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.

Increased screening for syphilis and HIV in SA – new advice for clinicians (video)

SHINE SA,  

SHINE SA have released a short video resource for health professionals providing advice on the current syphilis outbreak in South Australia.

Syphilis is a sexually transmitted infection (STI). It presents a serious public health issue as it causes harm to the developing foetus and increases the transmission and acquisition of HIV.

The 5 minute video SA Syphilis Outbreak – Advice for Clinicians urges health professionals to be aware that syphilis is increasing rapidly in SA and that there is a need to respond with increased screening.

Clinical Education Forums at SHINE SA

SHINE SA, April 2018

SHINE SA hosts regular education sessions focused on clinically relevant issues. These sessions are available for doctors, nurses, midwives and other interested professionals. QI&CPD points can be applied for each session.

Forums include light refreshments, an educational presentation (1.5 hours CPD) and networking opportunities.

SHINE SA is trialling various software and all forums will be recorded and, quality permitting, uploaded for later access.  Presenters will be recorded for video and audio, but audience will be audio recorded only.

UPCOMING CLINICAL FORUMS:

Tuesday 12 June
Topic: Cervical Screening Update
Presenter: Dr Amy Moten
Attendance at this forum will ensure your knowledge of the National Cervical Screening Renewed Guidelines is accurate and in line with best practice principles.  SA Cervix Screening Program will have updated resources available on the day for you to add to your toolbox.

Tuesday 24 July
Topic: Syphilis
Presenter: Dr Danae Kent
This forum will cover recent trends in syphilis infection, syphilis serology and current recommendations for treatment.  Come along and have your questions on this complex infection answered.

Tuesday 18 September
Topic: Update on Sexually Transmitted infections
Presenter: Dr Danae Kent
This forum will cover current trends in sexually transmitted infections and include recent updates to the Australian STI Management Guidelines for Use in Primary Care.

Tuesday 27 November
Topic: Contraception Update
Presenter: Dr Amy Moten
Network with peers before the silly season is upon us while hearing the latest trends and recommendations in contraception.

FORUM DETAILS:

Where: SHINE SA, 64c Woodville Road, Woodville

Time: 6pm registration with presentations 6.30 – 8.30pm

Fee: No cost to attend

DOWNLOAD FLYER:

Clinical Education Forums flyer

Access to recorded forums:  If you are interested in accessing recorded forums, please email shinesacourses@shinesa.org.au with the following information:
1. Forum Topic
2. Your full name
3. Your occupation (doctor, nurse, midwife, other – please state)
4. Your preferred email address

Increased screening for syphilis boosts detection of early latent infections among Australian gay men

nam/aidsmap,  Published: 03 May 2017

Increased syphilis testing among gay men increased detection of early latent infections and was accompanied by a fall in the proportion of cases involving secondary syphilis, investigators report in the online edition of Clinical Infectious Diseases.

  • Read more here 
  • Access article abstract here (for full text, see your librarian)