Background Internet-accessed sexually transmitted infection testing (e-STI testing) is increasingly available as an alternative to in clinics. Typically this modality enables users order a test kit from virtual service (via website or app), collect their own samples, return samples laboratory, and be notified of results by short message (SMS) telephone. e-STI assumed increase access comparison with face-to-face services, but the evidence unclear. We conducted randomised controlled trial...

<b>Objective:</b> To assess the effectiveness of a text message result service within an inner London sexual health clinic. <b>Method:</b> Demographic data, diagnoses, and time to diagnosis treatment were collected over 6 month period for patients receiving messages matched standard recall group. Data on sent, staff time, cost in relation provision collected. <b>Results:</b> Over 952 sent. In final analysis, 33.9% all clinic results provided by text, resulting saving 46 hours per month. 49...

In recent years, the sexual health of nation has risen in profile. We face increasing demands and targets, particular 48-hour waiting time directive, as a result clinic access become priority. eTriage is novel, secure, web-based service designed specifically to increase our clinics. It proved popular booking method, providing 10% all appointments across Directorate within six months introduction. KC60 analyses revealed that majority users (58%) underwent asymptomatic screening with remainder...

Limited exposure to sexual health training, combined with a fear of having difficult conversations, may drive anxiety in dealing patients’ concerns. This article focuses on how assess patient’s risk sexually transmitted infections and deliver basic services for managing these safely primary care. Sexual delivery is changing, but role GPs likely continue.

BACKGROUND: Only governments sensitive to the demands of their citizens appropriately respond needs nation. Based on Professor Amartya Sen's analysis link between famine and democracy, following null hypothesis was tested: "Human Immunodeficiency Virus (HIV) prevalence is not associated with governance". METHODS: Governance has been divided by a recent World Bank paper into six dimensions. These include Voice Accountability, Political Stability Absence Violence, Government Effectiveness,...

Abstract Objective Partner Notification (PN) is a key public health service to alert the partners of patients diagnosed with sexually transmitted infection and then support these individuals test. PN challenge deliver because personal nature this communication time it requires effectively. Digital tools have been developed inform their partners; unfortunately, has not possible measure engagement – impact solutions. A digital tool (dPNt) was for use by healthcare provider (1) anonymous PN,...

In the 1980s outlook for patients with acquired immunodeficiency syndrome (AIDS) and critical illness was poor. Since then several studies of outcome HIV+ on ICU have shown improving prognosis, anti-retroviral therapy playing a large part. We retrospectively examined intensive care (ICU) admissions in HIV unit London. Between April 2001 2006 43 were admitted to ICU. The mean age 44 years 74% male. Fifty-six percent receiving 44% had an AIDS defining diagnosis. median CD4 count 128 cells/mL...

Background Effectiveness of HIV postexposure prophylaxis (PEPSE) correlates with speed uptake following exposure. Time to first dose has not improved in the UK for over 10 years. On-demand pre-exposure (PrEP) shown that people can self-start medication prevention. We hypothesised advanced provision PEPSE (HOME PEPSE) men who have sex (MSM) self- initiate would reduce time Methods Phase IV, randomised, prospective, 48-week, open-label study was carried out. MSM at medium risk acquiring were...

Our objective was to estimate Chlamydia trachomatis (CT) genital infection point prevalence in young male inmates using a non-invasive sampling technique. All new were invited into the study that consisted of questionnaire and provision urine sample for analysis. The asked about personal characteristics, sexual history symptoms. CT diagnosed nucleic acid amplification tests. In all, 13% found have infection. One-fifth these CT-positive individuals had symptoms urethral among is comparable...

Men who have sex with men (MSM) experience high rates of gonococcal infection at extragenital (rectal and pharyngeal) anatomic sites, which often are missed without asymptomatic screening may be important for onward transmission. Implementing an express pathway MSM seeking routine their clinic a cost-effective way to improve by allowing patients screened more sites through streamlined, less costly process.We modified agent-based model site-specific in US assess the cost-effectiveness all...

