Factors Associated With Repeat Syphilis Testing at a Large Urban LGBT Health Clinic: Chicago, IL 2002–2008

Hotton, Anna L.; Gratzer, Beau; Pohl, Daniel; Mehta, Supriya D.

doi:10.1097/olq.0b013e3181f41dc0

Cited by 13 publications

(9 citation statements)

References 14 publications

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“…(27) However, a recent study has shown that syphilis retesting rates in gay men in Australia are still lower than recommended. (20) Reminders to clinicians and patients have been shown to be effective at increasing STI retesting rates (28)(29) and their more widespread use should be encouraged. Contact tracing was also explored in the NGMSAP and although it was acceptable, the high level needed to impact the epidemic was unfeasible.…”

Section: Discussionmentioning

confidence: 99%

Men who have sex with men, infectious syphilis and HIV coinfection in inner Sydney: results of enhanced surveillance

et al. 2013

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Section: Discussionmentioning

confidence: 99%

Men who have sex with men, infectious syphilis and HIV coinfection in inner Sydney: results of enhanced surveillance

et al. 2013

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“…In MSM irrespective of HIV status, interventions that were highly effective while low cost incorporated text message and e-mail reminders for patients to repeat STI testing at 3 to 6 month intervals [43,44], Moderately effective, low cost interventions in MSM included the adoption of updated national guidelines into clinic practice [38], EHR reminders for providers to test for syphilis and to follow-up with serologic testing after syphilis treatment [40,41], and EHR alerts to inform providers about recommendations to screen at extragenital sites [42]. Incorporating a sexual health practice nurse in the clinic was found to be moderately effective, but costly [39].…”

Section: Interventions To Improve Hiv Care-based Sti Screeningmentioning

confidence: 99%

Syphilis incidence in men who have sex with men with human immunodeficiency virus comorbidity and the importance of integrating sexually transmitted infection prevention into HIV care

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Klausner

2018

Expert Review of Anti-infective Therapy

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Syphilis continues to be a growing epidemic among men who have sex with men (MSM), particularly for those living with the human immunodeficiency virus (HIV). In 2016, MSM accounted for 80% of primary and secondary syphilis diagnoses in men in the United States; almost half of who were also HIV-infected. The synergistic relationship between HIV and syphilis has significant implications not only for HIV patient management, but also for sexually transmitted infection (STI) control among MSM. Areas covered: We review the literature on STI screening and treatment barriers at the patient-, provider-, and health system-levels, and present strategies to incorporate STI prevention into HIV care settings. Expert commentary: Integration of STI prevention into HIV care is paramount to stop the epidemic of not only syphilis, but also other curable STIs like gonorrhea and chlamydia. Although guidelines have been established for STI testing in HIV-infected MSM, screening rates continue to be lower than desired. Gonorrhea and chlamydia screening is below 50% in HIV-infected MSM; interventions that improve testing of those two infections must be implemented. For syphilis control, other additional strategies such as chemoprophylaxis should be considered given syphilis screening is above 50% in HIV-infected MSM.

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“…Significant increases in screening rates for gonorrhoea and chlamydia (OR 1.4–1.9) have been demonstrated in observational studies using several different strategies: use of a computer alert on an electronic medical record, 10 introduction of clinic guidelines on STI screening 11 and short text messaging reminders for repeat STI screening. 12 13 Increases in syphilis testing (OR 2.3–21.4) were found using the following strategies: advocating regular serological screening for syphilis during routine HIV care 14 ; including syphilis serology testing routinely with blood tests performed as part of HIV monitoring 15 ; use of a computer alert on an electronic medical record 16 ; and an electronic medical record system with a reminder to clinicians to enhance syphilis re-testing following syphilis treatment. 17 A before and after study in Australia using existing clinical and behavioural data of clients attending a major sexual health clinic (SHC) found that an automated, computer generated text message service (SMS), providing 3 monthly reminders, doubled the testing rate for HIV, syphilis, gonorrhoea and chlamydia among MSM.…”

Section: Introductionmentioning

confidence: 99%

A randomised controlled trial to evaluate the impact of sexual health clinic based automated text message reminders on testing of HIV and other sexually transmitted infections in men who have sex with men in China: protocol for the T2T Study

et al. 2017

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IntroductionThe frequency of screening for HIV and other sexually transmitted infections (STIs) among men who have sex with men (MSM) is still low in China.Methods and analysisA sexual health clinic based randomised controlled trial will be conducted in Guangzhou, Wuxi and Shenzhen, China, enrolling 600 MSM. Eligibility will be judged by the pre-programed iPad based questionnaire: (1) age ≥18 years and (2) have had two or more male anal sex partners, or condomless anal sex with a casual male sex partner, or an STI history, in the past 6 months, and (3) provides a valid mobile phone number. Eligible men will be randomly allocated 1:1 to the intervention arm (with monthly text messages reminding them to test for HIV/STIs) or to the control arm (with no reminders). Men in both arms will complete a questionnaire onsite at enrolment and after 12 months, and another questionnaire online at 6 months. Men in both arms will be tested for HIV, syphilis, anal gonorrhoea/chlamydia and penile gonorrhoea/chlamydia at enrolment and at 12 months. The primary outcome is the rate and frequency of HIV testing within the 12 months after enrolment. The secondary outcome is the rate of unprotected anal intercourse. An assessment of the cost effectiveness of this intervention is also planned.Ethics and disseminationThe study has been approved by the ethical review committees of the University of New South Wales, Australia (HC16803), the Guangdong Provincial Centre for Skin Disease and STI Control (GDDHLS-20160926) and the Wuxi Centre for Disease Control and Prevention (WXCDC2016009), China. Study findings will be submitted to academic journals and disseminated to local health authorities.Trial registration numberChinese Clinical Trial Registry at: http://www.chictr.org.cn/showprojen.aspx?proj=15752 and WHO International Clinical Trials Registry Platform at: http://apps.who.int/trialsearch/Trial2.aspx?TrialID=ChiCTR-IOR-16009304.

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Factors Associated With Repeat Syphilis Testing at a Large Urban LGBT Health Clinic: Chicago, IL 2002–2008

Cited by 13 publications

References 14 publications

Men who have sex with men, infectious syphilis and HIV coinfection in inner Sydney: results of enhanced surveillance

Men who have sex with men, infectious syphilis and HIV coinfection in inner Sydney: results of enhanced surveillance

Syphilis incidence in men who have sex with men with human immunodeficiency virus comorbidity and the importance of integrating sexually transmitted infection prevention into HIV care

A randomised controlled trial to evaluate the impact of sexual health clinic based automated text message reminders on testing of HIV and other sexually transmitted infections in men who have sex with men in China: protocol for the T2T Study

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