Refocussing on STI management to impact HIV prevention
|
|
- Paul Bruce
- 5 years ago
- Views:
Transcription
1 Refocussing on STI management to impact HIV prevention Koleka Mlisana Head: Medical Microbiology (UKZN & NHLS) 14 June 2017: SA AIDS Conference
2 NSP Objectives Goal 1:Accelerate preventioninorder toreduce new HIVand TB infections and new STIs. Breaking the cycle of transmission Goal 2: Reduce morbidity and mortality by providing treatment, care and adherencesupportforall. Reaching909090ineverydistrict Goal 3: Reach all key and vulnerable populations with customised and targeted interventions. Nobody left behind Goal4:AddressthesocialandstructuraldriversofHIV,TBandSTIs,andlink these efforts to the NDP. A multi-department, multisector approach Goal 5: Ground the response to HIV, TB and STIs in human rights principles and approaches. Equal treatment and social justice Goal 6: Promote leadership at all levels and shared accountability for a sustainable response to HIV, TB and STIs. Mutual accountability
3 Facts Sheet >1milSTIsareacquiredeverydayworldwide. 357milnewinfxwith1of4STIs:CT,NG,TV&TP/year Except for viral causes, sexually transmitted infections are curable!!! Generally,>65%ofSTIsareasymptomatic!!!! Condoms prevent STIs including HIV, only when used properly at every sex act!!! It takes two to tango, treating one partner is inadequate (for both the symptomatic and the asymptomatic)!!!
4 Syndromic vs Diagnostic Management Less Expertise required Immediate Treatment Lower Cost Diagnostic Accuracy Monitor Treatment response Reduce HIV Risk STI & Resistance surveillance
5 STI prevalence in women at acute HIV infection CAPRISA 002 (N=160) Total % Asymptomatic % Chlamydia Gonorrhoea Mycoplasma Trichomonas HSV-2 serology 84.2 N/A HSV-2 PCR Syphilis Bacterial vaginosis
6 Limitations of syndromic management Under-diagnosis and over-treatment Lab Diagnosis Clinical Diagnosis Sensitivity = 12.3 % Specificity = 93.8% PPV = 34.2% NPV = 80.2% Only 1 of 8 women with an STI is diagnosed. 2 of 3 women receive unnecessary treatment.
7 Genital Inflammation and the risk of HIV infection Genital Inflammation is associated with HIV risk, but the causes are poorly understood. STIs, asymptomatic or symptomatic, are associated with increased inflammation. Masson et al, CID, 2015
8 Genital Inflammation and the risk of HIV infection Elevated genital concentrations of HIV target cell recruiting chemokines and a genital inflammatory profile contributes to the high risk of HIV acquisition in these African women. Lindi Masson et al, Clin Infect Dis. 2015;61(2):
9 STIs and HIV acquisition
10 Contribution of Genital Tract Infections to HIV acquisition among Kenyan High-Risk Women Population attributable risk (PAR) % of STIs to HIV acquisition Masese et al. AIDS Jun 1; 29(9):
11 NSP Objectives Goal 1:Accelerate preventioninorder toreduce new HIVand TB infections and new STIs. Breaking the cycle of transmission Goal 2: Reduce morbidity and mortality by providing treatment, care and adherencesupportforall. Reaching909090ineverydistrict Goal 3: Reach all key and vulnerable populations with customised and targeted interventions. Nobody left behind Goal4:AddressthesocialandstructuraldriversofHIV,TBandSTIs,andlink these efforts to the NDP. A multi-department, multisector approach Goal 5: Ground the response to HIV, TB and STIs in human rights principles and approaches. Equal treatment and social justice Goal 6: Promote leadership at all levels and shared accountability for a sustainable response to HIV, TB and STIs. Mutual accountability
12 STIs in key/vulnerable populations in SA Hi risk Pregnancy 2 MSM 3 FSW 4 Asymptomatic PLHIV 5 Women 1 Any STI N. gonorrhoeae C. trachomatis T. vaginalis Syphilis (RPR); 21.4 (TP) HSV Candidiasis Bacterial vaginosis Mlisana K, et al, JID 2012:206 (1): Moodley, D., Sexually transmitted diseases, 42(1), pp Zahn R., SA AIDS 2016 MSMs in PE and CPT 4 Ramjee G., JAIDS 39.3 (2005): Lewis DA., Sexually Transmitted Diseases. 39(7): , July 2012
13 WHO STIs 2030 TARGETS 90% reduction of T. pallidum incidence globally (2018 global baseline). 90% reduction in N. gonorrhoea incidence globally (2018 global baseline). 50 cases of congenital syphilis per live births in 80% of countries. Sustain 90% national coverage and at least 80% in every district (or equivalent administrative unit) in countries with the human papillomavirus vaccine in their national immunization programme.
