Audit of the management of the syphilis outbreak in Herefordshire 2011-2013

被引:1
|
作者
Cox, Joanna H. [1 ]
Elliott, Enid [2 ]
Sivaprakasam, Venkat [3 ]
Chima-Okereke, Catherine [2 ]
机构
[1] Univ Birmingham, Coll Med & Dent Sci, Birmingham B15 2TT, W Midlands, England
[2] Wye Valley NHS Trust, Sexual Hlth Serv, Hereford, England
[3] Wye Valley NHS Trust, Dept Microbiol, Hereford, England
关键词
Syphilis; Treponema pallidum; treatment; sexually transmitted infection; partner notification; outreach; clinical audit; FOLLOW-UP;
D O I
10.1177/0956462414538771
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The objective of this audit was to evaluate a localised rural outbreak of syphilis against British Association of Sexual Health and HIV guidelines. Forty-nine cases were identified; 98% were men, and 88% were men who have sex with men (MSM). There was a low incidence of HIV co-infection (18%). All standards regarding monitoring and treatment were met, whereas the standard concerning contact tracing was narrowly missed, highlighting a number of issues and areas for improvement. This audit has highlighted that a proactive approach is necessary to identify cases of syphilis in rural communities. This is due to difficulties in outreach testing and contact tracing in the absence of designated meeting places for MSM.
引用
收藏
页码:357 / 359
页数:3
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