CSIRO Publishing blank image blank image blank image blank imageBooksblank image blank image blank image blank imageJournalsblank image blank image blank image blank imageAbout Usblank image blank image blank image blank imageShopping Cartblank image blank image blank image You are here: Journals > Sexual Health   
Sexual Health
Journal Banner
  Publishing on sexual health from the widest perspective
 
blank image Search
 
blank image blank image
blank image
 
  Advanced Search
   

Journal Home
About the Journal
Editorial Structure
Contacts
Content
Online Early
Current Issue
Just Accepted
All Issues
Special Issues
Sample Issue
Call for Papers
For Authors
General Information
Scope
Submit Article
Author Instructions
Open Access
For Referees
Referee Guidelines
Review an Article
Annual Referee Index
For Subscribers
Subscription Prices
Customer Service
Library Recommendation
For Advertisers

blue arrow e-Alerts
blank image
Subscribe to our Email Alert or RSS feeds for the latest journal papers.

red arrow Connect with us
blank image
facebook twitter logo LinkedIn

red arrow Interview with Kit Fairley
blank image
Hear Kit Fairley speak about what is sexual health.

 

Article << Previous     |     Next >>   Contents Vol 11(1)

Uptake, yield and resource requirements of screening for asymptomatic sexually transmissible infections among HIV-positive people attending a hospital outpatient clinic

Stephen Ritchie A B D, Rebecca Henley A, Jackie Hilton C, Rupert Handy A, Joan Ingram A, Susan Mundt A, Mitzi Nisbet A, Mark Thomas A B and Simon Briggs A

A Adult Infectious Disease Service, Auckland District Health Board, Auckland 1023, New Zealand.
B Department of Molecular Medicine and Pathology, University of Auckland, Auckland 1023, New Zealand.
C Auckland Sexual Health Service, Auckland District Health Board, Auckland 1023, New Zealand.
D Corresponding author. Email: s.ritchie@auckland.ac.nz

Sexual Health 11(1) 67-72 http://dx.doi.org/10.1071/SH13167
Submitted: 15 October 2013  Accepted: 5 February 2014   Published: 12 March 2014


 
 Full Text
 PDF (151 KB)
 Supplementary Material
 Export Citation
 Print
  
Abstract

Background: We performed a prospective audit of screening for asymptomatic sexually transmissible infections (STIs), during an intensive effort to screen all patients at our hospital-based HIV clinic. We aimed to measure the effectiveness and resource implications of our screening program. Methods: All outpatients who attended during an 8-month period were invited to take part in opt-out screening for chlamydia (Chlamydia trachomatis), gonorrhoea (Neisseria gonorrhoeae) and syphilis. Participants completed a brief questionnaire, were asked about current symptoms of STIs and self-collected specimens for laboratory testing. Results: The majority (535 out of 673, 80%) of the patients who were asked to participate provided specimens for screening. No chlamydia, gonorrhoea or syphilis infections were identified in women (n = 91) or in heterosexual men (n = 76). In contrast, 34 out of 368 (10%) of men who have sex with men tested positive (chlamydia, 25; gonorrhoea, 2; chlamydia and gonorrhoea, 2; syphilis, 5). The laboratory cost of diagnosing each case of rectal chlamydia or gonorrhoea (NZ$664) was substantially lower than the cost of diagnosing each case of urethral infection (NZ$5309). Conclusions: There was high uptake of screening among our clinic population, who preferred screening to be performed at the hospital clinic. The yield of screening men who have sex with men warrants continued annual screening for rectal gonorrhoea and chlamydia and for syphilis.

Additional keywords: chlamydia, costs, gonorrhoea, men who have sex with men, New Zealand, syphilis.


References

[1]  Centers for Disease Control and Prevention, Health Resources and Services Administration, National Institutes of Health, Infectious Diseases Society of America. Incorporating HIV prevention into the medical care of persons living with HIV. Morb Mortal Wkly Rep 2003; 52: 1–24.

[2]  Fakoya A, Lamba H, Mackie N, Nandwani R, Brown A, Bernard EJ, et al. UK guidelines for the management of sexual and reproductive health (SRH) of people living with HIV infection. London: British HIV Association; 2008. Available online at: http://www.bhiva.org/UKGuidelines2008.aspx [verified February 2014].

[3]  Martin HL, Nyange PM, Richardson BA, Lavreys L, Mandaliya K, Jackson DJ, et al Hormonal contraception, sexually transmitted diseases, and risk of heterosexual transmission of human immunodeficiency virus type 1. J Infect Dis 1998; 178: 1053–9.
CrossRef | PubMed |

[4]  McClelland RS, Lavreys L, Katingima C, Overbaugh J, Chohan V, Mandaliya K, et al Contribution of HIV-1 infection to acquisition of sexually transmitted disease: a 10-year prospective study. J Infect Dis 2005; 191: 333–8.
CrossRef | PubMed |

[5]  Johnson WD, Hedges LV, Diaz RM. Interventions to modify sexual risk behaviors for preventing HIV infection in men who have sex with men. Cochrane Database Syst Rev 2002; : .
CrossRef |

[6]  Ivens D, MacDonald K, Bansi L, Nori A. Screening for rectal chlamydia infection in a genitourinary medicine clinic. Int J STD AIDS 2007; 18: 404–6.
CrossRef | CAS | PubMed |

[7]  Teague R, Mijch A, Fairley CK, Sidat M, Watson K, Boyd K, et al Testing rates for sexually transmitted infections among HIV-infected men who have sex with men attending two different HIV services. Int J STD AIDS 2008; 19: 200–2.
CrossRef | PubMed |

[8]  Heiligenberg M, Rijnders B, Schim van der Loeff MF, de Vries HJC, van der Meijden WI, Geerlings SE, et al High prevalence of sexually transmitted infections in HIV-infected men during routine outpatient visits in the Netherlands. Sex Transm Dis 2012; 39: 8–15.
CrossRef | PubMed |

[9]  Hoover KW, Butler M, Workowski K, Carpio F, Follansbee S, Gratzer B, et al STD screening of HIV-infected MSM in HIV clinics. Sex Trans Dis 2010; 37: 771–776.
CrossRef |

[10]  Grewal J, Lowe M, Gerrard H, Henley R, Perkins N, Briggs S. Audit of cervical screening in women with HIV infection in the Auckland and Northland regions of New Zealand. N Z Med J 2010; 123: 71–8.
| PubMed |

[11]  Hamlyn E, Barrett S, Kelsey J, Lockyer S, Welz T, Poulton M. Improvement in screening for sexually transmitted infections in HIV-positive patients following implementation of a nurse-led clinic. Int J STD AIDS 2007; 18: 424–6.
CrossRef | CAS | PubMed |

[12]  Heiligenberg M, van der Loeff MFS, de Vries HJC, Speksnijder AGCL, Geerlings SE, Coutinho R, et al Low prevalence of asymptomatic sexually transmitted infections in HIV-infected heterosexuals visiting an HIV clinic in the Netherlands. AIDS 2012; 26: 646–649.
CrossRef | PubMed |

[13]  Brook G, McSorley J, Shaw A. Retrospective study of the effect of enhanced systematic sexually transmitted infection screening, facilitated by the use of electronic patient records, in an HIV-infected cohort. HIV Med 2013; 14: 347–53.
CrossRef | CAS | PubMed |


   
 
    
Legal & Privacy | Contact Us | Help

CSIRO

© CSIRO 1996-2016