{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:41:42Z","timestamp":1777927302383,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,2,10]],"date-time":"2020-02-10T00:00:00Z","timestamp":1581292800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:p>The revised British Association of Sexual Health and HIV UK guidelines on the management of syphilis were published in 2015 and this audit measures performance against those standards and recommendations. Although not included in the guideline recommendations, an exploratory question on clinics\u2019 HIV testing policy was also included. The audit was conducted over a two-month period in 2017 in genitourinary medicine (GUM) clinics across the UK of cases presenting in 2016. A total of 161 GUM clinics participated, and data were collected for 3017 cases. The standard for adherence to recommended treatment was met (97%, standard: 97%) and almost met for documented pre-treatment syphilis serology (95%, standard: 97%). Even though only 74% of patients had a documented action in relation to informing sexual contacts (standard: 97%), the standard for contacts seen and tested per index case within four weeks was met (0.9, standard: 0.6). Finally, those clinics with a formal policy on HIV testing after a syphilis diagnosis were twice as likely to test after the HIV window period, compared to clinics without a policy; a concurrent HIV diagnosis was made in 75 (3%) patients. More work is required to standardize documented delivery of effective partner notification and a formal policy on HIV testing appears to be effective.<\/jats:p>","DOI":"10.1177\/0956462419896706","type":"journal-article","created":{"date-parts":[[2020,2,11]],"date-time":"2020-02-11T01:48:58Z","timestamp":1581385738000},"page":"375-379","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Improved results demonstrated in the 2017 national audit of early syphilis management in the United Kingdom"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0227-2152","authenticated-orcid":false,"given":"AS","family":"Menon-Johansson","sequence":"first","affiliation":[{"name":"Guy\u2019s and St Thomas\u2019 Hospitals NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Curtis","sequence":"additional","affiliation":[{"name":"British HIV Association, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Mohammad","sequence":"additional","affiliation":[{"name":"Public Health England, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Hamlyn","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Hughes","sequence":"additional","affiliation":[{"name":"GSTT, Guys Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"McClean","sequence":"additional","affiliation":[{"name":"Royal Society of Medicine, Cheshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Pal","sequence":"additional","affiliation":[{"name":"Berkshire Healthcare Foundation Trust, Garden Clinic, Upton Hospital, Slough, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Tayal","sequence":"additional","affiliation":[{"name":"Virgin Care, Stockton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"AK","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,2,10]]},"reference":[{"key":"bibr1-0956462419896706","unstructured":"Public Health England. Syphilis epidemiology in London \u2013 sustained high numbers of cases in men who have sex with men. PHE publications gateway number: 2016199, https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/547072\/london_syphilis_report.pdf (2016, accessed 14 December 2019)."},{"key":"bibr2-0956462419896706","unstructured":"Holmes KK, Sparling PF, Stamm WE, et\u00a0al. Sexually transmitted disease. 4th ed. New York: McGraw-Hill Companies, 2008."},{"key":"bibr3-0956462419896706","doi-asserted-by":"publisher","DOI":"10.1177\/0956462415624059"},{"key":"bibr4-0956462419896706","unstructured":"LimeSurvey, Hamburg, Germany, www.limesurvey.org (2016, accessed 14th December 2019)."},{"key":"bibr5-0956462419896706","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000000366"},{"key":"bibr6-0956462419896706","doi-asserted-by":"publisher","DOI":"10.1177\/0956462412472804"},{"key":"bibr7-0956462419896706","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2003.005165"},{"key":"bibr8-0956462419896706","unstructured":"Public Health England. Data from the GUMCAD STI surveillance system. Sexually transmitted infections (STIs: annual data tables. Table 7: STI diagnoses and contact notification, 2012 to 2016), https:\/\/www.gov.uk\/government\/statistics\/sexually-transmitted-infections-stis-annual-data-tables (2016, accessed 14 December 2019)."},{"key":"bibr9-0956462419896706","unstructured":"Public Health England. Addressing the increase in syphilis in England: PHE Action Plan, https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/806076\/Addressing_the_increase_in_syphilis_in_England_Action_Plan_June_2019.pdf?_ga=2.203087186.253384129.1566914200-315759577.1533245517 (2019, accessed 14 December 2019)."},{"key":"bibr10-0956462419896706","doi-asserted-by":"publisher","DOI":"10.1258\/095646206776790187"}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462419896706","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0956462419896706","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462419896706","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:40:17Z","timestamp":1777675217000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0956462419896706"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,10]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,3]]}},"alternative-id":["10.1177\/0956462419896706"],"URL":"https:\/\/doi.org\/10.1177\/0956462419896706","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,10]]}}}