Acceptance of genitourinary medicine clinic appointments within 48 hours is influenced by patient perception of risk but not by symptoms.

Abstract:

:The Department of Health has addressed access to genitourinary medicine services by setting targets that 100% of patients should be offered an appointment within 48 hours of contact and 95% should be seen within 48 hours. Such rapid access appointments are often declined by patients. We wished to ascertain whether patient perception of health risk or the presence of symptoms suggestive of a sexually transmitted infection (STI) might influence how quickly patients accept an appointment. We designed a two-armed study which demonstrated that up to 37% of patients offered an appointment within 48 hours declined it, with work commitments offered by 84% of these patients as the reason for deferring attendance. The presence of symptoms did not influence whether patients accepted an early appointment, however the patient's perception of health risk associated with an untreated STI was statistically significantly associated with earlier attendance (P < 0.0001). Increased public education regarding the consequences of untreated STI may therefore improve the acceptance by patients of appointments within 48 hours.

journal_name

Int J STD AIDS

authors

Steedman NM,Worsnop V,Fernie R

doi

10.1258/ijsa.2008.008513

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

644-6

issue

9

eissn

0956-4624

issn

1758-1052

pii

20/9/644

journal_volume

20

pub_type

杂志文章
  • Neuroimaging of HIV-associated cryptococcal meningitis: comparison of magnetic resonance imaging findings in patients with and without immune reconstitution.

    abstract::To determine the frequency, imaging characteristics, neuroanatomical distribution and dynamics of magnetic resonance imaging findings in HIV-associated cryptococcal meningitis in immunocompromised patients we compared patients without antiretroviral therapy with patients undergoing immune reconstitution. Neuroimaging ...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/0956462415574633

    authors: Katchanov J,Branding G,Jefferys L,Arastéh K,Stocker H,Siebert E

    更新日期:2016-02-01 00:00:00

  • Neurosyphilitic gumma in a homosexual man with HIV infection confirmed by polymerase chain reaction.

    abstract::The brain gumma is a rare manifestation of the tertiary stage of syphilis. A case of neurosyphilitic gumma was confirmed by the Treponema pallidum polymerase chain reaction in a 46-year-old HIV-positive homosexual man. The patient presented with a severe headache and was hospitalized. A computed tomography scan was pe...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/ijsa.2007.007287

    authors: Morshed MG,Lee MK,Maguire J,Zwimpfer T,Willoughby B,Clement J,Crawford RI,Barberie J,Gul S,Jones H

    更新日期:2008-08-01 00:00:00

  • Combined treatment of anogenital HPV infection with cryodestruction, podophyllin 25% and post-ablation immunomodulation with sinecatechins 15% ointment - a retrospective analysis.

    abstract::External genital warts, caused by human papillomavirus, have a significant clinical, epidemiological, and financial impact, including the risk for malignant transformation. Treatment modalities include: (a) destructive (ablative); (b) cytotoxic (proapoptotic) and (c) immunomodulatory, with success and recurrence rates...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/0956462415607375

    authors: Juhl ME,Seferovic V,Antonijevic S,Krunic A

    更新日期:2016-10-01 00:00:00

  • Treatment of syphilis with azithromycin.

    abstract::The efficacy of oral azithromycin (500 mg daily for 10 days or 500 mg on alternate days for 11 days) in 100 patients with seropositive syphilis was studied. Clinical manifestations regressed more rapidly in azithromycin-treated patients compared with patients who received erythromycin or penicillin, and there was also...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/0956462961917249

    authors: Mashkilleyson AL,Gomberg MA,Mashkilleyson N,Kutin SA

    更新日期:1996-01-01 00:00:00

  • Social-ecological factors associated with HIV infection among men who have sex with men in Jamaica.

    abstract::In Jamaica, where homosexuality is criminalized, scant research has examined associations between sexual stigma and HIV infection. The study objective was to examine correlates of HIV infection among men who have sex with men (MSM) in Jamaica. We conducted a cross-sectional tablet-based survey with MSM in Jamaica usin...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/0956462417717652

    authors: Logie CH,Kenny KS,Lacombe-Duncan A,Levermore K,Jones N,Neil A,Ellis T,Marshall A,Newman PA

    更新日期:2018-01-01 00:00:00

  • Recommendations for the management of premature ejaculation: BASHH Special Interest Group for Sexual Dysfunction.

    abstract::We present the British Association for Sexual Health and HIV (BASHH), Special Interest Group for Sexual Dysfunction updated recommendations for the management of premature ejaculation. The recommendations outline the physiology, prevalence, definitions, aetiological factors and patient assessment for this common sexua...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章,实务指引,评审

    doi:10.1258/095646206775220540

    authors: Richardson D,Goldmeier D,Green J,Lamba H,Harris JR,BASHH Special Interest Group for Sexual Dysfunction.

