genitourinary Medicine

A retrospective casenote study was conducted to examine the risk factors for patients who were diagnosed as hepatitis C (HCV)-positive (between 1999 and 2001) in a semi-rural genitourinary medicine (GUM) setting in Staffordshire, UK. There was a remarkable escalation in the number of reported HCV-positive cases, year on year, in our study. The majority of the positive cases (20/21) gave a history of previous intravenous drug use (IVDU). The incidence of other sexually transmitted infections were reportedly high in our HCV-positive patients. The increasing number of reported HCV-positive cases in the GUM clinic of the semirural Staffordshire setting, may reflect a national pattern that needs further investigations. We advise that HCV serology should be offered to GUM clients (who have a history of IVDU), and to their sex partners. They should also be advised to take tests to exclude other STDs. The case for offering HCV serology as a routine test for patients who request 'the exclusion of STDs' is still undecided.

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.

Introduction

2016 ◽  
Author(s):  
Scott Cunningham ◽  
Manisha Shah
Keyword(s):  
Sexually Transmitted Infections ◽  
Communication Networks ◽  
Sex Workers ◽  
Supply And Demand ◽  
Sexual Exploitation ◽  
Developed Countries ◽  
Sexually Transmitted ◽  
Working Definition ◽  
Sex With Men ◽  
Definition Of

This handbook explores the economics of prostitution and offers a working definition of prostitution that takes into account both remunerated professional sex work, as in the case of the Nevada brothels, and the more informal exchange of sex for money that occurs in both developing and developed countries. The discussion is organized into six parts: supply and demand, sex workers in developing countries, men who have sex with men, law and policy, history of prostitution law, and externalities related to sex markets (e.g., sexually transmitted infections and sexual exploitation). Topics range from economic theories and empirical analysis of sex markets to sexual and communication networks of Internet-mediated prostitution, to the spread of sexually transmitted infections and violence.

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