STIs Flashcards
Partner notification periods for chlamydia
Male urethral - 4 weeks. Any other e.g. female, male rectal etc. - 6 months
Partner notification for gonorrhoea
Male urethral - 2 weeks. Any other - 3 months
Partner notification for non-specific urethritis
4 weeks
Partner notification for trichomonas vaginalis
4 weeks
Partner notification for epididymitis
6 months unless chlamydia/gonorrhoea
Partner notification for PID
6 months unless chlamydia/gonorrhoea
Partner notification for HIV
4 weeks before negative test or before most likely time of infection
Partner notification for syphillis
Primary - 90 days. Secondary - 2 years. Other: 3 months before most recent negative
Partner notification is not needed for what 4 presentations and why?
Warts, herpes, vaginal thrush and bacterial vaginosis.
Warts and herpes because asymptomatic positive would not help treatment.
Vaginal thrush and bacterial vaginosis because not STIs.
Who is given vaccination for Hepatitis B in sexual health clinic? (4)
MSM, high prevalence countries, sexual assault or contacts of positive
Who is given vaccination for Hepatitis A in sexual health clinics?
MSM
Who is given HPV vaccine in sexual health clinics?
MSM aged <46
What are 3 scenarios in which patient is eligible for PrEP in Scotland?
MSM condomless anal sex with 2+ partners in last year and likely in next 3 months, rectal bacterial STI in last year and partner of someone with HIV who does not have suppressed viral load
What is PrEP analogous to using?
Contraception
What is PEPSE analogous to?
Emergency contraception
What is the Hepatitis B Post-exposure prophylaxis following sexual exposure? (PEPSE)
HBV vaccine up to 7 days after exposure or immunoglobulin if vaccine non-responders (very rare)
What is the PEPSE for HIV?
3 antiretrovirals that you start within 72hrs of exposure. Take for 28 days and approx. 80% effective
Domestic abuse, rape and sexual assault, childhood sexual abuse, commercial sexual exploitation, stalking/harassment, FGM, forced marriage & online violence (e.g. revenge porn) are all examples of gender-based violence. True/false?
True
What is the lifetime prevalence of attempted non-volitional sex?
19.4%
What is the lifetime prevalence of completed non-volitional sex?
9.8%
