Updated Guidelines: Australian STI & HIV Testing Guidelines 2019 for Asymptomatic MSM

Sexually Transmissible Infections in Gay Men Action Group (STIGMA), September 2019

Most sexually transmitted infections (STIs) are asymptomatic. Testing and treatment of asymptomatic men who have sex with men (MSM) is the most effective method to interrupt transmission and reduce the burden of illness. In particular, syphilis is increasingly common, is often asymptomatic, and can cause significant morbidity.

The main barriers to STI control are insufficient frequency of testing in MSM, and incomplete testing. For example, chlamydia and gonorrhoea tests should be performed at all three sites (swab of oropharynx and anorectum, and first
pass urine), and syphilis serology should be performed every time a HIV test or HIV treatment monitoring is performed.

HIV is now a medically preventable infection. All men who are eligible under the Australian HIV Pre-Exposure guidelines should be actively offered PrEP: www.ashm.org.au/HIV/PrEP All people with HIV should be advised to commence treatment and, where possible, have an undetectable viral load.
These guidelines are intended for all MSM, including trans men who have sex with other men .

This current version is endorsed by the Australasian Society for HIV, Viral Hepatitis, and Sexual Health Medicine, Australasian Sexual Health Alliance, Australasian Chapter of Sexual Health Medicine of the Royal Australasian College of Physicians and is approved as an accepted clinical resource by the Royal Australian College of General Practitioners.

Hepatitis B testing infographic now available

Hepatitis NSW, October 2017

With the increasing visibility of hep B, Hepatitis NSW felt there was a need to make information about hep B testing clearer. It can be a complex subject to grapple with and there’s lots of misinformation and confusion out there.

This hep B testing infographic aims to give both doctors and patients a clearer understanding of what tests to do as well as what the test results mean. On one side, we have an explanation of what the tests results mean which a doctor can use to explain a person’s results. On the other side, we have the reminder for the doctor to test the 3 key hep B tests. It’s really important to get all three done at once.

The aim is for people to take this infographic with them when they go and see their doctor about hep B testing – whether that’s checking their immunity, seeing if they’ve ever been exposed, or seeing if they have a hep B infection.

People can also call the Hepatitis SA Infoline on 1800 437 222 for further information.

  • Download infographic in English, Korean or Mandarin here 

Vaccine for Meningitis Shows Some Protection Against Gonorrhea

New Zealand Family Planning

Some strains of the bacterium that cause gonorrhoea are now resistant to all available antibiotics. With no new drugs on the near horizon, the disease is in desperate need of a vaccine.

Our research, published in the Lancet medical journal this week, shows that protection against gonorrhoea could come from an unexpected source – a vaccine against meningococcal group B disease.