{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:13:23Z","timestamp":1761513203002,"version":"build-2065373602"},"reference-count":13,"publisher":"CSIRO Publishing","issue":"1","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":4188,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,3,26]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>We performed a prospective audit of screening for asymptomatic sexually transmissible infections (STIs), during an intensive effort to screen all patients at our hospital-based HIV clinic. We aimed to measure the effectiveness and resource implications of our screening program. Methods: All outpatients who attended during an 8-month period were invited to take part in opt-out screening for chlamydia (Chlamydia trachomatis), gonorrhoea (Neisseria gonorrhoeae) and syphilis. Participants completed a brief questionnaire, were asked about current symptoms of STIs and self-collected specimens for laboratory testing. Results: The majority (535 out of 673, 80%) of the patients who were asked to participate provided specimens for screening. No chlamydia, gonorrhoea or syphilis infections were identified in women (n = 91) or in heterosexual men (n = 76). In contrast, 34 out of 368 (10%) of men who have sex with men tested positive (chlamydia, 25; gonorrhoea, 2; chlamydia and gonorrhoea, 2; syphilis, 5). The laboratory cost of diagnosing each case of rectal chlamydia or gonorrhoea (NZ$664) was substantially lower than the cost of diagnosing each case of urethral infection (NZ$5309). Conclusions: There was high uptake of screening among our clinic population, who preferred screening to be performed at the hospital clinic. The yield of screening men who have sex with men warrants continued annual screening for rectal gonorrhoea and chlamydia and for syphilis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh13167","type":"journal-article","created":{"date-parts":[[2014,3,11]],"date-time":"2014-03-11T21:59:09Z","timestamp":1394575149000},"page":"67-72","source":"Crossref","is-referenced-by-count":2,"title":["Uptake, yield and resource requirements of screening for asymptomatic sexually transmissible infections among HIV-positive people attending a hospital outpatient clinic"],"prefix":"10.1071","volume":"11","author":[{"given":"Stephen","family":"Ritchie","sequence":"first","affiliation":[{"name":"AAdult Infectious Disease Service, Auckland District Health Board, Auckland 1023, New Zealand."},{"name":"BDepartment of Molecular Medicine and Pathology, University of Auckland, Auckland 1023, New Zealand."},{"name":"DCorresponding author. Email: s.ritchie@auckland.ac.nz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Henley","sequence":"additional","affiliation":[{"name":"AAdult Infectious Disease Service, Auckland District Health Board, Auckland 1023, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jackie","family":"Hilton","sequence":"additional","affiliation":[{"name":"CAuckland Sexual Health Service, Auckland District Health Board, Auckland 1023, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rupert","family":"Handy","sequence":"additional","affiliation":[{"name":"AAdult Infectious Disease Service, Auckland District Health Board, Auckland 1023, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joan","family":"Ingram","sequence":"additional","affiliation":[{"name":"AAdult Infectious Disease Service, Auckland District Health Board, Auckland 1023, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Mundt","sequence":"additional","affiliation":[{"name":"AAdult Infectious Disease Service, Auckland District Health Board, Auckland 1023, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitzi","family":"Nisbet","sequence":"additional","affiliation":[{"name":"AAdult Infectious Disease Service, Auckland District Health Board, Auckland 1023, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Thomas","sequence":"additional","affiliation":[{"name":"AAdult Infectious Disease Service, Auckland District Health Board, Auckland 1023, New Zealand."