HIV results: practice at public sexual health clinics in New South Wales

Sexual Health ◽  
2011 ◽  
Vol 8 (2) ◽  
pp. 264 ◽  
Author(s):  
Loretta M. Healey ◽  
David J. Templeton
Keyword(s):  
Sexual Health ◽  
New South ◽  
New South Wales ◽  
National Guidelines ◽  
Patient Acceptability ◽  
Health Clinics ◽  
South Wales ◽  
Risk Patients ◽  
Sexual Health Clinics ◽  
Positive Results

New South Wales (NSW) Health guidelines recommend all HIV results be given in person, however this practice fails to achieve high levels of result collection. Fourteen of all 38 NSW public sexual health clinics (37%) surveyed offer HIV results by telephone to low-risk patients, although all positive results are given in person. Efficiency of result-giving, accessibility to results, patient acceptability and awareness of more flexible national guidelines were cited as reasons for varying practice from state guidelines. NSW guidelines require revision to allow clinicians to determine the most effective and efficient mode of HIV result delivery to their patients.

scholarly journals Accessibility and acceptability of public sexual health clinics for adult clients in New South Wales, Australia

Sexual Health ◽  
2008 ◽  
Vol 5 (3) ◽  
pp. 305 ◽  
Author(s):  
Vijayasarathi Ramanathan ◽  
Melissa Kang ◽  
Sarangapany Jeganathan ◽  
Eva Jackson ◽  
Katerina Lagios ◽  
...  
Keyword(s):  
Sexual Health ◽  
New South ◽  
New South Wales ◽  
Health Clinics ◽  
South Wales ◽  
Sexual Health Clinics

What proportion of sexually transmissible infections and HIV are diagnosed in New South Wales’ public sexual health services compared with other services?

Sexual Health ◽  
2013 ◽  
Vol 10 (2) ◽  
pp. 119 ◽  
Author(s):  
Chris Bourne ◽  
Debbie Allen ◽  
Katherine Brown ◽  
Stephen C. Davies ◽  
Anna McNulty ◽  
...  
Keyword(s):  
Health Services ◽  
Sexual Health ◽  
New South ◽  
New South Wales ◽  
Large Contribution ◽  
Geographical Variations ◽  
South Wales ◽  
Sexually Transmissible Infections ◽  
Geographical Regions ◽  
High Risk Populations

Background: In New South Wales (NSW), publicly funded sexual health services (PFSHSs) target the populations at greatest risk for important sexually transmissible infections (STIs) and so may make a large contribution to the diagnosis of notifiable STIs. We aimed to determine the proportions of STIs diagnosed in PFSHSs and notified to the NSW Ministry of Health in 2009, and describe geographical variations. Methods: The number of notifiable STIs (infectious syphilis, gonorrhoea, HIV and chlamydia) diagnosed in 2009 was obtained for each Area Health Service (AHS) and each PFSHS. The proportion of diagnoses made by PFSHSs was calculated at the state and AHS level according to five geographical regions: inner and outer metropolitan, regional, rural and remote. Results: The overall proportions of diagnoses made by NSW PFSHSs were syphilis, 25%; gonorrhoea, 25%; HIV, 21%; and chlamydia, 14%. Within each zone, the proportions of these STIs were (respectively): (i) inner metropolitan: 32%, 26%, 21% and 13%; (ii) outer metropolitan: 41%, 24%, 43% and 9%; (iii) regional: 62%, 15%, 23% and 10%; (iv) rural: 8%, 29%, <5% and 20%; and (v) remote: <5%, 43%, <5% and 29%. There was considerable variation in proportions of STIs between and within AHSs (<5–100%). Conclusions: NSW PFSHSs contribute a large proportion of diagnoses for syphilis, gonorrhoea and HIV, but less so for chlamydia. Across AHSs and zones, there was considerable variation in the proportions. These data support the role of PFSHS in identifying and managing important STIs in high-risk populations.

Corrigendum to: What proportion of sexually transmissible infections and HIV are diagnosed in New South Wales’ public sexual health services compared with other services?

