Attending Sexual Clinic Flashcards
What are the roles of the sexual health clinic?
- diagnosis and managment of STIs
- partner notification
- infection prevention
- genital dermatology
- contraception
- community gynaecology
- menopause
- psychosexual counselling
What are the 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 look back period for chlamydia?
Male urethral- 4 weeks
Any other infection- 6 weeks
What is the look back period for gonorrhoea?
Male urethral- 2 weeks
Any other infection- 3 weeks
What is the look back period for non-specific urethritis?
4 weeks
What is the look back period for trachomonas vaginalis?
4 weeks
What is the lookback period for epididymitis?
As CT/GC or if negative, 6 months
What is the look back period for PID?
As CT/GC or if negative, 6 months
What is the look back period for HIV?
4 weeks before negative test, or before most likely time of infection
What is the look back period for syphillis?
Primary; 90 days
Secondary; 2 years
Other infections; 3 months before most recent negative test
What infections do not require partner notification?
- warts
- herpes
- vaginal thrush
- bacterial vaginosis
What infections can be vaccinated against?
- hepatitis B
- MSM
- high prevalence countries
- sexual assault
- contacts
- hepatitis A
- MSM (sexually transmitted enteric infection)
- HPV
- MSM <46 years
What is PrEP
Pre exposure prophylaxis
Taken before exposure to reduce risk of infection
What are the PrEP medications?
Tenofovir disoproxil/emtricitabine
What is a PrEP regime and who is given it?
Daily or event dosing
High risk patients
