The sexually transmitted infection 'check up'.
BACKGROUND
Many sexually transmitted infections (STIs) and blood borne viruses (BBV) such as HIV are asymptomatic. Early detection is important for minimising associated risks. With appropriate treatment and management (including contact tracing) it is possible to substantially reduce morbidity as well as transmission to sexual partners and the neonate.


OBJECTIVE
This paper outlines which tests should be administered to otherwise 'well' individuals. It also examines the questions of when, why and how to respond to requests for an STI 'screen' or 'check up'.


CONCLUSIONS
Testing and screening for asymptomatic STIs and BBV are important, especially in situations where proven interventions can decrease morbidity and transmission. Screening for STIs also provides the opportunity in a one-on-one consultation for health promotion. Sexually transmitted infection testing can also initiate a conversation about 'safer sex' and may help address other concerns patients may have.
Dayan
Linda
L
Sexual Health Services, Northern Sydney Health, New South Wales. ldayan@doh.health.nsw.gov.au
Ooi
Catriona
C
D006801:Humans; D008403:Mass Screening / Q000592:standards*; D012749:Sexually Transmitted Diseases / Q000175:diagnosis*