Advertisement

TheBodyPRO.com covers IDWeek 2014

News

Asking About Sexual History More Likely to Get HIV-Positive Patients Tested for Syphilis

November 13, 2014

Patients living with HIV who had had their sexual history taken were four times more likely to be tested for syphilis than those who had no such history documented, according to a study presented at IDWeek 2014.

The U.S. Centers for Disease Control recommend annually screening HIV-positive patients, in particular men who have sex with men (MSM), for syphilis. The HIV Medicine Association (HIVMA) and the Infectious Diseases Society of America (IDSA), on the other hand, advocate for an initial syphilis screening of HIV-positive patients and re-screenings for those who engage in high-risk sexual activities.

The study evaluated the frequency of syphilis testing in an urban setting, the Infectious Diseases clinic of St. John Hospital and Medical Center in Detroit, Mich., during 2011. It also sought to determine which demographic or care-related characteristics increase the likelihood that HIV-positive patients are tested for syphilis.

Advertisement
The clinic treated 220 HIV-positive patients during 2011, 173 of whom were seen more than twice during the year and were included in this study. The mean age of study participants was 46.6, more than two thirds (122, 70.5%) were male and the majority (115, 66.5%) were African American. Almost half (86, 49.7%) of patients in the study identified as MSM.

More than half of the patients (102, 59%) were tested for syphilis. The vast majority (93, 91.2%) of these Rapid Plasma Reagin (RPR) tests were scheduled screenings, while nine (8.8%) of the tests were performed in response to a patient's symptoms or because the patient had been exposed to syphilis. Ninety of these RPR tests were negative, while 12 patients tested positive for syphilis. Three quarters (9) of these positive tests had been performed as scheduled screenings.

Those given an RPR test were somewhat younger (mean age 45 years) than those not tested (mean age 49 years, P = .022), but most other demographic characteristics -- including gender, race, sexual orientation and history of injection drug use -- were similar between the two groups.

The one statistically significant difference between those tested and those not tested was the fact that those who had had their sexual history taken were four times as likely to be tested for syphilis as those who did not have their history taken. Health care providers obtained the sexual history of 68.6% of those tested, but only did so for 32.4% of those not tested (P < .0001). However, study authors cautioned that, "Some patients may have had a sexual history obtained but not documented."

Overall, "Increased emphasis on obtaining sexual history during routine care would likely result in increased appropriate syphilis screening," the researchers concluded.

Barbara Jungwirth is a freelance writer and translator based in New York.

Follow Barbara on Twitter: @reliabletran.


Copyright © 2014 Remedy Health Media, LLC. All rights reserved.


Related Stories

Syphilis -- a Dreadful Disease on the Move
Basic Questions and Answers About Syphilis and Men Who Have Sex With Men (MSM)



This article was provided by TheBodyPRO.com. It is a part of the publication IDWeek 2014.
 


No comments have been made.
 

Add Your Comment:
(Please note: Your name and comment will be public, and may even show up in
Internet search results. Be careful when providing personal information! Before
adding your comment, please read TheBody.com's Comment Policy.)

Your Name:


Your Location:

(ex: San Francisco, CA)

Your Comment:

Characters remaining:


Please note: Knowledge about HIV changes rapidly. Note the date of this summary's publication, and before treating patients or employing any therapies described in these materials, verify all information independently. If you are a patient, please consult a doctor or other medical professional before acting on any of the information presented in this summary. For a complete listing of our most recent conference coverage, click here.

Advertisement

The content on this page is free of advertiser influence and was produced by our editorial team. See our content and advertising policies.