Accessing Care in the Sexual Health Clinic Flashcards
What are benefits of partner notification?
Effective form of case finding
Cost effective
Early diagnosis reduces morbidity/mortality
Reduces incidence of STI in community
What is the partner notification look back periods for Chlamydia?
Male urethra - 4 weeks
Any other infection is 6 months
What is the partner notification look back periods for Gonorrhoea?
Male urethra - 2 weeks
Any other infection - 3 months
What is the partner notification look back periods for non-specific urethritis?
4 weeks
What is the partner notification look back periods for Trichomonas vaginalis?
4 weeks
What is the partner notification look back periods for Epididymitis?
as XT/GC or if negative, 6 months
What is the partner notification look back periods for PID?
as CT/GC or of negative, 6 months
What is the partner notification look back periods for HIV?
3 months before negative test or before most likely time of infection
What is the partner notification look back periods for syphilis?
Primary - 90 days
Secondary - 2 years
Other infections - 3 months before most recent -ve test
What infections is partner notification not needed for?
Warts
Herpes
Vaginal thrush
Bacterial vaginosis
What are the 3 methods of partner notification?
Patient referral
Provider referral
Provisional referral
What is the definition of rape?
Penetration of the vagina, anus or mouth without consent (Sexual Offences (Scotland) Act 2009)
When is consent invalidated?
Incapacitated by alcohol or drugs
Incarcerated
Violence or threat of violence
What issues can arise from rape?
Injuries
Unwanted pregnancy
STI
Psychological damage e.g. PTSD, anxiety/depression, psychosexual morbidity
What should be done regarding a recent rape?
Consider forensic examination Immediate safety Injuries HBV vaccination Consider PEPSE STI/pregnancy care
What is the long term management of rape?
Screening for STI's Assessment of coping abilities PTSD HBV vaccines if indicated Practical and psychosocial support
Give some examples of Gender Based Violence
Domestic abuse Rape and sexual abuse Childhood sexual abuse Commercial sexual exploitation Stalking/harassment Harmful traditional practices
What factors increase gender based violence incidences?
Disability
Pregnancy
Addictions
HIV
How can you help someone directly in a clinic setting?
Ask directly Listen to patient Assess safety Offer assistance if wanted Consider child protection
