What Happens in the Sexual Health Clinic Flashcards
how far back is partner notification for chlamydia
4 weeks look back period if asymptomatic male urethral
if symptomatic or anything else its 6 months
how far back is partner notification for gonorrhoea
Male urethral - 2 weeks
any other - 3 months
how far back is partner notification for HIV
4 weeks before negative test or before most likely time of infection
how far back is partner notification for sypholis
primary - 90 days
secondary - 2 years
other infections - 3 months before most recent negative test
how far back is partner notification for trichomonas vaginalis
4 weeks
what STIs is partner notification not needed for
warts
herpes
no benefit in asymptomatic case finding
what are the methods of partner notification
Patient referral
Provider referral
Provisional referral
what STIs can be prevented with vaccines
Hep B
- MSM
- high prevalence countries
- sexual assault
- contacts
Hep A
- MSM
- faecal oral transmission
HPV
- MSM <46
- teen girls
eligibility for PrEP in Scotland
MSM condoles anal sex with 2++ more partners in the last year and likely in the next 3 months
rectal bacterial STI in the last year
partner of someone with HIV VL >50
what is PEPSE
post exposure prophylaxis
for HIV - 3 antiretrovirals
start within 72 hours
28 days total
probably 80% effective
for Hep B, HBV vaccine (Up to 7 days), immunoglobulin (vaccine non-responders)
what is rape
Penetration of the vagina, anus or most by the penis without consent
what makes consent invalid
incapacitated by alcohol or drugs
incarcerated
violence or threat of violence
complications of rape
Injuries
Unwanted pregnancy
STI
Psychological sequelae
how to deal with a recent rape
Consider forensic examination Immediate safety Injuries HBV vaccination Consider PEPSE STI/pregnancy care
what is medium and long term management for someone who has been raped
Screening for STIs Assessment of coping abilities PTSD HBV vaccines if indicated practical and psychosocial support