Sexual Health ◽  
2013 ◽  
Vol 10 (3) ◽  
pp. 290
Author(s):  
Chris Bourne ◽  
Debbie Allen ◽  
Katherine Brown ◽  
Stephen C. Davies ◽  
Anna McNulty ◽  
...  
Keyword(s):  
Health Services ◽  
Sexual Health ◽  
New South ◽  
New South Wales ◽  
Large Contribution ◽  
Geographical Variations ◽  
South Wales ◽  
Sexually Transmissible Infections ◽  
Geographical Regions ◽  
High Risk Populations

Background: In New South Wales (NSW), publicly funded sexual health services (PFSHSs) target the populations at greatest risk for important sexually transmissible infections (STIs) and so may make a large contribution to the diagnosis of notifiable STIs. We aimed to determine the proportions of STIs diagnosed in PFSHSs and notified to the NSW Ministry of Health in 2009, and describe geographical variations. Methods: The number of notifiable STIs (infectious syphilis, gonorrhoea, HIV and chlamydia) diagnosed in 2009 was obtained for each Area Health Service (AHS) and each PFSHS. The proportion of diagnoses made by PFSHSs was calculated at the state and AHS level according to five geographical regions: inner and outer metropolitan, regional, rural and remote. Results: The overall proportions of diagnoses made by NSW PFSHSs were syphilis, 25%; gonorrhoea, 25%; HIV, 21%; and chlamydia, 14%. Within each zone, the proportions of these STIs were (respectively): (i) inner metropolitan: 32%, 26%, 21% and 13%; (ii) outer metropolitan: 41%, 24%, 43% and 9%; (iii) regional: 62%, 15%, 23% and 10%; (iv) rural: 8%, 29%, Conclusions: NSW PFSHSs contribute a large proportion of diagnoses for syphilis, gonorrhoea and HIV, but less so for chlamydia. Across AHSs and zones, there was considerable variation in the proportions. These data support the role of PFSHS in identifying and managing important STIs in high-risk populations.

Changing pattern of sexually transmissible infections and HIV diagnosed in public sexual health services compared with other locations in New South Wales, 2010–14

Sexual Health ◽  
2018 ◽  
Vol 15 (4) ◽  
pp. 366 ◽  
Author(s):  
Christopher Bourne ◽  
Meeyin Lam ◽  
Christine Selvey ◽  
Rebecca Guy ◽  
Denton Callander
Keyword(s):  
Young People ◽  
Sexual Health ◽  
New South ◽  
New South Wales ◽  
People Living With Hiv ◽  
Bisexual Men ◽  
South Wales ◽  
Sexually Transmissible Infections ◽  
Annual Proportion ◽  
Priority Population

Background In Australia, testing and treatment for HIV and other sexually transmissible infections (STIs) is usually managed in general practice, while publicly funded sexual health clinics (PFSHC) attract people at higher risk for infection. The proportion of HIV and STI diagnoses in New South Wales (NSW) occurring in PFSHC stratified by priority population was investigated. Methods: From 2010 to 2014, NSW notification frequencies for chlamydia, gonorrhoea, infectious syphilis, and HIV were compared with the number of diagnoses in PFSHC. The annual proportion of diagnoses at PFSHC was calculated and Wilcoxon rank-sum tests assessed trends. Diagnoses from PFSHC were also organised by priority population, including gay and bisexual men (GBM), people living with HIV, Aboriginal and Torres Strait Islander people, people who use injecting drugs, sex workers and young people. Results: The annual proportion of HIV and STIs diagnosed at PFSHC increased (all P < 0.001): chlamydia from 12% to 15%, gonorrhoea 23% to 38%, infectious syphilis 21% to 40% and HIV 22% to 30%. Overall, the majority of all infections diagnosed at PFSHC were among GBM, with the proportional distribution of chlamydia increasing from 32% to 46% among GBM (P < 0.001) and decreasing among young people (50% to 40%; P < 0.001). There were no other significant changes by population or infection at PFSHC. Conclusions: Increasing proportions of STI and HIV are being diagnosed at NSW PFSHC, mostly among GBM. PFSHC reorientation to priority populations continues to make a large and increasing contribution to STI and HIV control efforts in NSW.