14 90% reduction of syphilis incidence Identify those at risk ANC screening Laboratory testing Appropriate treatment Partner therapy
15 90% reduction of gonorrhoea incidence Symptomatic vs asymptomatic Regular screening (key pops) NAAT ; POCT; home testing Surveillance for drug resistance Treatment to include?expedited partner therapy Testing for cure
16 CDC Recommendations: STI screening Women Sexually active women under 25 yrs of age 25 yrs increased risk screened at least, annually Retest 3 months after treatment Men Who have Sex With Men (MSM) & FSW At least annually for sexually active MSM at sites of contact (urethra, rectum, pharynx) regardless of condom use Every 3 to 6 months if at increased risk Persons with HIV For sexually active individuals, screen at first HIV evaluation, and at least annually thereafter More frequent screening might be appropriate depending on individual risk behaviours and the local epidemiology
17 Diagnosis and screening recommendations for common STIs. Yarbrough ML;TheABCs of STIs: Clinical chemistry Jun 1;62(6): Disease Chlamydia and gonorrhea Syphilis Symptoms Cervical inflammation, dysuria, pruritus, and discharge Primary: painless ulcer on genitals, rectum, or mouth; secondary: rash, wart-like sores, systemic symptoms; latent: symptomless stage of untreated syphilis; tertiary: organ damage Screening recommendations Females 25 years old, annually; MSM or young males in high-prevalence areas, annually No routine screening; pregnant women: first prenatal visit; MSM: annually Optimal testing method NAAT RPR; confirmation: FTA-Abs or TP- PA Optimal specimen type Females: provider/selfcollected vaginal swab, first-void urine; males: urethral, rectal, or throat swab, first-void urine Serum CDC Reference CDC ; US Preventive Services Task Force HSV Ulcers on the mouth, genitals, or rectum; may present with systemic symptoms No routine screening; testing to be considered in men or women who present with STI NAAT Swab from the leading edge of active lesion LeGoff et al. Virol J 2014;11:83. HBV HPV Bacterial vaginosis Trichomoniasis Abdominal pain, malaise, jaundice, and dark urine Usually asymptomatic and self-limiting; high-risk subtypes linked to cervical and rectal neoplasias Abnormal vaginal discharge, itching, or odor No routine screening; pregnant women: first prenatal visit; MSM and others at increased risk Females: begin screening at 21 years of age No routine screening HBsAg Serum Cervical cytology by Pap smear; Cervical HPV NAAT (>30 years of age) Optimal testing method is evolving Vaginal Asymptomatic; may have diffuse yellow-green No routine screening NAAT Vaginal, cervical, or urine Workowski and Bolan; MMWR 2015 LeFevre Ann Intern Med 2014;161: Moyer; Ann Intern Med 2012;156: Workowski and Bolan; MMWR 2015, Brotman et al. JID 2010;202: Van Der Pol; JCM 2015;54:7 12
18 Multipurpose prevention technologies (MPTs): Ideal Qualities New all-in-one tools being explored to protect vs HIV, other STIs and even unintended pregnancy. Represent the next generation of measures for STI control. Be customized for the infections in a targeted geographic area. Result in multi-faceted, positive outcomes Trends in Microbiology , DOI: ( /j.tim
19 Figure 2 Trends in Microbiology , DOI: ( /j.tim ) Copyright 2015 Elsevier Ltd Terms and Conditions
20 STI Management overhaul NSP Strengthen proper implementation of syndromic management! Physical examination and clear referral pathways Drug availability Regular surveillance to monitor aetiologies and drug susceptibility patterns Focus on asymptomatic infections Targeted screening? Presumptive treatment of vulnerable/key populations Regular testing -? Annually Upscaling laboratory expertise To be intentional about treating partners Financial/Resources commitment!!!!
21 Acknowledgements Nigel Garrett Ravesh Singh Nireshni Naidoo
22 Table 1 Etiology and STI/HIV Coinfections Among Patients With Urethral and Vaginal Discharge Syndromes in South Africa Mhlongo, Sakhile; Magooa, Precious; Müller, Etienne E.; Nel, Noel; Radebe, Frans; Wasserman, Elizabeth; Lewis, David A. Sexually Transmitted Diseases. 37(9): , September doi: /OLQ.0b013e3181d877b7 TABLE 1. Etiology and Seroprevalence of Syphilis, HSV-2 and HIV Among Patients With Male Urethral and Vaginal Discharge Syndromes in Cape Town and Johannesburg Copyright 2017 American Sexually Transmitted Diseases Association 22
Sexually Transmitted Infections in the Adolescent Population. Abraham Lichtmacher MD FACOG Chief of Women s Services Lovelace Health System
Sexually Transmitted Infections in the Adolescent Population Abraham Lichtmacher MD FACOG Chief of Women s Services Lovelace Health System STI in the Adolescent High school students nationwide, 34.2% were
More informationBiology 3201 Unit 2 Reproduction: Sexually Transmitted Infections (STD s/sti s)
Biology 3201 Unit 2 Reproduction: Sexually Transmitted Infections (STD s/sti s) STI s once called venereal diseases More than 20 STIs have now been identified most prevalent among teenagers and young adults.
