SlideShare uma empresa Scribd logo
1 de 20
Screening for syphilis as part of HIV monitoring increases detection of early, asymptomatic syphilis among  HIV positive homosexual men Bissessor M 1 , Fairley CK 1,2 , Leslie D 3 ,  Boyd K 1 , Chen MY 1,2 1. Melbourne Sexual Health Centre 2. The University of Melbourne, School of Population Health 3. Victorian Infectious Diseases Reference Laboratory
The intervention   ,[object Object],[object Object],[object Object]
 
Aims ,[object Object],[object Object]
Methods ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis of early syphilis   ,[object Object],[object Object],[object Object],[object Object]
 
Frequency of syphilis testing No. HIV+ MSM  Total no. syphilis tests  Mean no. syphilis tests/man/year  Before 444 862 2.0 After  587 1952 3.3
 
Proportion with early, asymptomatic syphilis  Before  After  Difference in proportion (95%CI) % MSM with early syphilis 3.1% (14/444) 8.1% (48/587) 5% (2% to 7%) (p=0.001) % early syphilis asymptomatic 21% (3/14) 85% (41/48) 64% (31%- 81%) p=0.006
Estimated Duration of infectivity Before  After  Days (range) 107  (9-362) 45 (23-325) p=0.018
It’s the frequency that counts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object],[object Object],[object Object],[object Object]
Acknowledgements ,[object Object],[object Object],[object Object]
Syphilis screening of HIV negative MSM ,[object Object],[object Object],[object Object],[object Object],[object Object]
Computer assisted self interview (CASI)
CASI sexual history
SMS reminders for STI checks
SMS reminders for STI checks ,[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]
Syphilis screening alert

Mais conteúdo relacionado

Mais procurados

Sex, Drugs & Scotland's Health- Healthcare use among people living with HIV i...
Sex, Drugs & Scotland's Health- Healthcare use among people living with HIV i...Sex, Drugs & Scotland's Health- Healthcare use among people living with HIV i...
Sex, Drugs & Scotland's Health- Healthcare use among people living with HIV i...HIVScotland
 
Using Data to Improve Linkage to Care
Using Data to Improve Linkage to CareUsing Data to Improve Linkage to Care
Using Data to Improve Linkage to CareRandi Sylve
 
Carteret School board presentation sept. 24 final (1)
Carteret School board presentation   sept. 24 final (1)Carteret School board presentation   sept. 24 final (1)
Carteret School board presentation sept. 24 final (1)EducationNC
 
Zimbabwe HIV Self-testing presentation
Zimbabwe HIV Self-testing presentationZimbabwe HIV Self-testing presentation
Zimbabwe HIV Self-testing presentationSlidesShare_Foxtrot
 
Getting to scale: How we can achieve the reach required of prevention service...
Getting to scale: How we can achieve the reach required of prevention service...Getting to scale: How we can achieve the reach required of prevention service...
Getting to scale: How we can achieve the reach required of prevention service...HopkinsCFAR
 

Mais procurados (12)

Time Trends In HIV and STI Testing
Time Trends In HIV and STI TestingTime Trends In HIV and STI Testing
Time Trends In HIV and STI Testing
 
CDC_HIV_JDaniels_writing sample
CDC_HIV_JDaniels_writing sampleCDC_HIV_JDaniels_writing sample
CDC_HIV_JDaniels_writing sample
 
Sex, Drugs & Scotland's Health- Healthcare use among people living with HIV i...
Sex, Drugs & Scotland's Health- Healthcare use among people living with HIV i...Sex, Drugs & Scotland's Health- Healthcare use among people living with HIV i...
Sex, Drugs & Scotland's Health- Healthcare use among people living with HIV i...
 
