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Sexual health service update 2011
Dr Jean Irvine
Consultant
Sandyford
Laboratory tests
What have the advances been?
Dual testing for gonorrhoea and chlamydia
‘Architect’ machine for BBV testing
Molecular testing for syphilis
Impact…
Self-taken swabs
More tests on one swab
More on one blood
PREFERRED SAMPLE
VULVOVAGINAL SWAB
What to do in practice?
… FOR WOMEN
Asymptomatic female
HIV/syphilis blood
Chlamydia/GC testing according to risk:
(Self)-vaginal NAAT
PRIMARY CARE VAGINAL DISCHARGE PROTOCOL
CT/GC NAAT
BV- bacterial vaginosisVVC- vulvovaginal candidaCT/GC NAAT- Chlamydia/Gonorrhoea molecular testGUM- genitourinary medicine clinic
5m = £10.00
5 pence per test
Symptomatic female with recurrent/problematic discharge
Speculum & pH
Gram-film
Endocx GC/CT NAAT
HIV/syphilis blood
High vag swab
Genital ulcer RT-PCR test
HSV type 1
HSV type 2
Treponema pallidum
Over to you…
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