    更新日期:2006-01-01 00:00:00

  • Distribution and characteristics of sexual health service provision in primary and community care in England.

    abstract::The objective of this paper was to identify and describe enhanced sexual health services (ESHSs) commissioned for testing, diagnosis and management of sexually transmitted infections (STIs) in primary and community care settings in England. ESHSs commissioned by Primary Care Trusts (PCTs) in England were determined by...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/ijsa.2010.010198

    authors: Yung M,Denholm R,Peake J,Hughes G

    更新日期:2010-09-01 00:00:00

  • Chlamydia trachomatis as a possible cofactor for Kaposi's sarcoma in AIDS.

    abstract::AIDS-associated Kaposi's sarcoma (KS) is much more frequent in patients acquiring HIV infection via the sexual route. Epidemiological studies have confirmed the likely involvement of a sexually acquired cofactor in the pathogenesis of this form of KS. We have formulated a set of postulates, epidemiological and experim...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/095646249500600609

    authors: Peters BS,Thomas BJ,Yi C,Beck EJ,Weber J,Pinching AJ,Taylor-Robinson D

    更新日期:1995-11-01 00:00:00

  • Horizontally-acquired HIV infection in Kenyan and Swazi children.

    abstract::Despite many reports of HIV-infected African children who have HIV-uninfected mothers, little is known about the extent and modes of horizontal HIV transmission in African children. We estimated the extent of horizontal HIV transmission in Swazi children by comparing child and mother HIV statuses in the 2006-2007 Swaz...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/ijsa.2009.009204

    authors: Okinyi M,Brewer DD,Potterat JJ

    更新日期:2009-12-01 00:00:00

  • Impact of early recognition of potentially malignant oral disorders on the prognosis in people living with HIV.

    abstract::Despite the success of combination antiretroviral therapies, people living with HIV (PLWH) are at an increased risk of developing diverse malignancies, including oral cancer. We here present two cases of PLWH where the early diagnosis of potentially malignant disorders in the oral cavity impacted their treatment and s...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/0956462419838102

    authors: Anaya-Saavedra G,Ramírez-Amador V,Castillejos-García I,Saeb-Lima M

    更新日期:2019-06-01 00:00:00

  • Report of spontaneous and persistent genital arousal in women attending a sexual health clinic.

    abstract::The frequency of spontaneous genital arousal (GA) and persistent genital arousal disorder (PGAD) in women is unknown. The aim of this study was to conduct an anonymous survey to assess the frequency and nature of spontaneous GA and PGAD in women attending a walk-in sexual health clinic in London. Female patients compl...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/ijsa.2008.008492

    authors: Garvey LJ,West C,Latch N,Leiblum S,Goldmeier D

    更新日期:2009-08-01 00:00:00

  • Targeted screening for Trichomonas vaginalis in women, a pH-based approach.

    abstract::In the genitourinary medicine clinic setting, the most practical and widely used method of diagnosing Trichomonas vaginalis (TV) is direct microscopy of a wet mount preparation (WMP) of a sample taken from the posterior vaginal fornix. We retrospectively reviewed the potential impact of further limiting WMP to women w...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/095646207781024892

    authors: Bell C,Hough E,Smith A,Greene L

    更新日期:2007-06-01 00:00:00

  • Recombinant human interferon-beta for condylomata acuminata: a randomized, double-blind, placebo-controlled study of intralesional therapy.

    abstract::To assess the efficacy of a novel glycosylated mammalian cell derived recombinant human interferon-beta (r-hIFN-beta-1a) in the intralesional treatment of genital condylomata acuminata. The study was randomized, double-blind and placebo-controlled. Patients (n=60) with up to 8 distinct condylomata acuminata were rando...

    journal_title:International journal of STD & AIDS

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1258/0956462971918878

    authors: Bornstein J,Pascal B,Zarfati D,Goldshmid N,Abramovici H

    更新日期:1997-10-01 00:00:00

  • A pilot study to investigate the treatment of anogenital warts with Topical Lithium Succinate cream (8% lithium succinate, 0.05% zinc sulphate).