Of clinics responding to the audit, 99 and 97% have policies that are compliant with British Association for Sexual Health HIV National Guidelines testing of asymptomatic men women syphilis, respectively. All offer men, all but one clinic women, screening chlamydial infection nucleic acid amplification tests (NAATs), as recommended by guidelines. However, gonorrhoea one-third urine or urethral NAATs, quarter endocervical, vulvovaginal urinary not endocervical culture, these practices Eight...

A national audit of screening asymptomatic patients seen in UK genitourinary medicine clinics 2009 was conducted against the guidelines. Data were aggregated by regions and regions, allowing practice to be compared within between as well averages The case-notes 4428 audited. Performance over 80% guidelines for heterosexual men, men who have sex with (MSM) women chlamydial, gonorrhoeal, syphilis HIV infections. However, recommended method endocervical culture gonorrhoea performed only 65%...

A national audit of practice performance against the key indicators in British Association for Sexual Health and HIV (BASHH) Medical Foundation AIDS Standards Management Sexually Transmitted Infections (STIs) was conducted 2011. Approximately 60% 8% level 3 2 services, respectively, participated. Excluding partner notification performance, five lowest areas clinics were STI/HIV risk assessment, care pathways linking to local test offer patients with concern about STIs, information governance...

Increasing access to sexual health services is a key objective for the Department of Health in England and Wales. In 2006 it published 10 high-impact changes (HICs) designed enhance 48 h genitourinary medicine services. However, there limited evidence on effectiveness proposed interventions.To evaluate implementation five HICs three clinics over 4 years. These included text message results service, nurse-delivered asymptomatic clinic refurbishment, centralised booking service an electronic...

Epididymitis is a common cause of scrotal pain presentation in sexual health clinics; however, it unclear what fraction attributable to transmissible infections. We, therefore, reviewed the aetiologies causing epididymitis. A retrospective data analysis all cases epididymitis diagnosed from January 2018 December three clinics was conducted, collecting demographics, results, management and symptom resolution at two weeks follow up. total 127 (mean age 32 years, heterosexual 97, MSM 30) were...

HIV-tuberculosis coinfection is complex partly because rifamycins reduce therapeutic levels of protease inhibitors and nonnucleoside reverse transcriptase inhibitors, leading to potential virological failure. One option use nucleos(t)ide-only regimens that have minimal interactions with antituberculous therapy. We report the largest published series coinfected patients successfully treated nucleos(t)ide This group achieved similar immunological outcomes when compared tuberculosis on...

Rising heterosexual syphilis in south London 2002 prompted Local Enhanced Syphilis Surveillance (LESS) five of the 10 genitourinary medicine clinics. LESS reported a fall infectious 2004 that was corroborated by National (NESS). However, mandatory clinic Korner Codes 60 (KC60) coding did not support fall; therefore database discrepancies were evaluated. Three databases (KC60, NESS and LESS) compared at selected clinics using clinical notes as reference. Six participated NESS. Four both three...

Introduction From late 2016, Hepatitis A virus (HAV) infection in MSM increased incidence the UK and has reached outbreak status. By February 2017, 42 confirmed or suspected cases had been reported London. An committee was convened by Public Health England as part of this work data gathered to ascertain current levels vaccination future needs attending GUM/HIV clinics. Methods Clinical leads for GUM HIV services London were e-mailed a survey asking about past HAV policy, requirements...

<h3>Background/introduction</h3> There are many barriers to accessing sexual health and HIV testing services. Novel service models could address this. On-line may provide a solution. <h3>Aim(s)/objectives</h3> To evaluate the acceptability potential impact of on-line STI testing. <h3>Methods</h3> We developed dedicated, secure website for free Website content process was iteratively designed in response user feedback. Simple questions identify those most at risk or symptomatic signpost local...