Young offenders in New South Wales, Australia and the need for remedial sexual health education

Sex Education ◽  
2008 ◽  
Vol 8 (4) ◽  
pp. 439-449 ◽  
Author(s):  
Grant Mistler ◽  
Kristie Kirkwood ◽  
Emily Potter ◽  
Andrew Cashin
Keyword(s):  
Health Education ◽  
Sexual Health ◽  
New South ◽  
New South Wales ◽  
Young Offenders ◽  
Sexual Health Education ◽  
South Wales

Concordance with national guidelines for colorectal cancer care in New South Wales: a population‐based patterns of care study

2007 ◽  
Vol 186 (6) ◽  
pp. 292-295 ◽  
Author(s):  
Jane M Young ◽  
David C Leong ◽  
Katie Armstrong ◽  
Dianne O’Connell ◽  
Bruce K Armstrong ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Care ◽  
New South ◽  
New South Wales ◽  
Population Based ◽  
Patterns Of Care ◽  
National Guidelines ◽  
South Wales ◽  
Patterns Of Care Study ◽  
Care Study

scholarly journals Is gentamicin a viable therapeutic option for treating resistant Neisseria gonorrhoeae in New South Wales?

2021 ◽  
Vol 45 ◽  
Author(s):  
Benjamin H Armstrong ◽  
Athena Limnios ◽  
David A Lewis ◽  
Tiffany Hogan ◽  
Ratan Kundu ◽  
...  
Keyword(s):  
Neisseria Gonorrhoeae ◽  
Large Scale ◽  
New South ◽  
Therapeutic Option ◽  
New South Wales ◽  
Newborn Health ◽  
Population Level ◽  
Clinical Isolates ◽  
National Guidelines ◽  
South Wales

The key issues with Neisseria gonorrhoeae infections, in Australia and elsewhere, are coincident increases in disease rates and in antimicrobial resistance (AMR), although these factors have not been shown to be correlated. Despite advances in diagnosis, control of this disease remains elusive, and incidence in Australia continues to increase. Of the Australian jurisdictions, New South Wales (NSW) has the highest N. gonorrhoeae notifications, and over the five-year period 2015–2019, notifications in NSW have increased above the national average (by 116% versus 85%, respectively). Gonococcal disease control is reliant on effective antibiotic regimens. However, escalating AMR in N. gonorrhoeae is a global health priority, as the collateral injury of untreated infections has substantive impacts on sexual and newborn health. Currently, our first-line therapy for gonorrhoea is also our last line, with no ideal alternative identified. Despite some limitations, gentamicin is licensed and readily available in Australia, and is proposed for treatment of resistant N. gonorrhoeae in national guidelines; however, supportive published microbiological data are lacking. Analysis of gonococcal resistance patterns within Australia for the period 1991–2019, including 35,000 clinical isolates from NSW, illustrates the establishment and spread of population-level resistance to all contemporaneous therapies. An analysis of gentamicin susceptibility on 2,768 N. gonorrhoeae clinical isolates from NSW, for the period 2015–2020, demonstrates that the median minimum inhibitory concentration (MIC) for gentamicin in NSW has remained low, at 4.0 mg/L, and resistance was not detected in any isolate. There has been no demonstration of MIC drift over time (p = 0.91, Kruskal-Wallis test), nor differences in MIC distributions according to patients’ sex or site of specimen collection. This is the first large-scale evaluation of gentamicin susceptibility in N. gonorrhoeae in Australia. No gentamicin resistance was detected in clinical isolates, 2015–2020, hence this is likely to be an available treatment option for resistant gonococcal infections in NSW.

scholarly journals Opting off the New South Wales Pap Test Register in a sexual health setting

2001 ◽  
Vol 25 (6) ◽  
pp. 501-504 ◽  
Author(s):  
Robin L. Tideman ◽  
Caron Marks ◽  
Vickie M. Knight ◽  
Geoffrey Berry ◽  
Katherine Fethers ◽  
...  
Keyword(s):  
Sexual Health ◽  
New South ◽  
New South Wales ◽  
Pap Test ◽  
South Wales
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