More informationSexually Transmitted Infections. Kim Dawson October 2010
Sexually Transmitted Infections Kim Dawson October 2010 Objectives: You will learn about: Sexually Transmitted Infections (STI s). How they are transferred. High risk behavior. The most common STI s. How
More informationNothing to disclose.
Update on Diagnosis and Treatment Lisa Winston, MD University of California, San Francisco/ Zuckerberg San Francisco General Nothing to disclose. 1 This talk will be a little depressing Rising incidence
More informationAnswers to those burning questions -
Answers to those burning questions - Ann Avery MD Infectious Diseases Physician-MetroHealth Medical Center Assistant Professor- Case Western Reserve University SOM Medical Director -Cleveland Department
More informationSeveral of the most common STDs are often asymptomatic. Asymptomatic
What Are STDs? Several of the most common STDs are often asymptomatic. Asymptomatic Individuals show no symptoms, or the symptoms are mild and disappear after the onset of the infection Common STDs There
More informationSEX AND SEXUALLY TRANSMITTED INFECTIONS
SEX AND SEXUALLY TRANSMITTED INFECTIONS Sex and STIs Be fully informed, Be safe! Prevent Pregnancy Practice abstinence Use effective birth control Use Emergency Contraception Prevent STI s Practice Abstinence
More informationSTIs: Practical Aspects of Management
STIs: Practical Aspects of Management Dr Heather Young FAChSHM DipPH Christchurch Sexual Health heathery@xtra.co.nz 027 343 4963 Sexually Transmitted Infections BACTERIAL STIs: CHLAMYDIA GONORRHOEA SYPHILIS
More informationWomen s Sexual Health: STI and HIV Screening. Barbara E. Wilgus, MSN, CRNP STD/HIV Prevention Training Center at Johns Hopkins
Women s Sexual Health: STI and HIV Screening Barbara E. Wilgus, MSN, CRNP STD/HIV Prevention Training Center at Johns Hopkins I have no disclosures! Review most recent rates of STIs and HIV across the
More informationQuick Study: Sexually Transmitted Infections
Quick Study: Sexually Transmitted Infections Gonorrhea What is it: A bacterial infection of the genitals, anus, or throat. How common: The CDC estimates 820,000 people in the United States get Gonorrhea
More informationSexually Transmi/ed Diseases
Sexually Transmi/ed Diseases Chapter Fourteen 2013 McGraw-Hill Higher Education. All rights reserved. Also known as sexually transmitted infections The Major STDs (STIs) HIV/AIDS Chlamydia Gonorrhea Human
More information5/1/2017. Sexually Transmitted Diseases Burning Questions
Sexually Transmitted Diseases Burning Questions Jeffrey D. Klausner, MD, MPH Professor of Medicine and Public Health University of California Los Angeles Los Angeles, California FORMATTED: 04-03-17 Financial
More informationLTASEX.INFO STI SUMMARY SHEETS FOR EDUCATIONAL USE ONLY. COMMERCIAL USE RIGHTS RESERVED. COPYRIGHT 2013, JEROME STUART NICHOLS
LTASEX.INFO STI SUMMARY SHEETS FOR EDUCATIONAL USE ONLY. COMMERCIAL USE RIGHTS RESERVED. COPYRIGHT 2013, JEROME STUART NICHOLS LTASEX.INFO! IN AIDS is a treatable complication of advanced HIV infection.
More informationLABORATORY DIAGNOSIS SEXUALLY TRANSMITTED DISEASES
LABORATORY DIAGNOSIS SEXUALLY TRANSMITTED DISEASES LABORATORY MEDICINE COURSE 2004 CLINICAL MICROBIOLOGY SERVICE STD EPIDEMIC- USA TIP OF THE ICEBERG INCIDENCE DISCHARGE Chlamydia - 4 million Gonorrhea
More informationStrategies to achieve STI control in South Africa Prof Remco Peters
Strategies to achieve STI control in South Africa Prof Remco Peters 4 th South African HIV Clinicians Society Conference 27th of October 2018 The spectrum of STIs This presentation has been slightly amended
More informationSTI s. (Sexually Transmitted Infections)
STI s (Sexually Transmitted Infections) Build Awareness In Canada and around the world, the trend is clear: sexually transmitted infections (STIs) are on the rise. One of the primary defenses in the fight
More informationSexually Transmitted Diseases This publication was made possible by Grant Number TP1AH from the Department of Health and Human Services,
Sexually Transmitted Diseases This publication was made possible by Grant Number TP1AH000081-01-01 from the Department of Health and Human Services, Office of Adolescent Health; its contents are solely
More informationALASKA NATIVE MEDICAL CENTER SEXUALLY TRANSMITTED DISEASE SCREENING AND TREATMENT GUIDELINES
ALASKA NATIVE MEDICAL CENTER SEXUALLY TRANSMITTED DISEASE SCREENING AND TREATMENT GUIDELINES A. Screening Page Chlamydia and Gonorrhea 1 HIV 1 Syphilis 1 Genital Herpes 2 Hepatitis A 2 Hepatitis B 2 Hepatitis
More informationSelassie AW (DBBE) 1. Overview 12 million incident cases per year $10 billion economic impact More than 25 organisms.
