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• W2330484423 abstract "<h3>Background</h3> In Ireland the prevalence of STI’s is steadily increasing while the number of new HIV-diagnoses in MSM has more than doubled in the past decade. International guidelines recommend annual STI screening for MSMs regardless of reported history, with more frequent screening recommended for at-risk individuals. This study investigates prevalence of STIs in asymptomatic HIV-infected MSM in the largest HIV-centre in Dublin. <h3>Methods</h3> A retrospective analysis was performed via electronic patient record review. Pharyngeal, urethral and rectal testing for Gonorrhoea (Gc) and Chlamydia (CT) was performed using validated nucleic acid amplification techniques. <h3>Results</h3> Fifty HIV-infected MSM were included in the study (mean age [SD] 38 years [9], 66% Irish). Mean [SD] number of sexual partners in the preceding 12 months was 8 [13]. By subject report 10% were abstinent, 40% always used condoms, 42% used codoms inconsistently while 4% reported never using condoms. Thirty-nine (78%) were on HAART and 38 (97%) were virally suppressed. Eight (16%) tested positive for an STI. Two (25%) were documented as having two concurrent STIs and two (25%) were not on HAART. Gc was detected in all 8 positive screens (4 cases of rectal and 4 cases of pharyngeal Gc). There were 2 cases of rectal CT which occurred with a concurrent positive rectal Gc. Younger age [29 vs. 40 years, p < 0.001] was the only independent predictor of positive STI screen. <h3>Conclusion</h3> Sixteen percent of HIV-infected MSMs screened were diagnosed with an STI. 46% of HIV-infected MSM reported unprotected sexual activity. Recognising a need to optimise provision and delivery of STI screening, a pilot self-screening programme has been successfully introduced to our HIV-clinic. Our study highlights the importance of screening for asymptomatic STI’s and the need for increased educational interventions targeting unsafe sexual-behaviour as a means of disease prevention." @default.
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• W2330484423 date "2013-07-01" @default.
• W2330484423 modified "2023-09-25" @default.
• W2330484423 title "P3.127 High Prevalence of Asymptomatic Sexually Transmitted Infections (STIs) in HIV-Infected Men Who Have Sex with Men (MSM) in Ireland: Strategies to Improve Screening" @default.
• W2330484423 doi "https://doi.org/10.1136/sextrans-2013-051184.0586" @default.
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