BASHH STI testing 2023 Flashcards
Which 5 patient groups should be tested for Hep A? (if not known to be immune or vaccinated)
1.MSM
2.Trans people who have sex with men
3.PWID
4.Known Hep B or C positive
5.PLWH
Which 9 patient groups should be tested for Hepatitis B
1.MSM
2.Trans people
3.Change sex partners frequently
4.Sex workers
5.PWID
6.PLWH
7.After sexual assualt
8.unvaccinated and contact of Hep B
9.from endemic area and not tested since leaving or vaccinated
Which 4 patient groups should be tested for Hepatitis C?
1.MSM at high risk of BBV
2.Trans people
3.PWID
4.PLWH
What BBV serology do people living with HIV/PWID and MSM need as routine screening?
Hep A
Hep B
Hep C
HIV if not PLWH
(if not vaccinated or immune in relation to a/b)
What BBV do those who have reported sexual assault need?
Hep B and HIV
Trans people should be offered what 3 BBV tests?
Hep B, Hep C and HIV.
Hep A only if trans and having sex with Men.
What is a routine STI screen for an asymptomatic MSM?
Hep A, B, (C only if high risk eg on PrEP…multiple partners..chemsex)
HIV
Syphillis
GC/CT NAAT Triple site
Is M.Gen testing in asymptomatic ever indicated?
Only if contact of confirmed infection
What is a routine STI screen in women? No RF BBV
HIV
Syphillis
GC/NAAT VVS only (but be guided by sexual history)
In men with EO/Urethritis what tests do you consider in addition to routine BBV/STS/first pass urine for GC/C4 NAAT?
Urine dip (+- MSU)
Urethral smear for microscopy for GC-if NGU do…MGEN naat urine
GC culture
If EO consider MGEN
If persistent urethritis consider TV/HSV
Women with discharge. In addition to BBV/STS/GC/C4 what tests do you do?
Speculum-
Lateral wall swab for microscopy (BV/Thrush)
Post fornix swab for wet slide (TV)
TV on NAAT vvs
Consider mgen on vvs if pcb/cervicitis
Endocervical culture for GC (no need to routinely micro unless ruling out PID)
Women with pelvic pain-what tests in addition to BBV/STS/gc/C4 naat?
Pregnancy test
Urine dip (+- msu)
M.gen if ? pid or pcb/cervicits
Endocervical microscopy for rule out PID <5wbc
Lat wall microscopy swab for bv/thrush
Post fornix wet mount for TV (and TV vvs naat)
Anogenital ulcers-in addition to bloods for either TPPA or RPR (or VDRL) what tests to consider?
Swab lesion for HSV PCR
Swab lesion for dark ground microscopy/PCR for STS
Swab lesion with NAAT for LGV if MSM
If likely mpox NAAT from lesion
If contact high risk area:
Ducrei if painful ulcer
Donovoniasis biopsy/giemsa smear if ulcer/granuloma
Proctitis what tests in addition to gc/c4? (Only test in msm)
Microscopy gram stain
HSV swab
Treponema pallidum DNA swab/dark ground microscopy
Stool sample (Protozoa and enteric)
Consider mgen and mpox