    abstract::The incidence of anogenital warts (condyloma acuminatum) is rapidly increasing while there is still no totally satisfactory treatment available. In light of the emphasis of experimental approaches toward the prevention of viral replication and evidence of the antiviral action of lithium salts it was proposed to invest...

    journal_title:International journal of STD & AIDS

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1258/0956462971920677

    authors: Ward KA,Armstrong KD,Maw RD,Winther MD,Gilburt SJ,Dinsmore WW

    更新日期:1997-08-01 00:00:00

  • Grassroots activities, national initiatives and HIV prevention: clues to explain Australia's dramatic early success in controlling the HIV epidemic.

    abstract::During the mid-1980s Australia experienced a remarkable decline in HIV incidence that can rightly be considered a public health milestone of global importance. The effects of this decline lasted for about 20 years and greatly benefited all Australians. In contrast, as we enter the mid-2000s, we see the global epidemic...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章,评审

    doi:10.1258/095646206779307612

    authors: Plummer D,Irwin L

    更新日期:2006-12-01 00:00:00

  • Social vulnerability and HIV testing among South African men who have sex with men.

    abstract::This study examined whether social vulnerability is associated with HIV testing among South African men who have sex with men (MSM). A community-based survey was conducted with 300 MSM in Pretoria in 2008. The sample was stratified by age, race and residential status. Social vulnerability was assessed using measures o...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/ijsa.2011.010350

    authors: Knox J,Sandfort T,Yi H,Reddy V,Maimane S

    更新日期:2011-12-01 00:00:00

  • Are there any differences between patients attending a genitourinary medicine clinic with appointments and those without?

    abstract::The aim of this study is to identify the demographic and diagnostic characteristics of patients attending a genitourinary medicine clinic with booked appointments and compare them with those of walk-in attendees. During a period of three months, 749 patients were seen with new episodes; 61% of them had booked appointm...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/ijsa.2008.008308

    authors: Elawad BB

    更新日期:2009-03-01 00:00:00

  • Experience of HIV prevention interventions among female sex workers in Delhi, India.

    abstract::This paper describes the effect of HIV prevention intervention among female sex workers in Delhi. Over a 2-year period we found a marked increase in condom use with little increase in HIV seroprevalence. The prevalence of HIV infection did not increase during the study period (1 positive among 701 in 1988 vs 1 positiv...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/095646249400500113

    authors: Singh YN,Malaviya AN

    更新日期:1994-01-01 00:00:00

  • The limits of health-care seeking behaviour: how long will patients travel for STI care? Evidence from England's 'Patient Access and the Transmission of Sexually Transmitted Infections' ('PATSI') study.

    abstract:SUMMARY:The objective of this study was to identify factors associated with (i) longer patient travel time to genitourinary (GU) medicine clinics and (ii) not attending the nearest clinic. Questionnaires were completed by 4600 new attendees from seven sociodemographically and geographically different GU clinics across ...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/ijsa.2008.008205

    authors: Olonilua O,Ross JD,Mercer C,Keane F,Brook G,Cassell JA

    更新日期:2008-12-01 00:00:00

  • Persistent genital arousal in women -- a new syndrome entity.

    abstract::The persistent sexual arousal syndrome (PSAS) is a newly described entity where women become involuntarily aroused genitally for extended periods in time in the absence of sexual desire. Genital vasoengorgement and oedema have been observed. These women are found to be usually very distressed. The cause of the syndrom...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章,评审

    doi:10.1258/095646206776253480

    authors: Goldmeier D,Leiblum SR

    更新日期:2006-04-01 00:00:00

  • Acceptability and preferences for safer conception HIV prevention strategies: a qualitative study.

    abstract::Safer conception strategies to reduce the HIV transmission risk include antiretroviral therapy for HIV-positive partners, pre-exposure prophylaxis for HIV-negative partners, condomless sex limited to fertile periods, and home-based self-insemination. Resistance to taking treatment or cultural concerns may limit uptake...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/0956462415604091

    authors: Schwartz SR,West N,Phofa R,Yende N,Sanne I,Bassett J,Van Rie A

    更新日期:2016-10-01 00:00:00

  • A negative association between condom availability and incidence of urethral discharge in a closed Malawian community.

    abstract::Condom promotion in sub-Saharan Africa has been accused by some conservative groups of encouraging promiscuity. This study explored the relationship between condom availability and sexually transmitted infection (STI) incidence in a closed Malawian community. An audit of clinic records charted the changing availabilit...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/095646207781439801

    authors: Metcalfe D

    更新日期:2007-08-01 00:00:00

  • Primary HIV infection.