Infectious Disease Epidemiology BMTRY 713 (A. Selassie, DrPH) Lecture 12 Sexually Transmitted Diseases Learning Objectives 1. Review the epidemiology of sexually Transmitted Diseases 2. Assess the personal
More informationWhat You Need to Know. Sexually Transmitted Infections (STIs)
What You Need to Know Sexually Transmitted Infections (STIs) What You Need to Know About STIs What are STIs? Sexually transmitted infections (STIs) are diseases that spread through sexual contact. If you
More informationSTIs- REVISION. Prof A A Hoosen
STIs- REVISION Prof A A Hoosen Department of Medical Microbiology, Faculty of Health Sciences, University of Pretoria and the NHLS Microbiology Tertiary Laboratory at the Pretoria Academic Hospital Complex
More informationWhat's the problem? - click where appropriate.
STI Tool v 1.9 @ 16/11/2017 What's the problem? - click where appropriate. Male problems: screening urethral symptoms proctitis in gay men lumps or swellings ulcers or sores skin rash and/or itch Female
More informationIndex. Infect Dis Clin N Am 19 (2005) Note: Page numbers of article titles are in boldface type.
Infect Dis Clin N Am 19 (2005) 563 568 Index Note: Page numbers of article titles are in boldface type. A Abstinence in genital herpes management, 436 Abuse sexual childhood sexual behavior effects of,
More informationSexually Transmissible Infections (STI) and Blood-borne Viruses (BBV) A guide for health promotion workers
Sexually Transmissible Infections (STI) and Blood-borne Viruses (BBV) A guide for health promotion workers Sexual & Reproductive Health Western Australia Chlamydia (bacterial infection) Unprotected vaginal
More informationIn Canada and around the world, the trend is clear: sexually transmitted infections (STIs) are on the rise.
Adapted From: Sexually Transmitted Infections Pamphlet. Public Health Agency of Canada, 2007 In Canada and around the world, the trend is clear: sexually transmitted infections (STIs) are on the rise.
More informationSTD UPDATE 2017 FSACOFP CONVENTION
STD UPDATE 2017 FSACOFP CONVENTION L. Michael Waters, Jr, DO Adjunct Clinical Assistant Professor of Family Medicine LECOM-Bradenton Clinical Assistant Professor of Family Medicine PCOM- Georgia DISCLOSURES
More informationUpdated Guidelines for Post-Assault Testing and Treatment
Updated Guidelines for Post-Assault Testing and Treatment Ann S. Botash, MD Professor of Pediatrics October 5, 2016!" Disclosure Statement Ann S. Botash, MD, has no financial relationships with any commercial
More informationHow is it transferred?
STI s What is a STI? It is a contagious infection that is transferred from one person to another through sexual intercourse or other sexually- related behaviors. How is it transferred? The organisms live
More informationSTDs and Hepatitis C
STDs and Hepatitis C Catherine S. O Neal, MD Assistant Professor of Clinical Medicine, Infectious Diseases Louisiana State University Health Sciences Center March 3, 2018 Objectives Review patient risk
More informationSexually transmitted infections (in women)
Sexually transmitted infections (in women) Timothy Kremer, MD Assistant Professor, Department of Obstetrics and Gynecology University of North Texas Health Science Center Last official CDC guidelines:
More informationTeacher Resource: Anecdotal Recording Chart. Class: Specific Expectations: Success Criteria: (Page 1 of 2) Student Name. Observation.
