Sexually Transmitted Diseases among Patients Seeking HIV Antibody Test for AIDS

Kc, Mohanty

doi:10.1177/095646249000100312

Cited by 5 publications

(1 citation statement)

References 1 publication

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“…In the UK, many patients request an HIV antibody test via a genito‐urinary medicine clinic, where it is common practice to offer more extensive screening for other sexually transmitted and genital infections (eg, syphilis, hepatitis B, gonorrhoea, chlamydial infections). Studies have demonstrated 5 , 6 the detection of a significant yield of other subclinical sexually transmitted infections in both men and women who presented primarily for an HIV antibody test, both in seronegative and seropositive individuals.…”

Section: Care Of the Hiv Seropositive Asymptomatic Individualmentioning

confidence: 99%

The Clinical Management of Patients With Hiv Infection and Aids

Barton

1991

Int J Clinical Practice

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The clinician is faced with a number of problems when treating patients infected with the human immunodeficiency (HIV) virus. Firstly, there is a lack of accurate data on the numbers of people infected by the HIV virus and uncertainty as to the natural history of the infection. This limits the ability to plan health care strategies for the future. Secondly, it is difficult to encompass detailed knowledge of the variety of illnesses which occur in patients with HIV infection and AIDS and the even broader range of therapies and outcomes reported in the literature. Thirdly, the clinician has to keep pace with the rapidly changing nature of the models for HIV pathogenesis and possible therapeutic interventions.However, despite these gaping holes in our knowledge, the main message of this clinical review is that a general awareness of the wide spectrum of conditions associated with HIV infection, coupled with a well organised, multidisciplinary and pragmatic approach, will provide the patients with the best chance of being correctly diagnosed and treated. Furthermore, it must be remembered that, while seeking scientific knowledge and experimenting for a cure, AIDS remains a universally fatal condition. It is essential that palliative care is available alongside and within facilities which are providing potentially curative clinical drug trials. It is equally vital that the patients be given autonomy in deciding which of these aspects of care they choose at any time. Such an approach, and the experience of caring for patients with HIV infection who pass from apparent health to fatal disease, will continue to test the skills and reserves of physicians well into the next century.

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Section: Care Of the Hiv Seropositive Asymptomatic Individualmentioning

confidence: 99%

The Clinical Management of Patients With Hiv Infection and Aids

Barton

1991

Int J Clinical Practice

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Screening of men for sexually transmitted infection and partner notification

Robinson

1998

Human Fertility

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Chlamydia trachomatis in the United Kingdom: a systematic review and analysis of prevalence studies

Adams¹,

Charlett²,

Edmunds³

et al. 2004

Sexually Transmitted Infections

146

126

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Objectives: To undertake a systematic review to obtain estimates of genital Chlamydia trachomatis prevalence in various populations in the United Kingdom and Ireland; to determine which populations have the highest rates of infection; and to explore the most important determinants of infection. Methods: Electronic databases were searched using the keywords ''chlamydia'' and ''England,'' ''Wales,'' ''UK,'' ''Scotland,'' ''Ireland,'' or ''Britain.'' Additional unpublished data and references were solicited from experts. Studies were included in the analysis if C trachomatis prevalence was reported, and if they met inclusion criteria. Nine variables identified as potentially important descriptors of chlamydia prevalence were extracted from each study and analysed using various logistic regression models. Only studies reporting prevalence in female populations were included in the models, because there were few data from males. Results: 357 studies were identified using the search methods, 90 of which met inclusion criteria, and 19 of which contributed to the final model. The most influential variables on prevalence were age and setting of the population tested. In general practice surgeries, the under 20 year old age group had an estimated prevalence of 8.1% (95% CI 6.5 to 9.9), 20-24 year olds 5.2% (95% CI 4.3 to 6.3), 25-29 year olds 2.6% (95% CI 2.0 to 3.3), decreasing to 1.4% (95% CI 1.0 to 1.9) in those aged over 30 years. Overall, healthcare settings had higher prevalence estimates than population based studies. For example, among under 20 year olds, estimates were 17.3% (95% CI 13.6 to 21.8) in genitourinary medicine clinics, 12.6% (95% CI 6.4 to 23.2) in antenatal clinics, 12.3% (95% CI 9.8 to 15.3) in termination of pregnancy clinics, 10.7% (95% CI 8.3 to 13.8) in youth clinics, 10.0% (95% CI 8.7 to 11.5) in family planning clinics, and 8.1% (95% CI 6.5 to 9.9) in general practice, compared to 5.0% (95% CI 3.2 to 7.6) in population based studies. The type of test, specimen used, date, and location of test were not strongly associated with chlamydia prevalence. Conclusion: The chlamydia prevalence estimates by age and setting from the model may be used to inform chlamydia screening strategies. The systematic review revealed much heterogeneity in the studies identified, but with clear patterns of prevalence. It also indicated gaps in the knowledge about chlamydia prevalence in certain subgroups such as men and the general population.

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Sexually Transmitted Diseases among Patients Seeking HIV Antibody Test for AIDS

Cited by 5 publications

References 1 publication

The Clinical Management of Patients With Hiv Infection and Aids

The Clinical Management of Patients With Hiv Infection and Aids

Screening of men for sexually transmitted infection and partner notification

Chlamydia trachomatis in the United Kingdom: a systematic review and analysis of prevalence studies

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