Audit of the management of the syphilis outbreak in Herefordshire 2011

Audit of the management of the syphilis outbreak in Herefordshire 2011–2013

Published:2014-06-09 Issue:5 Volume:26 Page:357-359
ISSN:0956-4624
Container-title:International Journal of STD & AIDS
language:en
Short-container-title:Int J STD AIDS

Author:

Cox Joanna H¹,Elliott Enid²,Sivaprakasam Venkat³,Chima-Okereke Catherine²

Affiliation:

1. College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK

2. Sexual Health Services, Wye Valley NHS Trust, Hereford, UK

3. Department of Microbiology, Wye Valley NHS Trust, Hereford, UK

Abstract

The objective of this audit was to evaluate a localised rural outbreak of syphilis against British Association of Sexual Health and HIV guidelines. Forty-nine cases were identified; 98% were men, and 88% were men who have sex with men (MSM). There was a low incidence of HIV co-infection (18%). All standards regarding monitoring and treatment were met, whereas the standard concerning contact tracing was narrowly missed, highlighting a number of issues and areas for improvement. This audit has highlighted that a proactive approach is necessary to identify cases of syphilis in rural communities. This is due to difficulties in outreach testing and contact tracing in the absence of designated meeting places for MSM.

Publisher

SAGE Publications

Subject

Infectious Diseases,Pharmacology (medical),Public Health, Environmental and Occupational Health,Dermatology

Link

http://journals.sagepub.com/doi/pdf/10.1177/0956462414538771

Reference8 articles.

1. Rapid increase in gonorrhoea and syphilis diagnoses in England in 2011

2. UK National Guidelines on the Management of Syphilis 2008

3. Variations in the epidemiology of primary, secondary and early latent syphilis, England and Wales: 1999 to 2008

4. UK National Audit of Early Syphilis Management. Case-notes audit: contact tracing, information giving, follow-up and outcomes

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