Using Data to Improve Linkage to Care
Using Data to Improve Linkage to CareUsing Data to Improve Linkage to Care
Using Data to Improve Linkage to Care
 
Hepatitis E in Ireland
Hepatitis E in Ireland Hepatitis E in Ireland
Hepatitis E in Ireland
 
Carteret School board presentation sept. 24 final (1)
Carteret School board presentation   sept. 24 final (1)Carteret School board presentation   sept. 24 final (1)
Carteret School board presentation sept. 24 final (1)
 
Community Testing: M Clinic Reflections
Community Testing: M Clinic ReflectionsCommunity Testing: M Clinic Reflections
Community Testing: M Clinic Reflections
 
03.19.21 | Updates in HIV Prevention from Virtual CROI 2021
03.19.21 | Updates in HIV Prevention from Virtual CROI 202103.19.21 | Updates in HIV Prevention from Virtual CROI 2021
03.19.21 | Updates in HIV Prevention from Virtual CROI 2021
 
Community-based HIV testing: the Athens Checkpoint initiative
Community-based HIV testing: the Athens Checkpoint initiativeCommunity-based HIV testing: the Athens Checkpoint initiative
Community-based HIV testing: the Athens Checkpoint initiative
 
Zimbabwe HIV Self-testing presentation
Zimbabwe HIV Self-testing presentationZimbabwe HIV Self-testing presentation
Zimbabwe HIV Self-testing presentation
 
09.11.20 | Review of New Antiretrovirals
09.11.20 | Review of New Antiretrovirals09.11.20 | Review of New Antiretrovirals
09.11.20 | Review of New Antiretrovirals
 
Getting to scale: How we can achieve the reach required of prevention service...
Getting to scale: How we can achieve the reach required of prevention service...Getting to scale: How we can achieve the reach required of prevention service...
Getting to scale: How we can achieve the reach required of prevention service...
 

Semelhante a Screening for syphilis

Bcn checkpoint - Michael Meulbroek
Bcn checkpoint - Michael MeulbroekBcn checkpoint - Michael Meulbroek
Bcn checkpoint - Michael MeulbroekReShape
 
HIV self-testing and linkage in Africa
HIV self-testing and linkage in AfricaHIV self-testing and linkage in Africa
HIV self-testing and linkage in AfricaCheryl Johnson
 
Γιώτα Τουλούμη, 6th Clinical Research Conference
Γιώτα Τουλούμη, 6th Clinical Research ConferenceΓιώτα Τουλούμη, 6th Clinical Research Conference
Γιώτα Τουλούμη, 6th Clinical Research ConferenceStarttech Ventures
 
Review from the 24th Conference on Retroviruses and Opportunistic Infections ...
Review from the 24th Conference on Retroviruses and Opportunistic Infections ...Review from the 24th Conference on Retroviruses and Opportunistic Infections ...
Review from the 24th Conference on Retroviruses and Opportunistic Infections ...UC San Diego AntiViral Research Center
 
WCHS DIS Presentation for Providers (Syphilis Outbreak & Proper Reporting) 01
WCHS DIS Presentation for Providers (Syphilis Outbreak & Proper Reporting) 01WCHS DIS Presentation for Providers (Syphilis Outbreak & Proper Reporting) 01
WCHS DIS Presentation for Providers (Syphilis Outbreak & Proper Reporting) 01Luke Keeler
 
Acute HIV infection detection and control reduces HIV infectiousness and tran...
Acute HIV infection detection and control reduces HIV infectiousness and tran...Acute HIV infection detection and control reduces HIV infectiousness and tran...
Acute HIV infection detection and control reduces HIV infectiousness and tran...Thai Red Cross Society
 
Cadth 2015 c4 symp 13 april 2015_vooght
Cadth 2015 c4 symp 13 april 2015_vooghtCadth 2015 c4 symp 13 april 2015_vooght
Cadth 2015 c4 symp 13 april 2015_vooghtCADTH Symposium
 
High Sensitivity HIV Testing and Translational Science around PrEP
High Sensitivity HIV Testing and Translational Science around PrEPHigh Sensitivity HIV Testing and Translational Science around PrEP
High Sensitivity HIV Testing and Translational Science around PrEPHopkinsCFAR
 
Extending advanced testing services to diagnose early HIV infection in gay me...
Extending advanced testing services to diagnose early HIV infection in gay me...Extending advanced testing services to diagnose early HIV infection in gay me...
Extending advanced testing services to diagnose early HIV infection in gay me...CBRC
 
Future cervical screening program
Future cervical screening programFuture cervical screening program
Future cervical screening programDonald Angstetra
 
1- prof james bently - hpv and vaccine jeddah 2015
 1- prof james bently - hpv and vaccine jeddah 2015 1- prof james bently - hpv and vaccine jeddah 2015
1- prof james bently - hpv and vaccine jeddah 2015Basalama Ali
 
