In contrast to Australia’s success with hepatitis C, our response to hepatitis B is lagging

The Conversation, October 15th, 2019

Around one-third of Australians living with hepatitis C have been cured in the last four years. Australia’s response to hepatitis C is seen as a leading example around the world, and the elimination of the disease as a major public health threat is looking like an increasingly achievable goal.

But the situation is much less promising for Australians living with hepatitis B, which is now the most common blood-borne viral infection in Australia. It affects more people than hepatitis C and HIV combined.

Chlamydia trachomatis and the Risk of Pelvic Inflammatory Disease, Ectopic Pregnancy, and Female Infertility

Clinical Infectious Diseases, ciz429, https://doi.org/10.1093/cid/ciz429
Published: 24 August 2019

Abstract

Background

We evaluated the risk of pelvic inflammatory disease (PID), ectopic pregnancy, and infertility in women with a previous Chlamydia trachomatis (CT) diagnosis compared with women who tested negative for CT and CT untested women, considering both targeted and incidental (ie, prescribed for another indication) use of CT-effective antibiotics.

Methods

This was a retrospective study of women aged 12–25 years at start of follow-up within the Clinical Practice Research Datalink GOLD database linked to index of multiple deprivation quintiles, 2000–2013. CT test status and antibiotic use were determined in a time-dependent manner. Risk of PID, ectopic pregnancy, or female infertility were evaluated using of Cox proportional hazard models.

Results

We studied 857 324 women, contributing 6 457 060 person-years. Compared with women who tested CT-negative, women who tested CT-positive had an increased risk of PID (adjusted hazard ratio [aHR], 2.36; 95% confidence interval [CI], 2.01–2.79), ectopic pregnancy (aHR, 1.87; 95% CI, 1.38–2.54), and infertility (aHR, 1.85; 95% CI, 1.27–2.68). The PID risk was higher for women with 2 or more positive CT tests than those with 1 positive test. PID risk increased with the number of previous antibiotic prescriptions, regardless of CT test status.

Conclusions

We showed an association between CT-positive tests and 3 adverse reproductive health outcomes. Moreover, this risk increased with repeat CT infections. CT-effective antibiotic use showed no decreased risks of subsequent PID regardless of CT history. Our results confirm the reproductive health burden of CT, which requires adequate public health interventions.

Hyde Street Practice: a service of SHINE SA

SHINE SA, September 2019

Hyde Street Practice is a service of SHINE SA. We offer affordable appointments with friendly and non-judgemental staff.

We are a safe and inclusive practice with general practitioners, specialist services, sexual health and relationship wellbeing services.

Services include:

  • General Practitioners

General GP services, including support for diabetes and cardiovascular health, Pre and post exposure HIV prevention (PEP and PrEP), HIV, hepatitis B and hepatitis C prescribing, STI testing and management

  • Sexual Health Services

SHINE SA sexual health services including contraception, STI testing and management, HIV, PEP & PrEP

  • Sexual Health Physician

A private specialist sexual health and HIV service available by referral

HIV, sexual health, PEP & PrEP, hepatitis C, transgender medicine, LGBTI health

  • Rapido – Rapid HIV Testing

Walk in and Wait service, peer led with results in 20 minutes

  • Psychologist and Counselling

General psychological services and sexual health counselling

  • Gender Wellbeing Service

Professional, peer support and information services for people who are questioning their gender or who identify as trans or gender diverse

  • SAMESH

Support services for gay men, MSM (men who have sex with men), trans men and people living with HIV and people at risk of HIV and STIs, health promotion and education

  • Bobby Goldsmith Foundation

Financial assistance for health related issues to people living with HIV on low incomes

Details:

57 Hyde Street, Adelaide
Call 7099 5320
Monday – Friday 9:00 am – 5:00 pm
Fees available on hydestreet.com.au
To make an appointment visit
www.hydestreet.com.au

or call 7099 5320

Rapido – Rapid HIV Testing
Mondays 3:00 – 6:00 pm
(except Public Holidays)

Sexual Health Service
Walk in and Wait
Fridays 1:00 – 4:00 pm

Clean Needle Program
Monday – Friday 9:00 am – 5:00 pm

Reproductive coercion research – seeking GPs

The University of Melbourne, May 2019

Reproductive coercion (RC) is an under recognised form of abuse experienced by Australian women. RC refers to a group of behaviours that intend to control a woman with regards to reproduction. Contraceptive sabotage, pregnancy coercion and controlling the outcome of a pregnancy are all forms of RC and often occur alongside other forms of abuse in a relationship.