Teacher Resource: Anecdotal Recording Chart (Page 1 of 2) Class: Specific Expectations: Success Criteria: Student Name Observation Student Name Observation Student Name Observation Teacher Resource: Anecdotal
More informationPreventing Sexual Transmitted Diseases
Preventing Sexual Transmitted Diseases Chapter 12 Card game Lie Sexually Transmitted Diseases Sexuality is an intrinsic part of human nature and affects many things People are not always honest about their
More informationSexually Transmitted Infections
NGO Initiatives to Prevent HIV/AIDS Sexually Transmitted Infections 5/F Unit 506, Tower II Cityland Condominium 10 154 H.V. dela Costa Street, Salcedo Village, Makati City 1227 Tel: 632 817-5049 Fax: 632
More informationSexually Transmitted. Diseases
Sexually Transmitted Diseases How can I get an STD? Many STDs are carried and transmitted through semen and vaginal fluids. Some STDs can be spread through skin to skin contact Mother to child STDs: Signs
More informationThe Impact of Sexually Transmitted Diseases(STD) on Women
The Impact of Sexually Transmitted Diseases(STD) on Women GAL Community Symposium AUM September 2, 2011 Agnes Oberkor, MPH, MSN, CRNP, Nurse Practitioner Senior Alabama Department of Public Health STD
More informationSEXUALLY TRANSMITTED DISEASES (INFECTIONS)
SEXUALLY TRANSMITTED DISEASES (INFECTIONS) HIV/AIDS - TRANSMISSION Sexual intercourse Anal, oral, & vaginal Multiple partners Sharing needles Mother to infant Born or breast milk Blood transfusions Open
More informationSexually Transmitted Infections
Sexually Transmitted Infections STI Director/ Centers for Disease Control Overview Definition of STIs: What are they? Transmission: How are they spread? Types of infection: -Bacterial (Chlamydia, LGV,
More informationControl and Prevention of Sexually Transmitted Infections; Chlamydia trachomatis. Dr Nathalie Broutet Department of Reproductive Health and Research
Control and Prevention of Sexually Transmitted Infections; Chlamydia trachomatis Dr Nathalie Broutet Department of Reproductive Health and Research Intervention Effects Level Levels at which STI have
More informationSEXUALLY TRANSMITTED INFECTIONS (STIS)
SEXUALLY TRANSMITTED INFECTIONS (STIS) CONTENTS Causes Prevention Methods of Transmission Decisions to Have Sexual Intercourse Signs and symptoms Screening Pop Quiz Diagnosis Management: Public Health
More informationToward global prevention of sexually transmitted infections: the need for STI vaccines
Training Course in Sexual and Reproductive Health Research 2017 Module: Sexually transmitted infections, HIV/AIDS Toward global prevention of sexually transmitted infections: the need for STI vaccines
More informationTRICHOMONAS VAGINALIS
TRICHOMONAS VAGINALIS What s New: There are no changes to this guideline. Introduction Trichomonas vaginalis (TV) is a flagellated protozoan that is a parasite of the genital tract. Due to site specificity,
More informationUniversity Health Services at CMU STI Awareness Month specials for students:
University Health Services at CMU STI Awareness Month specials for students: -Free condoms during April (10 per student) -Free walk-in rapid HIV testing April 22-27 (no appointment needed) -STI Screening
More informationKhalil G. Ghanem, MD, PhD Associate Professor of Medicine Johns Hopkins University School of Medicine. April 2, 2014
Khalil G. Ghanem, MD, PhD Associate Professor of Medicine Johns Hopkins University School of Medicine April 2, 2014 E-mail your questions for the presenter to: maphtc@jhsph.edu DISCLOSURES OFF- LABEL USES
More informationIt is a good idea for anyone having sex to get tested regularly and treated for STIs if necessary.
FACTSHEET Sexually Transmitted Infections and HIV Transmission This is one of a series of fact sheets about the biology of HIV transmission. The fact sheets review specific biological factors that make
More informationSexually Transmitted Diseases. Ch 24
Sexually Transmitted Diseases Ch 24 Statistics THERE ARE CURRENTLY 65 MILLION PEOPLE LIVING WITH INCURABLE STDs IN THE U.S. THERE ARE 15 MILLION NEW CASES REPORTED EACH YEAR SOURCE: CDC, 2000 REPORTS WHY
More informationGUIDELINES FOR THE MANAGEMENT OF SEXUALLY TRANSMITTED INFECTIONS
WHO/HIV_AIDS/2001.01 WHO/RHR/01.10 Original: English Distr.: General GUIDELINES FOR THE MANAGEMENT OF SEXUALLY TRANSMITTED INFECTIONS World Health Organization Copyright World Health Organization 2001.
More informationThe Synergy between HIV and other STIs
Training Course in Sexual and Reproductive Health Research 2017 Module: Sexually transmitted infections, HIV/AIDS The Synergy between HIV and other STIs Alberto Matteelli Brescia University Sexual Transmission
More informationN ational STI M icrobiological Surveillance Programme David A. Lewis FRCP(UK) PhD
N ational STI M icrobiological Surveillance Programme David A. Lewis FRCP(UK) PhD Sexually Transmitted Infections Reference Centre National Institute of Communicable Diseases (NHLS) South Africa Mission
More informationSexually transmitted infections (in women)
Sexually transmitted infections (in women) Timothy Kremer, MD Assistant Professor, Department of Obstetrics and Gynecology University of North Texas Health Science Center Last official CDC guidelines:
More informationPractice Steps for Implementation of Guidelines Recommendations The guideline recommendations are shown schematically -
ASK SCREEN Test for HIV and STI Practice Steps for Implementation of Guidelines Recommendations The guideline recommendations are shown schematically - Routinely obtain a thorough sexual history from all
More informationBuve, A., H. A. Weiss, et al. (2001). The epidemiology of trichomoniasis in women in four African cities. Aids 15 Suppl 4: S89-96.
