Rectal chlamydia infection in women at high risk of chlamydia attending Canberra Sexual Health Centre
Chlamydia is the most commonly notified sexually transmitted infection in Australia. Australian guidelines recommend urogenital screening in asymptomatic men and women, and rectal screening in men who have sex with men or women reporting anal sex/symptoms. International studies describe a rectal chlamydia prevalence in women of 5% to 21%. We found that in women at high risk of chlamydia, 57% (32/56) tested positive for rectal chlamydia. Of these, 97% (31/32) had concurrent urogenital chlamydia. Women with urogenital chlamydia were significantly more likely to have a positive rectal result (2, p = 0.000). Neither anal sympt...
Source: International Journal of STD and AIDS - May 15, 2016 Category: Global & Universal Authors: Musil, K., Currie, M., Sherley, M., Martin, S. Tags: Original research articles Source Type: research

United Kingdom National Guideline on the Management of the viral hepatitides A, B and C 2015
(Source: International Journal of STD and AIDS)
Source: International Journal of STD and AIDS - May 15, 2016 Category: Global & Universal Authors: Brook, G., Bhagani, S., Kulasegaram, R., Torkington, A., Mutimer, D., Hodges, E., Hesketh, L., Farnworth, S., Sullivan, V., Gore, C., Devitt, E., Sullivan, A. K., Clinical Effectiveness Group British Association for Sexual Health and HIV Tags: Guidelines Source Type: research

Sexually acquired Salmonella Typhi urinary tract infection
We report a case of isolated urinary Salmonella enterica serotype Typhi in an HIV-positive man who has sex with men. He was clinically well and blood and stool cultures were negative, indicating that this may have been a sexually acquired urinary tract infection. (Source: International Journal of STD and AIDS)
Source: International Journal of STD and AIDS - April 6, 2016 Category: Global & Universal Authors: Wielding, S., Scott, G. Tags: Case reports Source Type: research

Gonococcal tenosynovitis in two HIV-infected heterosexual men: delayed diagnoses following negative urine nucleic acid amplification testing
We present two cases where consideration of, and investigation for, disseminated Neisseria gonorrhoeae infection provided the answer when routine inpatient diagnostics had been unsuccessful. (Source: International Journal of STD and AIDS)
Source: International Journal of STD and AIDS - April 6, 2016 Category: Global & Universal Authors: Shaw, J. W., Flegg, P., Sweeney, J. Tags: Case reports Source Type: research

The effect of electronic patient records on hepatitis B vaccination completion rates at a genitourinary medicine clinic
The study was conducted to assess whether the introduction of an electronic patient records-based system affected hepatitis B vaccination completion rates and post-vaccination return rates, when compared to a paper-based system. Data were gathered for three groups of patients: those commencing vaccination (a) when paper records were in use (paper records group), (b) after electronic patient records were introduced (basic electronic patient records group) and (c) after electronic patient records were enhanced with recall (enhanced electronic patient records group). Compared to the paper records group, the third dose complet...
Source: International Journal of STD and AIDS - April 6, 2016 Category: Global & Universal Authors: Kuria, P., Brook, G., McSorley, J. Tags: Audit report Source Type: research

Lifetime suicide attempt history, quality of life, and objective functioning among HIV/AIDS patients with alcohol and illicit substance use disorders
This cross-sectional study evaluated lifetime prevalence of suicide attempts in 170 HIV/AIDS patients with substance use disorders and the impact of suicide attempt history on subjective indices of quality of life and objective indices of cognitive and physical functioning. All patients met the diagnostic criteria for past-year cocaine or opioid use disorders and 27% of patients also had co-occurring alcohol use disorders. Compared to their counterparts without a history of a suicide attempt, patients with a history of a suicide attempt (n = 60, 35.3%) had significantly poorer emotional and cognitive quality of life scores...
Source: International Journal of STD and AIDS - April 6, 2016 Category: Global & Universal Authors: Walter, K. N., Petry, N. M. Tags: Original research articles Source Type: research