    abstract::Primary HIV can be asymptomatic or result in a severe symptomatic illness. Common symptoms are pyrexia, pharyngitis, malaise, lethargy, maculopapular rash, mucous membrane ulceration, lymphadenopathy and headache. It can be reliably diagnosed by a positive virologic test in the absence of HIV-specific antibodies. Prog...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章,评审

    doi:10.1258/0956462021924613

    authors: Apoola A,Ahmad S,Radcliffe K

    更新日期:2002-02-01 00:00:00

  • Age and racial disparities in substance use and self-reported viral suppression among men who have sex with men with HIV.

    abstract::HIV disproportionately affects men who have sex with men (MSM). Substance use is common among people living with HIV and may affect antiretroviral therapy adherence. Nevertheless, research examining the association between substance use and viral suppression is lacking. The aims of this study were to determine the ass...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/0956462418779663

    authors: Brown MJ,Serovich JM,Laschober TC,Kimberly JA

    更新日期:2018-10-01 00:00:00

  • Moritz Kaposi (1837-1902).

    abstract::Today, Kaposi is remembered for giving the first description of the angiosarcoma which bears his name. During his lifetime, he was acknowledged as one of the great masters of the Vienna School of Dermatology, a superb clinician and renowned teacher. ...

    journal_title:International journal of STD & AIDS

    pub_type: 传,历史文章,杂志文章

    doi:10.1258/0956462971918968

    authors: Oriel JD

    更新日期:1997-11-01 00:00:00

  • Subtyping of high-level plasmid-mediated tetracycline resistant Neisseria gonorrhoeae isolated in Scotland between 1992 and 1998.

    abstract::Tetracycline resistant Neisseria gonorrhoeae (TRNG) contain a 25.2 MDa TetM plasmid encoding a 68 KDa cytoplasmic protein which confers high-level tetracycline resistance. The aim of this study was to subtype all TRNG isolated in Scotland between 1992 and 1998. Subtyping was performed by a polymerase chain reaction (P...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/0956462991913204

    authors: Beattie T,Moyes A,Patrizio C,Young H

    更新日期:1999-10-01 00:00:00

  • The uptake of HIV and syphilis testing in a nurse-delivered service during Gay Pride events.

    abstract::Novel HIV testing strategies may improve the uptake of the test. The aim of the present study was to investigate the uptake of HIV testing during Birmingham Pride events in 2009 and 2010. The project was a collaboration between Whittall Street Clinic and Healthy Gay Life. This was a nurse-delivered service that was of...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/ijsa.2012.012023

    authors: Manavi K,Williams G,Newton R

    更新日期:2012-12-01 00:00:00

  • Factors associated with patients who prefer HIV self-testing over health professional testing in an emergency department-based rapid HIV screening program.

    abstract::Kiosk-facilitated HIV self-testing has been shown to be accurate and well accepted by emergency department (ED) patients. We investigated factors associated with patients who preferred self-testing over testing performed by health professionals in an ED-based HIV screening program. This opt-in program evaluation studi...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/0956462416689629

    authors: Hsieh YH,Beck KJ,Rothman RE,Gauvey-Kern M,Woodfield A,Peterson S,Signer D,Gaydos CA

    更新日期:2017-10-01 00:00:00

  • Preemptive antiretroviral therapy modifications for the management of potential clinically significant drug interactions with direct acting hepatitis C therapies.

    abstract::We report a case series of HIV/HCV co-infected patients who underwent preemptive antiretroviral therapy modifications to manage clinically significant drug interactions with HCV therapy. Among the 15 patients reviewed, all changed to a raltegravir-based regimen and none experienced a loss of virologic suppression or i...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/0956462415580225

    authors: Stambough M,Roman M,Blair DC,Sidman EF,Miller CD

    更新日期:2016-03-01 00:00:00

  • Universal prenatal HIV screening: are we there yet?

    abstract::The objectives of this study were to determine the prevalence of and factors associated with prenatal HIV screening and the availability of HIV test results in medical records in Pittsburgh, PA, USA. Three hundred postpartum women were surveyed about demographics and prenatal care provider(s) and practice setting and ...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/ijsa.2011.010200

    authors: Kennedy MR,Meyn LA,Reeves MF,Wiesenfeld HC

    更新日期:2011-04-01 00:00:00