},{"name":"BDepartment of Molecular Medicine and Pathology, University of Auckland, Auckland 1023, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Briggs","sequence":"additional","affiliation":[{"name":"AAdult Infectious Disease Service, Auckland District Health Board, Auckland 1023, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2014,3,12]]},"reference":[{"key":"2025102617093374800_R1","first-page":"1","article-title":"Incorporating HIV prevention into the medical care of persons living with HIV.","volume":"52","author":"Centers for Disease Control and Prevention, Health Resources and Services Administration, National Institutes of Health, Infectious Diseases Society of America.","year":"2003","journal-title":"Morb Mortal Wkly Rep"},{"key":"2025102617093374800_R2","doi-asserted-by":"crossref","unstructured":"Fakoya A, Lamba H, Mackie N, Nandwani R, Brown A, Bernard EJ, et al. UK guidelines for the management of sexual and reproductive health (SRH) of people living with HIV infection. London: British HIV Association; 2008. Available online at: http:\/\/www.bhiva.org\/UKGuidelines2008.aspx [verified February 2014].","DOI":"10.1111\/j.1468-1293.2008.00634.x"},{"key":"2025102617093374800_R3","doi-asserted-by":"publisher","first-page":"1053","DOI":"10.1086\/515654","article-title":"Hormonal contraception, sexually transmitted diseases, and risk of heterosexual transmission of human immunodeficiency virus type 1.","volume":"178","author":"Martin","year":"1998","journal-title":"J Infect Dis"},{"key":"2025102617093374800_R4","doi-asserted-by":"publisher","first-page":"333","DOI":"10.1086\/427262","article-title":"Contribution of HIV-1 infection to acquisition of sexually transmitted disease: a 10-year prospective study.","volume":"191","author":"McClelland","year":"2005","journal-title":"J Infect Dis"},{"key":"2025102617093374800_R5","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001230","article-title":"Interventions to modify sexual risk behaviors for preventing HIV infection in men who have sex with men.","author":"Johnson","year":"2002","journal-title":"Cochrane Database Syst Rev"},{"key":"2025102617093374800_R6","doi-asserted-by":"publisher","first-page":"404","DOI":"10.1258\/095646207781024793","article-title":"Screening for rectal chlamydia infection in a genitourinary medicine clinic.","volume":"18","author":"Ivens","year":"2007","journal-title":"Int J STD AIDS"},{"key":"2025102617093374800_R7","doi-asserted-by":"publisher","first-page":"200","DOI":"10.1258\/ijsa.2007.007131","article-title":"Testing rates for sexually transmitted infections among HIV-infected men who have sex with men attending two different HIV services.","volume":"19","author":"Teague","year":"2008","journal-title":"Int J STD AIDS"},{"key":"2025102617093374800_R8","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1097\/OLQ.0b013e3182354e81","article-title":"High prevalence of sexually transmitted infections in HIV-infected men during routine outpatient visits in the Netherlands.","volume":"39","author":"Heiligenberg","year":"2012","journal-title":"Sex Transm Dis"},{"key":"2025102617093374800_R9","doi-asserted-by":"publisher","first-page":"771","DOI":"10.1097\/OLQ.1090b1013e3181e50058","article-title":"STD screening of HIV-infected MSM in HIV clinics.","volume":"37","author":"Hoover","year":"2010","journal-title":"Sex Trans Dis"},{"key":"2025102617093374800_R10","first-page":"71","article-title":"Audit of cervical screening in women with HIV infection in the Auckland and Northland regions of New Zealand.","volume":"123","author":"Grewal","year":"2010","journal-title":"N Z Med J"},{"key":"2025102617093374800_R11","doi-asserted-by":"publisher","first-page":"424","DOI":"10.1258\/095646207781024720","article-title":"Improvement in screening for sexually transmitted infections in HIV-positive patients following implementation of a nurse-led clinic.","volume":"18","author":"Hamlyn","year":"2007","journal-title":"Int J STD AIDS"},{"key":"2025102617093374800_R12","doi-asserted-by":"publisher","first-page":"646","DOI":"10.1097\/QAD.1090b1013e3283504bbf","article-title":"Low prevalence of asymptomatic sexually transmitted infections in HIV-infected heterosexuals visiting an HIV clinic in the Netherlands.","volume":"26","author":"Heiligenberg","year":"2012","journal-title":"AIDS"},{"key":"2025102617093374800_R13","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1111\/hiv.12020","article-title":"Retrospective study of the effect of enhanced systematic sexually transmitted infection screening, facilitated by the use of electronic patient records, in an HIV-infected cohort.","volume":"14","author":"Brook","year":"2013","journal-title":"HIV Med"}],"container-title":["Sexual Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/11\/1\/67\/1254851\/sh13167.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/11\/1\/67\/1254851\/sh13167.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:09:40Z","timestamp":1761512980000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/sh\/article\/11\/1\/67\/184911\/Uptake-yield-and-resource-requirements-of"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,3,12]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2014,3,26]]}},"URL":"https:\/\/doi.org\/10.1071\/sh13167","relation":{},"ISSN":["1448-5028","1449-8987"],"issn-type":[{"type":"print","value":"1448-5028"},{"type":"electronic","value":"1449-8987"}],"subject":[],"published":{"date-parts":[[2014,3,12]]}}}