HIV Management Guide for Clinical Care and ARV Guidelines

HIV Management Guide for Clinical Care and ARV Guidelines

Sexually transmissible infections among people with HIV infection

Sexually transmissible infections among people with HIV infection

Templeton DJ1,2,3, Wong AK1, Balasubramanian S1, Fargie FM1. Department of Sexual Health Medicine, Sydney Local Health District, Sydney, Australia Kirby Institute, UNSW Sydney, Sydney, Australia Sydney Medical School, The University of Sydney, Sydney, Australia Last reviewed: October 2019  Introduction The epidemiology of sexually transmissible infections (STIs) among Australian people with HIV infection varies widely, in …

Sexually transmissible infections among people with HIV infection Read More »

Neiserria gonorrhoeae and Chlamydia trachomatis infection

Epidemiology Among MSM attending Australian sexual health clinics in 2017, chlamydia and gonorrhoea incidence was approximately 60% higher among HIV-positive MSM, compared with HIV-negative, MSM (3).   In the previous five years, chlamydia incidence increased by 25% and 43% among HIV-positive and HIV-negative MSM, respectively. Over the same time period, gonorrhoea incidence also increased among HIV‑positive …

Neiserria gonorrhoeae and Chlamydia trachomatis infection Read More »

Lymhogranuloma venereum

Epidemiology Lymphogranuloma venereum is caused by Chlamydia trachomatis (CT) serovars L1-3 and continues to affect MSM worldwide (15). L2b is the serovar identified in the majority of LGV cases that have been diagnosed in Australia (16-21) and globally (22-24). Nationally, this infection is usually diagnosed in MSM, the vast majority of whom present with symptoms …

Lymhogranuloma venereum Read More »

Mycoplasma genitalium infection

Epidemiology  Mycoplasma genitalium (MG) is considered a new and emerging sexually transmitted pathogen (71), with an estimated global community prevalence of 1.3% (72). The prevalence of MG infection in HIV-positive individuals has not been systematically investigated in Australia, however a meta-analysis of observational studies worldwide suggested HIV-positive individuals bear a disproportionate burden of MG infection …

Mycoplasma genitalium infection Read More »

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 …

Trichomonas vaginalis infection Read More »

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 …

Syphilis Read More »

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.  …

Herpes simplex virus infection Read More »

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 …

Conclusions Read More »

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 …

References Read More »

Scroll to Top