Prevalence and correlates of Trichomonas vaginalis infection among female sex workers in a city in Yunnan Province, China
Sexual transmission is the fastest growing route of HIV transmission in China, and Trichomonas vaginalis (TV) can facilitate HIV transmission and acquisition. Our goal was to determine the prevalence and correlates of TV infection among female sex workers (FSWs). This cross-sectional study was conducted in a city of Yunnan Province in southern China, with confidential face-to-face interviews and laboratory tests for TV (wet mount) and other sexually transmitted infections. A total of 734 FSWs participated in the study. The prevalence of TV was 9.0% (95% confidence interval [CI] 7.02–11.30). In multivariate analyses, ...
Source: International Journal of STD and AIDS - April 6, 2016 Category: Global & Universal Authors: Luo, L., Reilly, K. H., Xu, J.-J., Wang, G.-X., Ding, G.-W., Wang, N., Wang, H.-B. Tags: Original research articles Source Type: research

Retention, transfer out and loss to follow-up two years after delivery in a cohort of HIV+ pregnant women in Malawi
In this study, we analysed in a cohort of pregnant women followed for two years the proportion of women remaining at the same clinic, those who transferred to other clinics, and those lost to follow-up. The possible determinants of the loss to follow-up were also assessed in a setting of postpartum discontinuation based on CD4+ count. A total of 311 pregnant women received antiretroviral therapy from week 25 of gestational age until six months postpartum (end of breastfeeding period), or indefinitely if meeting the criteria for treatment (baseline CD4+ <350 cells/mm3). Twenty-four months after delivery, six women had di...
Source: International Journal of STD and AIDS - April 6, 2016 Category: Global & Universal Authors: Giuliano, M., Liotta, G., Andreotti, M., Mancinelli, S., Buonomo, E., Scarcella, P., Amici, R., Jere, H., Sagno, J.-B., Di Gregorio, M., Marazzi, M. C., Vella, S., Palombi, L. Tags: Original research articles Source Type: research

Determinants of intravaginal practices among HIV-infected women in Zambia using conjoint analysis
This study was a cross-sectional study. HIV-infected women in Zambia completed audio computer-administered self-interview questionnaires assessing demographic, risk factors and IVPs. Reasons for engaging in IVPs were explored using conjoint questionnaires. Conjoint analysis was used to identify the relative importance of factors for engaging in IVPs. Results of the conjoint analysis demonstrated that hygiene was the most important reason for engaging in IVPs (mean importance score = 61, SD = 24.3) followed by partner’s preference (mean importance score = 20, SD = 14.4) and health (mean importance score = 17, SD = 13....
Source: International Journal of STD and AIDS - April 6, 2016 Category: Global & Universal Authors: Alcaide, M. L., Cook, R., Chisembele, M., Malupande, E., Jones, D. L. Tags: Original research articles Source Type: research

Use of aspirin and statins for the primary prevention of myocardial infarction and stroke in patients with human immunodeficiency virus infection
This retrospective, cross-sectional study evaluated whether HIV-infected patients received aspirin and statins for the primary prevention of myocardial infarction and stroke. Among the 258 patients included, 50.4% (n = 130/258) of the patients had a high risk of myocardial infarction and 14% (n = 36/258) of stroke. Overall, 43.1% (n = 56/130) and 50% (n = 18/36) of the patients were prescribed aspirin for the primary prevention of myocardial infarction and stroke, respectively. Among the patients who required statin therapy, 42.5% (n = 34/80) and 37.1% (n = 13/35) of patients received it for the primary prevention of myoca...
Source: International Journal of STD and AIDS - April 6, 2016 Category: Global & Universal Authors: Park, T. E., Yusuff, J., Sharma, R. Tags: Original research articles Source Type: research

