Canadian guidelines on sexually transmitted infections, 2006

MacDonald, Noni E.; Wong, Tom

doi:10.1503/cmaj.061616

Cited by 29 publications

(8 citation statements)

References 9 publications

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“…27 It is believed that co-infection with HIV may modify the natural history of syphilis and raise the risk of developing neurosyphilis, 29,30 and thus most countries recommend performing lumbar puncture (LP) in all HIV-infected patients. 7,31,32 However, in this study, 30% (6 out of 20) of malignant syphilis patients without HIV infection were diagnosed with asymptomatic neurosyphilis according to the positive result of the CSF-VDRL test, which was not addressed in the previous studies also evaluating CSF based on our literature review. Our published data 33 indicates that 13.1% (53 out of 404) of secondary syphilis patients without HIV infection and malignant syphilis were diagnosed with neurosyphilis using the same laboratory criteria.…”

Section: Discussionmentioning

confidence: 61%

Neurosyphilis is more common in malignant syphilis: A case series and review of the literature

et al. 2019

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Malignant syphilis is a rare skin manifestation of secondary syphilis, which has been reported primarily in the HIV-infected population. This study aimed to investigate the relationship between HIV infection, malignant syphilis, and neurosyphilis through a systematic chart review of 26 malignant syphilis patients seen at our hospital. We also performed a literature review of 83 reported malignant syphilis cases since 1987, when the first case of malignant syphilis co-infected with HIV was reported. We found there was no direct association between HIV infection and malignant syphilis or neurosyphilis. In contrast, we found that much higher proportion (30%) of malignant syphilis patients develop concurrent neurosyphilis compared to those with the common type of secondary syphilis (13.1%). Physicians should be aware of the fact that neurosyphilis is more common among patients with malignant syphilis and the importance of investigating for neurosyphilis in such patients.

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Section: Discussionmentioning

confidence: 61%

Neurosyphilis is more common in malignant syphilis: A case series and review of the literature

et al. 2019

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“…Similarly, Jimmy reported: "Even in the medical profession, there still is a stigma.. .the doctors in Ottawa always.. .report... if.. .1 still practice safe sex, you know, I can't suck dick with a condom..." Jimmy refers to the stigma here implied in the surveillance of his sexual life that has become the norm in national healthcare practices (as evidenced by PHAC, 2006;McDonald & Wong, 2006). Jimmy's experience is also supports previous work suggesting that older gay men experience condom fatigue (Murray & Adam, 2001, p. 75).…”

Section: Sexual Practices and Drug Usementioning

confidence: 99%

The health and social service experiences of eleven older adults living with HIV/AIDS in the National Capital Region

Furlotte¹

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“…International guidelines recommend universal chlamydia screening during antenatal care or screening of pregnant women less than 25 years of age [11-15]. Studies suggest using either of these approaches for routine chlamydia screening is cost effective [6,16].…”

Section: Introductionmentioning

confidence: 99%

Knowledge and acceptability of Chlamydia trachomatis screening among pregnant women and their partners; a cross-sectional study

et al. 2014

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BackgroundChlamydia trachomatis infections in pregnancy can cause maternal disease, adverse pregnancy outcomes and neonatal disease, which is why chlamydia screening during pregnancy has been advocated. The effectiveness of a screening program depends on the knowledge of health care professionals, women and partners and the acceptability for screening of the target population. We assessed the knowledge of chlamydia infection among pregnant women and their partners in the Netherlands, their attitudes towards testing, and their experiences of being offered a chlamydia test. In addition, we evaluated the association between participants’ background characteristics and knowledge of chlamydia.MethodsPregnant women aged ≤ 30 years and their partners (regardless of their age) attending one of the participating primary midwifery care practices in the Netherlands were invited to participate. All participants completed a questionnaire, pregnant women provided a vaginal swab and partners provided a urine sample to test for C. trachomatis.ResultsIn total, 383 pregnant women and 282 partners participated in the study of whom 1.9% women and 2.6% partners tested chlamydia positive. Participants had high levels of awareness (92.8%) of chlamydial infection. They were knowledgeable about the risk of chlamydia infection; median knowledge score was 9.0 out of 12.0. Lower knowledge scores were found among partners (p-value <0.001), younger aged (p-value 0.02), non-western origin (p-value <0.001), low educational level (p-value <0.001), and no history of sexually transmitted infections (p-value <0.001). In total, 78% of respondents indicated that when pregnant women are tested for chlamydia, their partners should also be tested; 54% believed that all women should routinely be tested. Pregnant women more often indicated than partners that testing partners for chlamydial infection was not necessary (p-value <0.001). The majority of pregnant women (56.2%) and partners (59.2%) felt satisfied by being offered the test during antenatal care.ConclusionPregnant women and their partners were knowledgeable about chlamydial infection, found testing, both pregnant women and their partners, for chlamydia acceptable and not stigmatizing.

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Canadian guidelines on sexually transmitted infections, 2006

Cited by 29 publications

References 9 publications

Neurosyphilis is more common in malignant syphilis: A case series and review of the literature

Neurosyphilis is more common in malignant syphilis: A case series and review of the literature

The health and social service experiences of eleven older adults living with HIV/AIDS in the National Capital Region

Knowledge and acceptability of Chlamydia trachomatis screening among pregnant women and their partners; a cross-sectional study

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