Accessing Care in the Sexual Health Clinic Flashcards
chlamydia partner notification (PN) look back period?
male urethral = 4 weeks
any other = 6 months
gonorrhoea PN period?
male urethral = 2 weeks
any other = 3 months
non specific urethritis PN period?
4 weeks
trichomonas vaginalis PN period?
4 weeks
epididymitis PN period?
same as chlamydia or gonorrhoea
if negative 6 months
PID PN period?
same as epididymitis
HIV PN period?
4 weeks before negative test or before most likely time of infection
syphilis PN period?
primary = 90 days
secondary = 2 years
other infections = 3 months before most recent negative test
what infections do not require partner notification?
warts herpes - no benefit in asymptomatic case finding vaginal thrush bacterial vaginosis - not STIs
high risk groups which would benefit from Hep B vaccine?
MSM
high prevalence countries
sexual assault
contacts
who may benefit from Hep A vaccine?
MSM
who may benefit from HPV vaccine?
MSM <46
girls 11-13
boys in school also
what is PrEP?
pre-exposure prophylaxis contains - tenofovir - disoproxil/emtricitabine taken daily and reduces HIV incidence by 86% can be prescribed to high risk patients
PrEP eligability?
MSM condomless anal sex with 2+ partners in last year and likely in next 3 months
rectal bacterial STI in last year
partner of someone with HIV with viral load >50
what is PEPSE?
medicine taken after exposure
can be for Hep B
- HBV vaccine up to 7 days after
- immunoglobulin (vaccine non-responders)
HIV
- 3 antiretrovirals
- start within 72 hours
- 28 days total treatment
- around 80% effective
rape definition?
penetration of vagina, anus or mouth by penis (or anything else) without consent
consent is invalidated in which circumstances?
incapacitated by alcohol or drugs
- incarcerated (wont let them leave until after sex)
- violence or threat of violence
what is done immediately after rape?
consider forensic examination (must be done before doctors examination)
immediate safety
injuries
HBV vaccine
HIV vaccine
consider PEPSE if perpetrator is in high risk group
STI/pregnancy care
medium/long term management after a rape?
screen for STIs assessment of coping abilities PTSD HBV vaccines if indicated practical and psychosocial support