Page ufo study hhs consult
Page ufo study hhs consultPage ufo study hhs consult
Page ufo study hhs consultkimberlypage
 
Charlotte Gaydos: Using Self-Collected Specimens to Improve and Extend Delive...
Charlotte Gaydos: Using Self-Collected Specimens to Improve and Extend Delive...Charlotte Gaydos: Using Self-Collected Specimens to Improve and Extend Delive...
Charlotte Gaydos: Using Self-Collected Specimens to Improve and Extend Delive...National Chlamydia Coalition
 
Genital Herpes Update
Genital Herpes UpdateGenital Herpes Update
Genital Herpes Updateterriwarren
 

Semelhante a Screening for syphilis (20)

Bcn checkpoint - Michael Meulbroek
Bcn checkpoint - Michael MeulbroekBcn checkpoint - Michael Meulbroek
Bcn checkpoint - Michael Meulbroek
 
HIV self-testing and linkage in Africa
HIV self-testing and linkage in AfricaHIV self-testing and linkage in Africa
HIV self-testing and linkage in Africa
 
Γιώτα Τουλούμη, 6th Clinical Research Conference
Γιώτα Τουλούμη, 6th Clinical Research ConferenceΓιώτα Τουλούμη, 6th Clinical Research Conference
Γιώτα Τουλούμη, 6th Clinical Research Conference
 
Review from the 24th Conference on Retroviruses and Opportunistic Infections ...
Review from the 24th Conference on Retroviruses and Opportunistic Infections ...Review from the 24th Conference on Retroviruses and Opportunistic Infections ...
Review from the 24th Conference on Retroviruses and Opportunistic Infections ...
 
WCHS DIS Presentation for Providers (Syphilis Outbreak & Proper Reporting) 01
WCHS DIS Presentation for Providers (Syphilis Outbreak & Proper Reporting) 01WCHS DIS Presentation for Providers (Syphilis Outbreak & Proper Reporting) 01
WCHS DIS Presentation for Providers (Syphilis Outbreak & Proper Reporting) 01
 
Acute HIV infection detection and control reduces HIV infectiousness and tran...
Acute HIV infection detection and control reduces HIV infectiousness and tran...Acute HIV infection detection and control reduces HIV infectiousness and tran...
Acute HIV infection detection and control reduces HIV infectiousness and tran...
 
Rapid testing for syphilis and HIV
Rapid testing for syphilis and HIVRapid testing for syphilis and HIV
Rapid testing for syphilis and HIV
 
Victorian HIV Service STI Project
Victorian HIV Service STI ProjectVictorian HIV Service STI Project
Victorian HIV Service STI Project
 
Syphilis Modelling
Syphilis ModellingSyphilis Modelling
Syphilis Modelling
 
Std noon conf 2019
Std  noon conf 2019Std  noon conf 2019
Std noon conf 2019
 
Syphilis Forum Recap Report
Syphilis Forum Recap ReportSyphilis Forum Recap Report
Syphilis Forum Recap Report
 
Cadth 2015 c4 symp 13 april 2015_vooght
Cadth 2015 c4 symp 13 april 2015_vooghtCadth 2015 c4 symp 13 april 2015_vooght
Cadth 2015 c4 symp 13 april 2015_vooght
 
High Sensitivity HIV Testing and Translational Science around PrEP
High Sensitivity HIV Testing and Translational Science around PrEPHigh Sensitivity HIV Testing and Translational Science around PrEP
High Sensitivity HIV Testing and Translational Science around PrEP
 
Extending advanced testing services to diagnose early HIV infection in gay me...
Extending advanced testing services to diagnose early HIV infection in gay me...Extending advanced testing services to diagnose early HIV infection in gay me...
Extending advanced testing services to diagnose early HIV infection in gay me...
 
Future cervical screening program
Future cervical screening programFuture cervical screening program
Future cervical screening program
 
1- prof james bently - hpv and vaccine jeddah 2015
 1- prof james bently - hpv and vaccine jeddah 2015 1- prof james bently - hpv and vaccine jeddah 2015
1- prof james bently - hpv and vaccine jeddah 2015
 
Page ufo study hhs consult
Page ufo study hhs consultPage ufo study hhs consult
Page ufo study hhs consult
 
ofw137
ofw137ofw137
ofw137
 
Charlotte Gaydos: Using Self-Collected Specimens to Improve and Extend Delive...
Charlotte Gaydos: Using Self-Collected Specimens to Improve and Extend Delive...Charlotte Gaydos: Using Self-Collected Specimens to Improve and Extend Delive...
Charlotte Gaydos: Using Self-Collected Specimens to Improve and Extend Delive...
 
