ASHM Report Back

Clinical posts from members and guests of the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) from various international medical and scientific conferences on HIV, AIDS, viral hepatitis, and sexual health.

The Gallow lecture

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GP chlamydia testing has doubled in the last few years, but remains low.

75% of chlamydia cases were in asymptomatic patients attending for non-sexual health reasons.

 

A trend worldwide of increasing syphilis notifications after 2000.

About half were in gay men who were HIV positive, and half who were HIV negative associated with increasing HIV testing and monitoring.

Syphilis monitoring was done routinely with HIV testing.

The proportion of patients who were asymptomatic increased at the same time to > 80% of cases being asymptomatic, from most cases being symptomatic.

Such opt-in health checks have had benefits elsewhere.

Opt-in STI testing in Aboriginals resulted in positive STI rates of 9.7%.

 

Contact tracing websites for anonymous notification of partners: inspot, sugestatest, thedramadownunder, letthemknow.

Of those intending to use these websites, 23% actually did.

Of all the partners notified, 20% actually got tested.

 

Retesting for those who test positive.

1 in 5 will get reinfected within 12 months, most likely from an infected partner.

Reinfection increases the likelihood of PID by 5-fold.

Reinfection increases the likelihood of transmission of HIV.

Of men not returning for a retest, some were sent an SMS reminder.

60% of those sent a reminder attended for retest, compared with 30% of those who did not receive a reminder.

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