Syphilis screening and treatment: integration with HIV services

Taylor, Melanie; Kamb, Mary L.; Wu, Davi Chen; Hawkes, Sarah

doi:10.2471/blt.17.200923

Cited by 10 publications

(8 citation statements)

References 8 publications

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“…This co-infection rate is about two to four times higher than the rate recently reported among pregnant women in Gondar [ 5 , 6 ]. This calls for strengthening the integration of syphilis screening in the established antenatal HIV prevention programs [ 31 ] and implementation of rapid dual HIV/syphilis screening test in ANC clinics in Ethiopia to improve syphilis and HIV screening coverage, early detection, and maternal treatment to prevent infant infection [ 9 , 30 ].…”

Section: Discussionmentioning

confidence: 99%

High seroprevalence of syphilis infection among pregnant women in Yiregalem hospital southern Ethiopia

2018

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BackgroundDespite availability of effective treatment and the implementation of focused antenatal care (ANC), still the prevalence of syphilis persists in Ethiopia. Yet, data is not found in southern Ethiopia. Therefore, this study was conducted to determine the seroprevalence and associated factors of syphilis among pregnant women in Yiregalem Hospital, Southern Ethiopia.MethodsA cross-sectional study was conducted among pregnant women from October 2015 to August 2016. Data on socio-demography and obstetric conditions of pregnant women were collected using a structured questionnaire. Serum samples were screened for syphilis using rapid plasma regain (RPR) test and those found seropositive were further confirmed by Treponema pallidum haemagglutination assay (TPHA) test following the manufacturer’s instruction. HIV results were reviewed from records. The data were analyzed using SPSS version 20 software.ResultsOf 494 pregnant women, 204(41.3%) were first ANC visit attenders. Of these, 123(60.3%) were after the 12th gestational week. Sero-prevalence of syphilis and HIV was found to be 5.1% (25/494; 95 CI, 3.2-7.1%) and 10.3% (51/494; 95 CI, 7.7-13.2%), respectively. The overall prevalence of syphilis and HIV co-infection was 2.2% (11/494). Women with HIV infection were significantly more likely to be syphilis-seropositive (AOR = 10.3, 95%CI, 4.213-25.185) than HIV negatives.ConclusionsHigh seroprevalence of syphilis particularly among HIV positive women and late first ANC visit attenders in the study area calls for further ramping up of current intervention measures. Like integration of syphilis testing and treatment to the already established HIV prevention program and creating awareness about early ANC visit and follow-up.

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Section: Discussionmentioning

confidence: 99%

High seroprevalence of syphilis infection among pregnant women in Yiregalem hospital southern Ethiopia

2018

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“…2 Integration of HIV services into the clinical care of routine sexually transmitted diseases (STD) has been proven useful for expanding HIV testing and treatment among populations at risk of both infections in many low-income and middleincome countries. [3][4][5] In 2014, considering the heavy burden of HIV-syphilis coinfection and syphilis epidemic, the Chinese centres for disease control and prevention issued providerinitiated HIV/syphilis testing and counselling (PITC) guideline to increase provider-initiated HIV/syphilis testing in China. 6 However, promoting active HIV and syphilis testing provided by physicians to all patients presenting for STD medical care is no small task due to the high workload of clinicians in China.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Uptake of provider-initiated HIV and syphilis testing among heterosexual STD clinic patients in Guangdong, China: results from a cross-sectional study

et al. 2020

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ObjectivesUnderscreening of HIV and syphilis in clinical settings is pervasive in resource-constrained settings. Heavy patient loads and competing health priorities in these settings inhibit provider’s ability to meet screening coverage targets. The objective of this study was to examine determinants of provider-initiated HIV and syphilis testing uptake at sexually transmitted disease (STD) clinics in China.DesignA cross-sectional study was performed between July 2016 and December 2016.SettingSeven STD clinics in Guangdong Province, China.ParticipantsHeterosexual STD clinic patients met the inclusion criteria, regardless of their interest in receiving HIV or syphilis testing.Outcome measuresThe syphilis and HIV testing uptake determined by patient receipt of results.ResultsA total of 1943 individuals were recruited in this study. Among those participants, 60.6% (1177/1943) and 74.3% (1443/1943) conducted HIV testing and syphilis testing during the study, respectively, of whom, 2.2% (26/1177) and 21.5% (310/1443) were found to be HIV-positive and syphilis-positive, respectively. The most common reason for rejecting HIV and syphilis testing was a low self-perceived risk of HIV and syphilis infection. After adjusting for covariates, condom use in the last sexual act, consistent condom use in the last 6 months, having paid sex in the last 6 months and having received any kind of HIV/STD-related knowledge during the last 12 years were positively associated with both HIV and syphilis testing uptake.ConclusionsThe low-level of HIV and syphilis testing uptake, alongside with the high-level of engagement in risky sexual behaviours among heterosexual STD clinic patients, warranted a more targeted and intensive behavioural interventions to promote HIV and syphilis testing in this population.

