title: Sexual health care of HIV-positive patients: an audit of a local service.
abstract: The sexual health care of 175 HIV-positive patients attending the two HIV clinics at Barts and the London NHS Trust was audited for the first time. The audit standard was that 100% of patients should be in receipt of a sexual health screen within six months of their first HIV out-patient appointment. Overall, 44.5% of patients had a sexual health screen, of which 46 (60.5%) were diagnosed with a sexually transmitted infection. Those screened were younger than those who were not. Five factors were identified which were significantly associated with not having a genitourinary screen performed; site of HIV care, setting of HIV diagnosis, stage of HIV disease, specialty of HIV physician and whether a screen was recommended by the HIV physician. A number of recommendations have been implemented to improve the uptake of sexual health screening amongst HIV-positive patients.
authors.affiliation: Department of Infection & Immunity, Barts and the London NHS Trust, St Bartholomew's Hospital, West Smithfield, London EC1A 7BB, UK. jane.hutchinson@bartsandthelondon.nhs.uk
authors.forename: Jane
authors.initials: J
authors.lastname: Hutchinson
authors.forename: Penny
authors.initials: P
authors.lastname: Goold
authors.forename: Hugh
authors.initials: H
authors.lastname: Wilson
authors.forename: Kevin
authors.initials: K
authors.lastname: Jones
authors.forename: Claudia
authors.initials: C
authors.lastname: Estcourt
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities / Q000592:standards*; D005260:Female; D015658:HIV Infections / Q000453:epidemiology* / Q000517:prevention & control; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000592:standards* / Q000706:statistics & numerical data; D008485:Medical Audit; D010818:Practice Patterns, Physicians'; D012189:Retrospective Studies; D012749:Sexually Transmitted Diseases / Q000175:diagnosis* / Q000517:prevention & control; D006113:United Kingdom / Q000453:epidemiology