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- W2325508162 abstract "<h3>Background</h3> A walk-in weekly men’s sexual health clinical service, provided by a male clinical team, was established in 2006. <h3>Methods</h3> We analysed new patient episodes at a dedicated men’s sexual health clinic in Alexandra Township, South Africa over 6 years (2007–2012). STI syndromes were treated immediately and all men were offered urine-based molecular screening for <i> Neisseria gonorrhoeae</i> (NG), <i> Chlamydia trachomatis</i> (CT), <i> Trichomonas vaginalis</i> (TV) and <i> Mycoplasma genitalium</i> (MG) infections and serological screening for syphilis. Clinical and laboratory data were analysed using STATA<sup>TM </sup>version 10. <h3>Results</h3> Among the 876 new clinical episodes, the most common presentations were genital warts (432, 49.5%), male urethritis syndrome (188, 21.6%) and genital ulceration (82, 9.4%). The proportion of patients attending for genital wart treatment increased over time. Few men (51, 5.9%) presented as sexual contacts. The patients’ peak age range was 25–29 years; only 40 (4.6%) men were < 20 years old. HIV testing history was provided by 871 men: 156/430 (36.3%) men who knew their serostatus were HIV positive but 441 (50.6%) had never tested. Laboratory testing of 822 urine specimens detected 108 (13.1%) NG, 100 (12.2%) CT, 51 (6.2%) TV and 68 (8.3%) MG infections. The syndromic approach alone would not have treated 16 (14.8%) NG, 57 (57.0%) CT, 46 (90.2%) TV and 49 (72.1%) MG infections. NG/CT infections were most prevalent among those aged 18–19 years old (34.5% and 17.2%, respectively); in contrast, TV/MG infections were most prevalent in the 35–39 year old age group (1.7% and 11.8%, respectively). The prevalence of rapid plasma reagin seroreactivity was 2.2%. Overall condom use was 16.9% with regular partners and 52.5% with non-regular partners. <h3>Conclusion</h3> Asymptomatic STIs, poor clinic attendance by youth, poor uptake of HIV testing by men and low rates of condom use with partners remain challenges for STI management in South Africa." @default.
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- W2325508162 date "2013-07-01" @default.
- W2325508162 modified "2023-09-25" @default.
- W2325508162 title "O08.6 Do You Have an STI? Findings from a Dedicated Men’s Sexual Health Clinic in Alexandra Township, South Africa" @default.
- W2325508162 doi "https://doi.org/10.1136/sextrans-2013-051184.0130" @default.
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