Researchers at the The University of Melbourne are undertaking a project exploring GP’s experiences responding to RC. They aim to understand how GPs identify and respond to this type of abuse. They ask that any antenatal care GPs, or GPs who prescribe medical termination of pregnancy medication to participate in a confidential interview with a member of their team. The interview can be conducted either by telephone or face to face, at a time convenient to your busy schedule. Interviews take approximately 20 minutes and all interview data will be de-identified.

Ethics ID: 1853440.

To register your interest in the project or to gain more information about the project please contact: Molly Wellington

Post Exposure Prophylaxis (PEP) for HIV: An overview for Health Professionals

SHINE SA, October 2018

Access to PEP after an eligible exposure to HIV is a medical emergency. Your response to patients presenting for PEP can support them in preventing a life-long infection with HIV.

A brief, online training module has been created to support health professionals to:

• Increase your understanding of PEP as an emergency presentation and vital HIV prevention measure
• Assist you in providing patients with optimal care and support when seeking PEP in the emergency setting

This course is designed for Medical Officers and Registered Nurses in hospital emergency departments and targeted primary care clinical and rural sites that hold PEP starter packs in South Australia.

  • To register for the free PEP training module, please email us here with your name, position and workplace.

SA Health has contributed funds towards this program.

HIV PrEP update & HIV prescriber update in Adelaide

ASHM, October 2018

HIV PrEP Update for GPs and Practice Nurses

This training will provide GPs, Nurses, and Health Professionals working in primary care an update on strategies available for the prevention of HIV transmission, focusing on prevention particularly pre-exposure prophylaxis (PrEP).

– Date Tuesday, 23 October 2018
– Venue Mercure Grosvenor, 125 North Terrace, Adelaide SA 5000
– Time 6:15pm – 9:30 pm (Registration from 6:15pm, webinar broadcasts from 6:45pm)

At the end of this update, participants will be able to;
– Describe HIV epidemiology in Australia and the different HIV prevention
strategies
– Explain the role of HIV treatment and management
–  Provide patient education on the effectiveness and appropriate use of
PrEP/PEP
– Identify the prescribing pathways of PrEP within your local jurisdiction

This evening educational session will be presented by Dr Charlotte Bell, Sexual
Health Physician – Royal Adelaide Hospital.

This course is also available as a webinar, please contact Emma Williams here
for webinar registration

Register for this course at:
http://www.ashm.org.au/training/
Registrations close: Friday, 19 October 2018

Download flyer here: HIV PrEP Update_23Oct2018


HIV s100 Prescriber Dinner Update: 2018 IAS Conference Report Back and
Complex HIV Case Discussion

ASHM would like to invite HIV s100 Prescribers and medical practitioners in South Australia to attend this dinner training.

– Date Wednesday, 24 October 2018
– Venue Mercure Grosvenor, 125 North Terrace, Adelaide SA 5000
– Time 6:15pm – 9:30 pm (Registration starts 6:15pm, Webinar from 6:50pm)
– Cost FREE, Dinner and refreshments will be provided on site

This dinner workshop will bring attendees an overview of the content showcased at the
2018 International AIDS Conference held in Amsterdam, as well as a number of complex HIV cases to discuss. The first session is a conference report back
session. Professor Mark Boyd will provide an update on the latest studies, important
developments and best research methods in the ongoing battle against HIV, AIDS and
related infectious diseases from the IAS Conference 2018.

The second session will be an interactive panel discussion, focussing on the
management of complex HIV cases. Panellists include Professor Mark Boyd, Dr Russell Waddell (Consultant Sexual Health Physician and Clinical Director STD Services, Royal Adelaide Hospital) and Dr Andrew Beckwith (Senior Consultant Psychiatrist, Director of Training, HIV/Hep C Liaison Psychiatrist, CALHN Mental Health). The session will be hosted by Dr Samuel Elliott (Principal General Practitioner, Riverside Family Medical Practice).

This course is also available as a webinar, please contact Emma Williams here
for webinar registration

Register for this course at:
http://www.ashm.org.au/training/
Registrations close: Friday, 19 October 2018

Download flyer here: HIV Prescriber Update_24Oct2018