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.

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STI rates in PrEP users very high, but evidence that PrEP increases them is inconclusive

nam/aidsmap, Published: 22 February 2017
A study of PrEP users presented last week showed that PrEP users had very high rates of STI diagnosis – in the order of 20 times higher than among HIV-negative gay men in the general population. The evidence that STIs increased further while people were on PrEP was, however, a lot more ambiguous.
The problem in proving that PrEP has any causal relationship to STIs is that STIs among gay men were, in general, rising before well before PrEP, and also that PrEP usually involves regular testing for HIV and STIs. Since many STIs are asymptomatic and self-limiting, more tests will result in more diagnoses.
Read more here 

Legalising same-sex marriage linked to drop in youth suicide

ABC Hack, Tue 21 Feb 2017, 1:29PM;  Updated Wed 22 Feb 2017, 11:25am

The legalisation of same-sex marriage in some US states has been linked with a drop in the number of gay, lesbian and bisexual teenagers who attempted suicide, according to new research published in JAMA Pediatrics (Journal of the American Medical Association).

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  • Access JAMA paper here

 

 

 

 

West African HIV-2 prevalence associated with lower historical male circumcision rate

Medical News Today, 

Cities with substantial uncircumcised populations in 1950 tended to have higher HIV-2 prevalence from 1985.

In West African cities, male circumcision rates in 1950 were negatively correlated with HIV-2 prevalence from 1985, according to a study published in the open-access journal PLOS ONE by João Sousa from the University of Leuven, Belgium, and colleagues.

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  • Access journal paper (open access) here