Genital Herpes Update
Genital Herpes UpdateGenital Herpes Update
Genital Herpes Update
 

Mais de Australian Federation of AIDS Organisations

Activity 4: Health resources for Aboriginal and Torres Strait Islander and Cu...
Activity 4: Health resources for Aboriginal and Torres Strait Islander and Cu...Activity 4: Health resources for Aboriginal and Torres Strait Islander and Cu...
Activity 4: Health resources for Aboriginal and Torres Strait Islander and Cu...Australian Federation of AIDS Organisations
 
HIV and CALD communities: A directory of health promotion programs and resources
HIV and CALD communities: A directory of health promotion programs and resourcesHIV and CALD communities: A directory of health promotion programs and resources
HIV and CALD communities: A directory of health promotion programs and resourcesAustralian Federation of AIDS Organisations
 
Community of Practice for Action on HIV and Mobility: Launch of the Interim R...
Community of Practice for Action on HIV and Mobility: Launch of the Interim R...Community of Practice for Action on HIV and Mobility: Launch of the Interim R...
Community of Practice for Action on HIV and Mobility: Launch of the Interim R...Australian Federation of AIDS Organisations
 
Understanding what works and why in peer and community based programs for HIV...
Understanding what works and why in peer and community based programs for HIV...Understanding what works and why in peer and community based programs for HIV...
Understanding what works and why in peer and community based programs for HIV...Australian Federation of AIDS Organisations
 

Mais de Australian Federation of AIDS Organisations (20)

HIV and CALD communities: Strengthening the health promotion partnership
HIV and CALD communities: Strengthening the health promotion partnershipHIV and CALD communities: Strengthening the health promotion partnership
HIV and CALD communities: Strengthening the health promotion partnership
 
Activity 4: Health resources for Aboriginal and Torres Strait Islander and Cu...
Activity 4: Health resources for Aboriginal and Torres Strait Islander and Cu...Activity 4: Health resources for Aboriginal and Torres Strait Islander and Cu...
Activity 4: Health resources for Aboriginal and Torres Strait Islander and Cu...
 
Future Focus – AFAO
Future Focus – AFAOFuture Focus – AFAO
Future Focus – AFAO
 
HIV and mobility in Australia: Roadmap for Action
HIV and mobility in Australia: Roadmap for ActionHIV and mobility in Australia: Roadmap for Action
HIV and mobility in Australia: Roadmap for Action
 
HIV and CALD communities: Mapping HIV health promotion
HIV and CALD communities: Mapping HIV health promotionHIV and CALD communities: Mapping HIV health promotion
HIV and CALD communities: Mapping HIV health promotion
 
Medicare Ineligible PLHIV: Lessons from the ATRAS Study
Medicare Ineligible PLHIV: Lessons from the ATRAS StudyMedicare Ineligible PLHIV: Lessons from the ATRAS Study
Medicare Ineligible PLHIV: Lessons from the ATRAS Study
 
HIV in Culturally and Linguistically Diverse Populations: Surveillance Update
HIV in Culturally and Linguistically Diverse Populations: Surveillance UpdateHIV in Culturally and Linguistically Diverse Populations: Surveillance Update
HIV in Culturally and Linguistically Diverse Populations: Surveillance Update
 
Late HIV Diagnoses in Australia and Delayed HIV Testing
Late HIV Diagnoses in Australia and Delayed HIV TestingLate HIV Diagnoses in Australia and Delayed HIV Testing
Late HIV Diagnoses in Australia and Delayed HIV Testing
 
HIV and CALD communities: A directory of health promotion programs and resources
HIV and CALD communities: A directory of health promotion programs and resourcesHIV and CALD communities: A directory of health promotion programs and resources
HIV and CALD communities: A directory of health promotion programs and resources
 
Lessons from ATRAS
Lessons from ATRASLessons from ATRAS
Lessons from ATRAS
 
South Australian Policy Response to HIV and Mobility
South Australian Policy Response to HIV and MobilitySouth Australian Policy Response to HIV and Mobility
South Australian Policy Response to HIV and Mobility
 
Community of Practice for Action on HIV and Mobility: Launch of the Interim R...
Community of Practice for Action on HIV and Mobility: Launch of the Interim R...Community of Practice for Action on HIV and Mobility: Launch of the Interim R...
Community of Practice for Action on HIV and Mobility: Launch of the Interim R...
 
