HIV Management Guide for Clinical Care and ARV Guidelines

HIV Management Guide for Clinical Care and ARV Guidelines

Co-infections

Trichomonas vaginalis infection

Epidemiology  Trichomonas vaginalis (TV) causes the most common curable STI globally (77) and is highly prevalent among the Australian indigenous population (78). TV disproportionately affects older indigenous women living in remote settings (4, 78), but is rarely diagnosed in urban Australia (79-81). TV infection increases the risk of HIV acquisition by 50% (77) and has …

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Syphilis

Epidemiology  Syphilis is caused by the spirochete Treponema pallidum subspecies pallidum. This obligate human pathogen is primarily transmitted via sexual contact between mucosal surfaces. In addition, cases of mother-to-child transmission of syphilis are being reported in the current epidemic (86). In Australia, syphilis disproportionately affects indigenous Australians and MSM populations. Among HIV-positive MSM attending sexual …

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Herpes simplex virus infection

Epidemiology Anogenital herpes is caused by herpes simplex virus (HSV) type 1 (HSV1) or type 2 (HSV2). Infections caused by this virus are common across the world but there are variations in prevalence between countries and population groups. HSV disease is not a notifiable disease in Australia so there are limited data regarding disease prevalence.  …

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References

Kirby Institute. HIV in Australia: annual surveillance short report. Sydney: Kirby Institute, UNSW Sydney; 2018. Jin F, Prestage GP, Zablotska I, Rawstorne P, Kippax SC, Donovan B, et al. High rates of sexually transmitted infections in HIV positive homosexual men: data from two community based cohorts. Sex Transm Infect. 2007;83(5):397-9. Kirby Institute. HIV, viral hepatitis …

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Conclusions

STIs continue to be an important issue among people with HIV infection in Australia, disproportionately affecting the MSM population. Comprehensive HIV management should include regular STI testing for all sexually-active people with HIV infection, tailored to their reported risk behaviours. Clinicians need to be aware of key differences in the epidemiology, clinical presentation and management …

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