Behets, F., J. Andriamiadana, et al. (2001). Sexually transmitted infections and associated socio-demographic and behavioural factors in women seeking primary care suggest Madagascar's vulnerability to
More informationTimby/Smith: Introductory Medical-Surgical Nursing, 9/e
Timby/Smith: Introductory Medical-Surgical Nursing, 9/e Chapter 62: Caring for Clients With Sexually Transmitted Diseases Slide 1 Epidemiology Introduction Study of the occurrence, distribution, and causes
More informationSexually Transmitted Infections (STIs)
Sexually Transmitted Infections (STIs) Overview Definition of STIs: What are they? Transmission: How are they spread? Types of infection: Bacterial (Chlamydia, Gonorrhea, Syphilis) Viral (Hepatitis B,
More informationLearning Objectives. STI Update. Case 1 6/1/2016
Learning Objectives STI Update June 16 th, 2016 Madhu Choudhary, MD. FIDSA Assoc. Prof of Medicine Albany Medical College Review screening recommendations for STI in different patient populations Describe
More informationRon Gray, MBBS, MFCM, MSc Johns Hopkins University. STIs in an International Setting
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this
More information6/11/15. BACTERIAL STDs IN A POST- HIV WORLD. Learning Objectives. How big a problem are STIs in the U.S.?
BACTERIAL STDs IN A POST- HIV WORLD Tracey Graney, PhD, MT(ASCP) Monroe Community College Learning Objectives Describe the epidemiology and incidence of bacterial STDs in the U.S. Describe current detection
More informationCLINICAL MANAGEMENT OF STDS
CLINICAL MANAGEMENT OF STDS Diana Torres-Burgos MD, MPH NYC STD/HIV Prevention Training Center STD/HIV Update Conference Grand Rapids, MI 3/11/2014 Outline Essential components of STD care management Sexual
More informationWhat you need to know to: Keep Yourself SAFE!
What you need to know to: Keep Yourself SAFE! What are sexually transmitted diseases (STDs)? How are they spread? What are the different types of STDs? How do I protect myself? STDs are infections or diseases
More informationSexually Transmitted Infections in the Young: Opening Up MARY ANN C. BUNYI, MD, FPPS, FPIDSP
Sexually Transmitted Infections in the Young: Opening Up MARY ANN C. BUNYI, MD, FPPS, FPIDSP The speaker intends to: A.Describe the epidemiologic pattern of sexually transmitted infections (STI) B. Characterize
More informationSexually Transmitted Infections in Vulnerable Groups. Kevin Rebe
Sexually Transmitted Infections in Vulnerable Groups Kevin Rebe Definition: Key Populations Key populations are: Defined groups who, due to specific higher-risk behaviours, are at increased Men risk who
More informationSexually Transmitted Infection surveillance in Northern Ireland An analysis of data for the calendar year 2011
Sexually Transmitted Infection surveillance in Northern Ireland 2012 An analysis of data for the calendar year 2011 Contents Page Summary points. 3 Surveillance arrangements and sources of data.. 4 1:
More information½ of all new infections are among people aged although this age group represents <25% of the sexually experienced population.
Impact Almost 20 million - newly diagnosed STD s/sti s each year. $16 billion cost of treating STI s ½ of all new infections are among people aged 15-24 although this age group represents
More informationSexually Transmitted Disease Treatment Tables
Sexually Transmitted Disease Treatment Tables Federal Bureau of Prisons Clinical Practice Guidelines June 2011 Clinical guidelines are made available to the public for informational purposes only. The
More informationEmerging Issues in STDs and Resistance
Emerging Issues in STDs and Resistance Toye H. Brewer, MD Asst. Professor of Clinical Medicine University of Miami School of Medicine Co-Director- Fogarty International Training Program Outline Syphilis-
More informationSexually transmitted infections
Sexually transmitted infections Dr Caroline CHARLIER-WOERTHER Université Paris Descartes Paris, France Learning objectives Counsel patients about the risk of STD Know how to diagnose and treat a sexuallytransmitted
More informationLooking at NY: Our rate of chlamydia is higher than the US as a whole; we rank 13th among all states.
1 In this presentation, we will discuss: What are the most common STDs in NYS What are the most common STDs Can I get gonorrhea from oral sex How do you know if you/or your partner has an STD? Does getting
More informationMYTHS OF STIs True or False
MYTHS OF STIs True or False 1. Most people with an STD experience painful symptoms. 2. Birth control pills prevent the spread of STDs. 3. Douching will cure and STD. 4. Abstinence is the best way to prevent
More informationTrends in STDs among Young People in New York State
Trends in STDs among Young People in New York State Kris Mesler, Bureau of Child and Adolescent Health Alison Muse, Bureau of Sexually Transmitted Disease Control New York State Department of Health Figure
More informationTrends in Reportable Sexually Transmitted Diseases in the United States, 2007
Trends in Reportable Sexually Transmitted Diseases in the United States, 2007 National Surveillance Data for Chlamydia, Gonorrhea, and Syphilis Sexually transmitted diseases (STDs) remain a major public
More informationAim #58 STD's. What is the main difference between bacterial STD's and viral STD's? Why is Chlamydia nicknamed the "silent disease?
