45. Screening for Sexual Health Infections including Chlamydia, Gonorrhea and Syphilis in Accordance with European AIDS Clinical Society (EACS) Guidelines
Session: Posters in the Park: Posters in the Park
Wednesday, October 3, 2018: 5:30 PM
Room: N Hall D Opening Reception and Posters in the Park Area
Posters
  • ID week STI poster.pdf (510.1 kB)
  • Background: Sexually transmitted infections can cause mucosal disruption and inflammation and are a well-known risk factor for HIV transmission and acquisition. As per EACS guidelines, STI screening at diagnosis and regular follow-up screening is essential. This audit aims to assess the rates of baseline nucleic acid amplification testing (NAAT) for chlamydia and gonorrhea and serum syphilis testing among newly attending HIV-infected persons at the HIV clinic of St James’ Hospital, Dublin.

    Methods: A retrospective analysis of all newly diagnosed/newly attending patients attending St. James’s Hospital was undertaken. Data were collected using the Electronic Patient Record System (EPR), anonymised, and analysed using STATA.

    Results:

    From January-December 2016 there were 266 new attendances. The greatest modes of transmission were MSM; 200/266 (75%), heterosexual; 48/266 (18%) and IDU; 13/266 (5%). 223/266 (84%) had NAAT testing for chlamydia and gonorrhea carried out at their first clinic visit. 36/223 (16%) had positive NAAT results for chlamydia, gonorrhea or both. All 36 (100%) were MSM. 17/36 (47%) tested positive for gonorrhea, 13/36 (36%) tested positive for chlamydia and 6/36 (17%) tested positive for chlamydia and gonorrhea. 249/266 (94%) had syphilis serology tested at diagnosis. 84/266 (32%) were noted to have positive syphilis serology; 31 (12%) had active syphilis and 53 (20%) had a previous history of syphilis. 165 (62%) had negative serology and no screening was performed in 17 (6%). 80/84 (96%) of all positive serology were MSM. Of those with active syphilis, 7/31 (23%) also tested positive for chlamydia, gonorrhea or both.

    Conclusion:

    This data demonstrates that screening for sexual health infections including chlamydia, gonorrhea and syphilis at diagnosis of HIV infection is appropriately performed in this centre but improvements can still be made. Rates of syphilis, chlamydia and gonorrhea are concentrated in the MSM population, reflecting international and Irish national figures.

    Colm Kerr, MB BCh BAO MRCPI BSc Microbiology1, David Moynan, MB BCh BAO MRCPI2, Niamh Allen, MB BCh BAO MRCPI1 and Colm Bergin, MD, FRCPI3, (1)St. James' Hospital, Dublin, Ireland, (2)Guide Department, St James's Hospital, Dublin, Ireland, (3)Infectious Diseases, St. James's Hospital, Dublin, Ireland

    Disclosures:

    C. Kerr, None

    D. Moynan, None

    N. Allen, None

    C. Bergin, None

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