Introduction of screening guidelines for men who have sex with men at an STD clinic, the Melbourne Sexual Health Centre, Australia

Lister, Nichole A.; Smith, Anthony M. A.; Fairley, Christopher K.

doi:10.1071/sh05006

Cited by 14 publications

(15 citation statements)

References 6 publications

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“…Sample sizes ranged from 80 [82] to 11,777 [91], and settings included sexual health centres (11 studies) [38,39,44-46,48,79,81,84,85,89-91], hospitals and other clinical settings (3) [85,86,90], and male-only entertainment or sex-on-premises venues (SOPVs; 4) [79-81,83]. One study involved community-based cohorts of HIV-positive and HIV-negative MSM [87,88].…”

Section: Resultsmentioning

confidence: 99%

“…The prevalence of rectal infection was consistently more than 30% higher than urethral infection and ranged from 4.0% among HIV-positive men attending HIV clinics [90] to 14.7% among men attending a sexual health clinic [84]. Urethral infection prevalence ranged from 1.0% [86] to 5.0% [84]. Estimates for pharyngeal infection were low, ranging from 0.0% in both clinical and SOPV settings [80,82,90] to 2.7% [85].…”

Section: Resultsmentioning

confidence: 99%

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The prevalence of Chlamydia trachomatis infection in Australia: a systematic review and meta-analysis

et al. 2012

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BackgroundChlamydia trachomatis is a common sexually transmitted infection in Australia. This report aims to measure the burden of chlamydia infection by systematically reviewing reports on prevalence in Australian populations.MethodsElectronic databases and conference websites were searched from 1997–2011 using the terms ‘Chlamydia trachomatis’ OR ‘chlamydia’ AND ‘prevalence’ OR ‘epidemiology’ AND ‘Australia’. Reference lists were checked and researchers contacted for additional literature. Studies were categorised by setting and participants, and meta-analysis conducted to determine pooled prevalence estimates for each category.ResultsSeventy-six studies met the inclusion criteria for the review. There was a high level of heterogeneity between studies; however, there was a trend towards higher chlamydia prevalence in younger populations, Indigenous Australians, and those attending sexual health centres. In community or general practice settings, pooled prevalence for women <25 years in studies conducted post-2005 was 5.0% (95% CI: 3.1, 6.9; five studies), and for men <30 years over the entire review period was 3.9% (95% CI: 2.7, 5.1; six studies). For young Australians aged <25 years attending sexual health, family planning or youth clinics, estimated prevalence was 6.2% (95% CI: 5.1, 7.4; 10 studies) for women and 10.2% (95% CI: 9.5, 10.9; five studies) for men. Other key findings include pooled prevalence estimates of 22.1% (95% CI: 19.0, 25.3; three studies) for Indigenous women <25 years, 14.6% (95% CI: 11.5, 17.8; three studies) for Indigenous men <25 years, and 5.6% (95% CI: 4.8, 6.3; 11 studies) for rectal infection in men who have sex with men. Several studies failed to report basic demographic details such as sex and age, and were therefore excluded from the analysis.ConclusionsChlamydia trachomatis infections are a significant health burden in Australia; however, accurate estimation of chlamydia prevalence in Australian sub-populations is limited by heterogeneity within surveyed populations, and variations in sampling methodologies and data reporting. There is a need for more large, population-based studies and prospective cohort studies to compliment mandatory notification data.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The prevalence of Chlamydia trachomatis infection in Australia: a systematic review and meta-analysis

et al. 2012

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“…Electronic medical alerts in patient management systems that remind clinicians of the guidelines related to sexual health testing in MSM has been shown to be successful in improving sexual health service delivery 19. SMS, also known as text messaging, has been shown to be an effective method of communicating appointment reminders and reducing ‘missed’ appointments in clinical settings 20 21.…”

Section: Discussionmentioning

confidence: 99%

Does the frequency of HIV and STI testing among men who have sex with men in primary care adhere with Australian guidelines?

Guy

Goller

Spelman

et al. 2010

Sexually Transmitted Infections

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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.…”

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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Introduction of screening guidelines for men who have sex with men at an STD clinic, the Melbourne Sexual Health Centre, Australia

Abstract: The introduction of a computer reminder for new guidelines was temporally associated with screening that conformed more closely to clinical guidelines.

Cited by 14 publications

References 6 publications

The prevalence of Chlamydia trachomatis infection in Australia: a systematic review and meta-analysis

The prevalence of Chlamydia trachomatis infection in Australia: a systematic review and meta-analysis

Does the frequency of HIV and STI testing among men who have sex with men in primary care adhere with Australian guidelines?

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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