Malawi: Malawi Girl Child Raped and Infected With HIV
[Malawi24]Imagine a 11 year old girl Malawian child being repeatedly raped by a 45 year old man. A month later the girl is discovered to have gonorrhoea and after the truth unfolds police arrests the man.
This study aimed to characterize HIV prevalence and care cascade among MSM and TGW in Kigali. METHODS: MSM and TGW ≥ 18 years were recruited using respondent-driven sampling (RDS) from March-August 2018 in Kigali. Participants underwent a structured interview including measures of individual, network and structural determinants. HIV and sexually transmitted infections (STI) including syphilis, Neisseria gonorrhoea (NG) and Chlamydia trachomatis (CT) were tested. Viral load was measured for MSM living with HIV. Robust Poisson regression was used to characterize the determinants of HIV infection and eng...
Conclusions Our model suggests that the introduction of a gel-PSI could have benefits for controlling gonorrhea transmission among GBM, even in scenarios where the gel-PSI is considerably less efficacious than condoms and when gel-PSI uptake leads to consequent reductions in consistent condom use.
Nature Reviews Urology, Published online: 14 September 2020; doi:10.1038/s41585-020-00378-5Antimicrobial resistance in Neisseria gonorrhoeae compromises gonorrhoea treatment worldwide. Novel and optimized treatments and/or treatment strategies that effectively eradicate the infection with low selection of resistance are imperative. A new prospective clinical study provides further evidence that resistance-guided treatment of gonorrhoea with single-dose oral ciprofloxacin is efficacious in relevant settings and can reduce the selection pressure for resistance.
Report notes increase in diagnoses of sexually transmitted infections (n=468,342, increase 5%), gonorrhoea (n=70,936; 26%), syphilis (n=7,982; 10%), and Mycoplasma genitalium (5,311; 196%) since 2018, but decreases in first episode genital warts in 15 to 17 year olds.
Annual STI cases are up by 5%, with 70,936 new gonorrhoea diagnoses driving the increase.
There were 70,936 cases of the sexually transmitted infection in England and Wales last year, the highest number since records began in 1918. It marks a 26 per cent increase from 2018.
Diagnoses of gonorrhoea in England rose by 26% between 2017 and 2018. Pharmacy teams can help prevent transmission and promote good sexual health practices through identifying patients at risk.
ConclusionsWith no alternative antimicrobial treatment options for gonorrhoea and only a few new drugs in the development pipeline, it is necessary to monitor drug resistance and optimize treatment regimens regularly. Moreover, investigations for novel drugs should be wired.
Eline van Dulm, Elske Marra, Michelle M. Kroone, Anna E. van Dijk, Arjan A. Hogewoning, Maarten F. Schim van der Loeff Female sex workers are at risk for sexually transmissible infections. However, the risk for these infections might differ according to the work location of these sex workers. We found that work location was indeed a risk factor for genital and rectal chlamydia and rectal gonorrhoea; these infections occurred more frequently among women working as escorts/homeworkers or in clubs/brothels/private houses/massage salons compared with window prostitution. These findings emphasise the need for extra att...