UK national guidelines on the management of syphilis 2015
These guidelines are an update for 2015 of the 2008 UK guidelines for the management of syphilis. The writing group have piloted the new BASHH guideline methodology, notably using the GRADE system for assessing evidence and making recommendations. We have made significant changes to the recommendations for screening infants born to mothers with positive syphilis serology and to facilitate accurate and timely communication between the teams caring for mother and baby we have developed a birth plan. Procaine penicillin is now an alternative, not preferred treatment, for all stages of syphilis except neurosyphilis, but the le...
Source: International Journal of STD and AIDS - April 6, 2016 Category: Global & Universal Authors: Kingston, M., French, P., Higgins, S., McQuillan, O., Sukthankar, A., Stott, C., McBrien, B., Tipple, C., Turner, A., Sullivan, A., Members of the Syphilis guidelines revision group 2015, Radcliffe, K., Cousins, D., FitzGerald, M., Fisher, M., Grover, D., Tags: Guidelines Source Type: research

HIV infection presenting proliferation of CD8+ T lymphocyte and hemophagocytic lymphohistiocytosis
We present an unusual case of HIV infection presenting with hemophagocytic lymphohistiocytosis. (Source: International Journal of STD and AIDS)
Source: International Journal of STD and AIDS - March 1, 2016 Category: Global & Universal Authors: Usman, M., Thapa, S. D., Hadid, H., Yessayan, L. T. Tags: Case report Source Type: research

Sexually transmitted infection screening uptake and knowledge of sexually transmitted infection symptoms among female sex workers participating in a community randomised trial in Peru
This study aims to evaluate condom use, sexually transmitted infection (STI) screening, and knowledge of STI symptoms among female sex workers in Peru associated with sex work venues and a community randomised trial of STI control. One component of the Peru PREVEN intervention conducted mobile-team outreach to female sex workers to reduce STIs and increase condom use and access to government clinics for STI screening and evaluation. Prevalence ratios were calculated using multivariate Poisson regression models with robust standard errors, clustering by city. As-treated analyses were conducted to assess outcomes associated ...
Source: International Journal of STD and AIDS - March 1, 2016 Category: Global & Universal Authors: Kohler, P. K., Campos, P. E., Garcia, P. J., Carcamo, C. P., Buendia, C., Hughes, J. P., Mejia, C., Garnett, G. P., Holmes, K. K. Tags: Original research articles Source Type: research

Evaluation of patient care cascade for HIV-positive patients diagnosed in La Romana, Dominican Republic in 2011: a retrospective cohort study
The Caribbean has the highest adult HIV prevalence in the world after sub-Saharan Africa (2011). One sub-population in the Dominican Republic is the migratory Batey community primarily comprised of Haitian immigrants with limited access to healthcare and HIV prevalence rates of between 3.0% and 9.0%, compared to 0.7% nationally. This retrospective cohort study describes the cumulative retention from diagnosis to virological suppression for newly-diagnosed HIV-infected adults presenting to the Clínica de Familia and its Batey programme in La Romana, during 2011. Of the patients diagnosed with HIV, 65% entered into ca...
Source: International Journal of STD and AIDS - March 1, 2016 Category: Global & Universal Authors: Bowman, A. S., Lerebours, L., Amesty, S., de la Rosa, M., Gil, E., Halpern, M., Nicholas, S., Lamb, M. R. Tags: Original research articles Source Type: research

Five years real-life experience with raltegravir in a large HIV centre
Raltegravir was the first licensed integrase inhibitor. Real-life experience is informative and complements trial data. We therefore evaluated raltegravir use in adults in a large HIV treatment centre. From pharmacy and departmental HIV database records, we identified all adults taking ≥1 dose of raltegravir from first availability to the end of November 2012. Data were collected using a standardised case report form. Two hundred and fifteen individuals provided 502 patient-years (median 2.6 years/person) of raltegravir use. Of 215 individuals, 166 (77%) were male, median age 43 years; 189 (88%) were antiretroviral ther...
Source: International Journal of STD and AIDS - March 1, 2016 Category: Global & Universal Authors: van Halsema, C., Whitfield, T., Lin, N., Ashton, K., Torkington, A., Ustianowski, A. Tags: Original research articles Source Type: research