Diagnosis and Management of Syphilis in Patients With HIV Co-infection

Khaw, C., Malden, C., Ratnayake, M. et al. Diagnosis and Management of Syphilis in Patients With HIV Co-infectionCurr Treat Options Infect Dis (2020). https://doi.org/10.1007/s40506-020-00225-6

Published

Purpose of review

Syphilis cases are on the increase especially in men who have sex with men (MSM) in urban areas of high-income countries.

There is a strong association between syphilis and HIV infections.

We review the more recent literature regarding the epidemiology, clinical manifestations, diagnostic investigations, treatment and follow-up of syphilis in HIV infection.

  • Read abstract here (For full text access you can purchase from the publisher or see your librarian)

New fact sheet from SHINE SA: Trichomoniasis

SHINE SA, 17th June 2020

Trichomoniasis is a genital infection caused by the organism trichomonas vaginalis. It is spread through sexual contact.

You can learn more about trichomoniasis by reading our new Fact Sheet.

 

 

Baby born with “avoidable” congenital syphilis: experts

InDaily, June 04, 2020

The recent birth of a child in South Australia with congenital syphilis, despite the mother being previously diagnosed and treated for the sexually transmitted infection, has prompted SA Health concern about the quality of the treatment.

[A] public health alert [sent by SA Health] “reminds and advises health practitioners of their responsibilities” in managing syphilis cases and contacts.

General practitioner at not-for-profit sexual health service SHINE SA Amy Moten said the case was “significant” because it was an avoidable outcome.

New ‘Syphilis Is Still Out There’ Campaign for Health Professionals

The Aboriginal Health Council of South Australia (AHCSA) & SHINE SA, May 2020

The Aboriginal Health Council of South Australia (AHCSA) and SHINE SA have released a new social media campaign for health professionals.

The campaign aims to raise awareness of syphilis screening and treatment during COVID-19.

  • Syphilis Is Still Out There Campaign for Health Professionals

While we deal with the COVID-19 pandemic, the syphilis outbreak in South Australia continues. It’s essential that we continue to test, treat, cure and notify partners during this time.

To learn more visit www.shinesa.org.au/syphilisoutbreak

  • Social Media Tiles and Posters

To help support this campaign and reinforce key messages around syphilis prevention and treatment, we have a range of social media tiles and posters to download.

Help us share this campaign by downloading our social media tiles to share on Facebook, Instagram, Twitter and LinkedIn. Use the hashtag #SyphilisIsStillOutThere

Download the files here as a zipped folder: Syphilis Is Still Out There Campaign

Key Messages of this Campaign 

  • Syphilis is still out there #SyphilisIsStillOutThere
  • Syphilis outbreak minimised in 4 steps: test, treat, cure and notify partners
  • Syphilis is still threatening unborn children. Know when to test before, during and after pregnancy

  • For the Community

Stay tuned: whilst this campaign is aimed at health professionals, AHCSA are currently producing resources to share on social media targeted towards community members.

To stay up-to-date follow AHCSA on Facebook.

 

Webinar: Syphilis Outbreak in the Indigenous Community

SHINE SA, posted May 14, 2020

This free education session is presented by Adelaide Sexual Health Centre and will provide an update on syphilis.

General practitioners, nurses and/or midwives, Aboriginal Health Practitioners and Aboriginal Health Workers are encouraged to register for this training.

COURSE DETAILS

Date: 16 June 2020
Time: 7:00pm – 9:00pm

The webinar will cover:

  • Update on epidemiology
  • Review of diagnosis, staging and management of syphilis cases
  • How to interpret syphilis serology
  • Syphilis in pregnancy
  • Approaches to Partner Notification
  • Introduction to the South Australian Syphilis Register

Presenters:
Dr Alison Ward, Senior Consultant Sexual Health Physician
Njirrah Rowe, Aboriginal STI Education Coordinator and Partner Notification Officer

This activity is pending RACGP approval for 4 CPD activity points

This session is part of the Syphilis Outbreak Response and is a partnership between SHINE SA and Adelaide Sexual Health Centre.

No cost to attend.

Internet-based self-sampling for Chlamydia trachomatis testing

Söderqvist JGullsby KStark L, et al
Internet-based self-sampling for Chlamydia trachomatis testing: a national evaluation in Sweden

Abstract:

Objective Internet-based testing for Chlamydia trachomatis (CT) with self-sampling at home has gradually been implemented in Sweden since 2006 as a free-of-charge service within the public healthcare system. This study evaluated the national diagnostic outcome of this service.

Methods Requests for data on both self-sampling at home and clinic-based sampling for CT testing were sent to the laboratories in 18 of 21 counties. Four laboratories were also asked to provide data on testing patterns at the individual level for the years 2013–2017.

Results The proportion of self-sampling increased gradually from 2013, comprising 22.0% of all CT tests in Sweden in 2017. In an analysis of 14 counties (representing 83% of the population), self-sampling increased by 115% between 2013 and 2017 for women, compared with 71% for men, while test volumes for clinic-based sampling were fairly constant for both sexes (1.8% increase for women, 15% increase for men). In 2017 self-sampling accounted for 20.3% of all detected CT cases, and the detection rate was higher than, but similar to, clinic-based testing (5.5% vs 5.1%). The proportion of self-sampling men was also higher, but similar (33.7% vs 30.8%). Analysis of individual testing patterns in four counties over 5 years showed a higher proportion of men using self-sampling only (67%, n=10 533) compared with women (40%, n=8885).

Conclusions Self-sampling has increased substantially in recent years, especially among women. This service is at least as beneficial as clinic-based screening for detection of CT, and self-sampling reaches men more than clinic-based testing.