Aim #58 STD's What is the main difference between bacterial STD's and viral STD's? Why is Chlamydia nicknamed the "silent disease?" PS - Quiz on Friday (20?'s) Birth control, STD's, and anatomy Genital
More informationtoe... Chlamydia - CDC Fact Sheet Appendix K - Part 2
Appendix K - Part 2 Chlamydia - CDC Fact Sheet What is chlamydia? Chlamydia is a common STD that can infect both men and women. It can cause serious, permanent damage to a woman's reproductive system,
More informationThe Forensic Evaluation of Sexually Transmitted Diseases in Childhood. VFPMS seminar 2018 Jo Tully
The Forensic Evaluation of Sexually Transmitted Diseases in Childhood VFPMS seminar 2018 Jo Tully Infidelity STD s are unique infections because they may imply.. Immorality Serious criminal offending Why
More informationSexually Transmitted Diseases: Overview
Sexually Transmitted Diseases: Overview Q: What is a sexually transmitted disease (STD)? A: It is an infection or disease passed from person to person through sexual contact. Q: How many people have STDs?
More informationSexually Transmitted Infections
Sexually Transmitted Infections Introduction Sexually transmitted diseases, or STDs, are some of the most common infectious diseases. Sexually transmitted diseases are also called sexually transmitted
More informationChapter 25 Notes Lesson 1
Chapter 25 Notes Lesson 1 The Risk of STIs 1) What is a sexually transmitted disease (STD)? Referred to as a sexually transmitted infection (STI) infectious diseases spread from person to person through
More informationChanging Trends of STIs/HIV/AIDS: An Overview
Changing Trends of STIs/HIV/AIDS: An Overview Dr. Manju Bala Senior Microbiologist Regional STD Teaching, Training & Research Centre VMMC & Safdarjung Hospital, New Delhi INTRODUCTION STDs have emerged
More informationScreening & Treating Chlamydia in Primary Care. Wednesday, September 21, 2016
Screening & Treating Chlamydia in Primary Care Wednesday, September 21, 2016 We Want To Hear From You! Type questions into the Questions Pane at any time during this presentation Patient-Centered Primary
More informationSexual Health reproduction in reference to treatment as/for prevention
Sexual Health reproduction in reference to treatment as/for prevention The reasons for sexual reproductive health for PLHIV The number of people living with HIV (PLWH) continues to rise in the UK The increase
More informationSTRATEGIES TO REDUCE HIV INFECTION AMONG HBCU COLLEGE STUDENTS
STRATEGIES TO REDUCE HIV INFECTION AMONG HBCU COLLEGE STUDENTS ORLANDO O. HARRIS, PhD, RN, FNP, MPH FELLOW CENTER FOR AIDS PREVENTION STUDIES (CAPS) DEPARTMENT OF MEDICINE UNIVERSITY OF CALIFORNIA, SAN
More informationSexuality/Reproduction CALM Summer 2015
Female Reproduction Sexuality/Reproduction CALM Summer 2015 Male Reproduction Reproduction https://www.youtube.com/watch?v=_7rsh2loiy8 1 About Sex How to use a condom Set Limits Think about how far you
More informationSexually Transmitted Diseases STD s. Kuna High School Mr. Stanley
Sexually Transmitted Diseases STD s Kuna High School Mr. Stanley Postponing sexual activity Postponing sexual activity until marriage and being mutually monogamous for the life of the marriage; you avoid
More informationChapter 11. Sexually Transmitted Diseases
Chapter 11. Sexually Transmitted Diseases General Guidelines Persons identified as having one sexually transmitted disease (STD) are at risk for others and should be screened as appropriate. Partners of
More informationSexually Transmitted Infection Treatment and HIV Prevention
Sexually Transmitted Infection Treatment and HIV Prevention Toye Brewer, MD Co-Director, Fogarty International Training Program University of Miami Miller School of Medicine STI Treatment and HIV Prevention.