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“…In China, heterosexual transmission has been reported to account for 69.9% of HIV infections [2]. Integration of HIV services into routine STD clinical care has been proven useful for expanding HIV testing and treatment among populations at risk for both infections in many low-and middle-income countries [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Uptake of provider-initiated HIV and syphilis testing among Heterosexual STD Clinic attendees in Southern China: Results from a Cross-sectional Study

Zhao

Zheng

Tang

et al. 2020

Preprint

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Background Provider-initiated HIV and syphilis testing and counseling (PITC) services are important components of HIV and syphilis prevention programs. However, PITC guidelines have neither been formalized nor widely implemented in China. Limited studies conducted to identify the barriers to offering PITC services from sexually transmitted diseases (STD) clinic attendees' perspective. We conducted a cross-sectional survey on heterosexual STD clinic attendees to evaluate this in China.Methods A cross-sectional survey was conducted in 2016 in Southern China. Participants completed a validated questionnaire including social-demographic information, reasons for not conducting HIV and syphilis testing, and HIV and STD infection history. In this study, we limited the participants as individuals who self-identified as heterosexual.Results A total of 1943 participants were recruited in this study. Among those participants, 60.6% (1177/1943) and 74.3% (1443/1943) conducted HIV testing and syphilis testing during the study, respectively. Of whom, 2.2% (26/1177) and 21.5% (310/1443) are found to be HIV-positive and syphilis-positive, respectively. The most common barrier to HIV and syphilis testing is a lack of awareness of HIV and syphilis infection. Condom use in the last sexual act, having paid sex during the last 6 months, and receiving HIV and STD related knowledge were positively associated with uptake of both HIV and syphilis testing. Conclusions This study highlights the need and importance of promoting provider-initiated HIV and syphilis testing and counseling services in China. Future studies on exploring innovative methods to improve the knowledge and awareness of HIV and syphilis infection among STD clinic attendees is warranted. STD 2018, 24(2):111. 3. Taylor MM, Kamb M, Wu D, Hawkes S: Syphilis screening and treatment: integration with HIV services. B WORLD HEALTH ORGAN 2017, 95(9):610. 4. Ahmed S, Schwarz M, Flick RJ, Rees CA, Harawa M, Simon K, Robison JA, Kazembe PN, Kim MH: Lost opportunities to identify and treat HIV-positive patients: results from a baseline assessment of provider-initiated HIV testing and counselling (PITC) in Malawi. TROP MED INT HEALTH 2016, 21(4):479-485. 5. Bassett IV, Walensky RP: Integrating HIV screening into routine health care in resource-limited settings. CLIN INFECT DIS 2010, 50 Suppl 3:S77-S84. 6. Hongcheng S, Shujie H, M W, X T, Fengying L: Effect analysis of promoting HIV and syphilis testing in Jiangmen, Guangdong. Chinese Journal of AIDS & STD 2016, 22(1):32-34. 7. Li Q, Xie P: Outpatient workload in China. LANCET 2013, 381(9882):1983-1984. 8. Hongcheng S, Peizhen Z, G S, Lei C, Fengying L: Promoting HIV and syhilis testing among sexually transmitted disease clinic attendees in the pearl river delta region, Guangdong. Modern Preventive Medicine 2018, 13(45):158-161. 9. Levi J, Raymond A, Pozniak A, Vernazza P, Kohler P, Hill A: Can the UNAIDS 90-90-90 target be achieved? A systematic analysis of national HIV treatment cascades. BMJ global health 2016, 1(2):e10.10. C N: C...

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Syphilis screening and treatment: integration with HIV services

Cited by 10 publications

References 8 publications

High seroprevalence of syphilis infection among pregnant women in Yiregalem hospital southern Ethiopia

High seroprevalence of syphilis infection among pregnant women in Yiregalem hospital southern Ethiopia

Uptake of provider-initiated HIV and syphilis testing among heterosexual STD clinic patients in Guangdong, China: results from a cross-sectional study

Uptake of provider-initiated HIV and syphilis testing among Heterosexual STD Clinic attendees in Southern China: Results from a Cross-sectional Study

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