QuAC and Pre Exposure Prophylaxis: an awareness campaign
QuAC and Pre Exposure Prophylaxis: an awareness campaignQuAC and Pre Exposure Prophylaxis: an awareness campaign
QuAC and Pre Exposure Prophylaxis: an awareness campaign
 
Hand in hand: addressing BBV/STI stigma
Hand in hand: addressing BBV/STI stigma Hand in hand: addressing BBV/STI stigma
Hand in hand: addressing BBV/STI stigma
 
2 Spirits: promoting healthy Aboriginal and Torres Strait islander communities
2 Spirits: promoting healthy Aboriginal and Torres Strait islander communities2 Spirits: promoting healthy Aboriginal and Torres Strait islander communities
2 Spirits: promoting healthy Aboriginal and Torres Strait islander communities
 
PrEP: Research update and implementation program in NSW
PrEP: Research update and implementation program in NSWPrEP: Research update and implementation program in NSW
PrEP: Research update and implementation program in NSW
 
Remembering - Reconciling - Responding
Remembering - Reconciling - RespondingRemembering - Reconciling - Responding
Remembering - Reconciling - Responding
 
HIV and mobility: AFAO's African communities project
HIV and mobility: AFAO's African communities projectHIV and mobility: AFAO's African communities project
HIV and mobility: AFAO's African communities project
 
Understanding what works and why in peer and community based programs for HIV...
Understanding what works and why in peer and community based programs for HIV...Understanding what works and why in peer and community based programs for HIV...
Understanding what works and why in peer and community based programs for HIV...
 
Targeting stigma and discrimination
Targeting stigma and discriminationTargeting stigma and discrimination
Targeting stigma and discrimination
 

Último

Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...narwatsonia7
 
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment BookingCall Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Bookingnarwatsonia7
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbaisonalikaur4
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Serviceparulsinha
 
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfHemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfMedicoseAcademics
 
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAAjennyeacort
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...saminamagar
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Modelssonalikaur4
 
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiNehru place Escorts
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Miss joya
 
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service JaipurHigh Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipurparulsinha
 
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaCall Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaPooja Gupta
 
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingNehru place Escorts
 
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceCollege Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceNehru place Escorts
 
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...Miss joya
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Servicesonalikaur4
 

Último (20)

Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
 
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment BookingCall Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
 
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfHemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
 
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
 
97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
 
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
 
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
 
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service JaipurHigh Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
 
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaCall Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
 
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
 
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceCollege Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
 
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Servicesauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
 
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
 

Screening for syphilis

  • 1. Screening for syphilis as part of HIV monitoring increases detection of early, asymptomatic syphilis among HIV positive homosexual men Bissessor M 1 , Fairley CK 1,2 , Leslie D 3 , Boyd K 1 , Chen MY 1,2 1. Melbourne Sexual Health Centre 2. The University of Melbourne, School of Population Health 3. Victorian Infectious Diseases Reference Laboratory
  • 2.
  • 3.  
  • 4.
  • 5.
  • 6.
  • 7.  
  • 8. Frequency of syphilis testing No. HIV+ MSM Total no. syphilis tests Mean no. syphilis tests/man/year Before 444 862 2.0 After 587 1952 3.3
  • 9.  
  • 10. Proportion with early, asymptomatic syphilis Before After Difference in proportion (95%CI) % MSM with early syphilis 3.1% (14/444) 8.1% (48/587) 5% (2% to 7%) (p=0.001) % early syphilis asymptomatic 21% (3/14) 85% (41/48) 64% (31%- 81%) p=0.006
  • 11. Estimated Duration of infectivity Before After Days (range) 107 (9-362) 45 (23-325) p=0.018
  • 12.
  • 13.
  • 14.
  • 15.
  • 16. Computer assisted self interview (CASI)
  • 18. SMS reminders for STI checks
  • 19.