More informationS403- Update on STIs for the Generalists
S403- Update on STIs for the Generalists Mobeen H. Rathore, MD Professor and Director University of Florida Center for HIV/AIDS Research Education and Service (UF CARES) Chief, Pediatric Infectious Diseases
More informationSexually Transmitted Infections (STI) Fact Sheet comprises public domain material from the Office on Women s Health, U.S. Department of Health and
Sexually Transmitted Infections (STI) Fact Sheet comprises public domain material from the Office on Women s Health, U.S. Department of Health and Human Services. Sexually Transmitted Infections: Overview
More informationSexually Transmitted Diseases: Overview
Sexually Transmitted Diseases: Overview frequent and more serious complications from STDs than men. Q: How do you get an STD? A: You can get and pass STDs through Q: What is a sexually transmitted vaginal,
More informationSTI and BV prevalence in young women in Cape Town and Soweto
STI and BV prevalence in young women in Cape Town and Soweto Shaun Barnabas Genital Mucosal and STI lab Desmond Tutu HIV Foundation University of Cape Town FAMCRU University of Stellenbosch WISH: Women
More informationUpdate on Sexually Transmitted Infections Jeanne Marrazzo, MD, MPH
Update on Sexually Transmitted Infections Jeanne Marrazzo, MD, MPH Division of Infectious Diseases University of Alabama at Birmingham School of Medicine Birmingham, Alabama Outline Syphilis in all its
More informationOVERVIEW SEXUALLY TRANSMITTED INFECTIONS REPORTS STI BASICS WATCH OUT! HOW TO PREVENT STIs. Sexually Transmitted Infections Reports
UNIT NINE: UNDERSTANDING & PREVENTING SEXUALLY TRANSMITTED INFECTIONS OVERVIEW SEXUALLY TRANSMITTED INFECTIONS REPORTS STI BASICS WATCH OUT! HOW TO PREVENT STIs Overview When compared to the other industrialized
More informationSUMMARY TABLE OF SEXUALLY TRANSMITTED INFECTIONS
1 of 5 SUMMARY TABLE OF SEXUALLY TRANSMITTED INFECTIONS Sexually Transmitted Infections How is it spread? How do I get tested? Can it be cured? fertility? pregnancy? a newborn? Can the mother breastfeed
More informationSexually Transmitted Infection surveillance in Northern Ireland An analysis of data for the calendar year 2016
Sexually Transmitted Infection surveillance in Northern Ireland 2017 An analysis of data for the calendar year 2016 Contents Page Summary points. 3 Surveillance arrangements and sources of data.. 4 1:
More informationEvaluation of Syndromic Algorithms for Managing Sexually Transmitted Infections Among Pregnant Women in Kenya
Evaluation of Syndromic Algorithms for Managing Sexually Transmitted Infections Among Pregnant Women in Kenya Pintye J 1,2, Drake AL 1, Unger JA 3, Matemo D 4, Kinuthia J 4, McClelland RS 1,5,6,7, John-Stewart
More informationSexually Transmitted Infections Epidemiology
Sexually Transmitted Infections Epidemiology Nathalie Broutet, MD, PhD Reproductive Health and Research Department World Health Organization GLOBAL- 1 Percentage of unprotected anal intercourse among HIV-negative
More informationNew diagnostic tests for sexually transmitted infections. Jens Van Praet 30/11/2018
New diagnostic tests for sexually transmitted infections Jens Van Praet 30/11/2018 Introduction Data from our national microbiological labs suggest STIs are an important clinical issue Correlation with
More informationTDL Sexual Health 2012
TDL Sexual Health Overall trends in diagnoses in England Numbers of new diagnoses of sexually transmitted infections (STIs) in England fell by 1% in 010, (,78 to 18,598) with the greatest declines in young
More informationOutline. HIV and Other Sexually Transmitted Infections. Gonorrhea Epidemiology. Epidemiology 11/2/2012
HIV and Other Sexually Transmitted Infections Tanya Kowalczyk Mullins, MD, MS Division of Adolescent Medicine Cincinnati Children s Hospital Medical Center Outline Epidemiology of select STIs and HIV STIs
More informationGAY MEN/MSM AND STD S IN NJ: TAKE BETTER CARE OF YOUR PATIENTS! STEVEN DUNAGAN SPECIAL PROJECTS COORDINATOR NJ DOH STD PROGRAM SEPTEMBER 27, 2016
GAY MEN/MSM AND STD S IN NJ: TAKE BETTER CARE OF YOUR PATIENTS! STEVEN DUNAGAN SPECIAL PROJECTS COORDINATOR NJ DOH STD PROGRAM SEPTEMBER 27, 2016 TOPICS FOR DISCUSSION What medical providers should know
More informationTake out CST test corrections What do you know about STDs?
Assignment #5 STDs LO: To understand sexually transmitted diseases. EQ: What are all of the ways to contract STDs? (4-5 sentences underlining key words) AGENDA 5/12-5/13 1. Group work 2. Notes Homework
More informationSexually Transmitted Infections in HSV-2 Seropositive women in Sub- Saharan Africa HPTN 039
Sexually Transmitted Infections in HSV-2 Seropositive women in Sub- Saharan Africa HPTN 039 Ulrika Makuraj, MBBCH University of Witwatersrand Mentor : Sinead Delany-Moretlwe South Africa 17 May 2018 Introduction
More information