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Victorian HIV Service STI Project How simple is to ordering a blood test?? Brian Price Business and Community Services Manager & Prof Jenny Hoy Head HIV Service
Outpatient Clinic ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Barriers and Challenges general STI testing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Barriers and Challenges general STI testing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],IMPACT ON SYPHILLIS TESTING If we want screening then we need space, resources and time
Data 29% 420 Unknown 28% 417 Not targeted for screening (seeing Psychiatry, D&A, Oncology, Female, heterosexual male) 0.5% 8 Patient declines 42% 634 Risk assessed/screened (267) Recently screened (337) GP Screens (30) 100% 1479  (805people) Number of attendances at HIV Outpatient Clinics (Jan – July) Percentage Number
Syphilis Screening 39 (9.9%) 393 (48.8%) 805 Jan – June 2009 58 (10.1%) 575 (61.0%) 943 2008-2009 54 (9.2%) 590 (63.2%) 933 2007-2008 41 (9.3%) 441 (50.5%) 874 2006-2007 Patients with a new diagnosis Number of Patients tested Alfred ongoing care Pts Financial Year
Gonorrhoea Screening 5 5 189 (29%) 235  805 Jan – June 2009 9 10 283 (30%) 433  943 2008-2009 2 2 239 442  933 2007-2008 7 7 205 471  874 2006-2007 No. Patients with a new diagnosis Diagnosis Number of Patients tested Gonorrhoea Tests Alfred ongoing care Pts Financial Year
Chlamydia Screening 18 (8.7%) 23 (5.8%) 208 (26%) 399 805 Jan – June 2009 25 (8.1%) 31 (4.4%) 310 (33%) 697 943 2008-2009 17 (6.9%) 20 (3.9%) 246 511 933 2007-2008 10 (4.9%) 12 (2.2%) 204 531 874 2006-2007 Patients with a new diagnosis New Diagnosis Number of Patients tested Chlamydia Tests Alfred ongoing care Pts Financial Year
Summary ,[object Object],[object Object],[object Object],  Stable Screens Positive Results STI  Double results of Gono   8-9% (9.8% of rectal swabs) Chlamydia    Low numbers Gonorrhoea    Alfred dx approx 30% cases seen amongst PLWHA in Vic Syphilis Screens

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Victorian HIV Service STI Project

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  • 3.
  • 4.
  • 5. Data 29% 420 Unknown 28% 417 Not targeted for screening (seeing Psychiatry, D&A, Oncology, Female, heterosexual male) 0.5% 8 Patient declines 42% 634 Risk assessed/screened (267) Recently screened (337) GP Screens (30) 100% 1479 (805people) Number of attendances at HIV Outpatient Clinics (Jan – July) Percentage Number
  • 6. Syphilis Screening 39 (9.9%) 393 (48.8%) 805 Jan – June 2009 58 (10.1%) 575 (61.0%) 943 2008-2009 54 (9.2%) 590 (63.2%) 933 2007-2008 41 (9.3%) 441 (50.5%) 874 2006-2007 Patients with a new diagnosis Number of Patients tested Alfred ongoing care Pts Financial Year
  • 7. Gonorrhoea Screening 5 5 189 (29%) 235 805 Jan – June 2009 9 10 283 (30%) 433 943 2008-2009 2 2 239 442 933 2007-2008 7 7 205 471 874 2006-2007 No. Patients with a new diagnosis Diagnosis Number of Patients tested Gonorrhoea Tests Alfred ongoing care Pts Financial Year
  • 8. Chlamydia Screening 18 (8.7%) 23 (5.8%) 208 (26%) 399 805 Jan – June 2009 25 (8.1%) 31 (4.4%) 310 (33%) 697 943 2008-2009 17 (6.9%) 20 (3.9%) 246 511 933 2007-2008 10 (4.9%) 12 (2.2%) 204 531 874 2006-2007 Patients with a new diagnosis New Diagnosis Number of Patients tested Chlamydia Tests Alfred ongoing care Pts Financial Year
  • 9.

Notas del editor

  1. Hospitals are providing HIV care to patients and need to be implementing syphilis screening. There are many barriers to this. Systems and technology and size of services