Red Book - STIs

Question 1

STIs - who is low-average risk and what is recommended?

Answer 1

Heterosexual ASx <30yo

If requesting STI check, recommend FPU (first 20mL at least 20 mins since last void) or cervical/genital swab for CHLAMYDIA PCR

STI guidelines recommend
Chlamydia and gonorrhoea FPU or swab for NAAT + HIV Ag/Ab, syphilis serology

Question 2

STIs - Who is medium-high risk and what is recommended?

Answer 2

<20yo or rural/remote

Chlamydia +/- gonorrhoea and syphilis

STI guidelines suggest 6 monthly and inc. BV + trichomoniasis

Question 3

STIs - ATSI are higher risk - what is recommended?

Answer 3

Chlamydia, gonorrhoea, syphilis, HIV and Hep A+B if not vaccinated/immune (+ offer vaccination) - annually

STI guidelines suggest chlamydia/gonorrhoea/trichomoniasis FPU or swab (consider self-collect) and syphilis/ HIV/Hep B bloods

Question 4

STIs - Who is at highest risk and what is recommended?

Answer 4

IVDU, sex workers and MSM

STI guidelines suggest chlamydia/gonorrhoea and HIV/syphilis/Hep A+B+C

Offer HepA+B vaccination if not immune

Question 5

What additional STI testing considerations apply to men who have sex with men?

Answer 5

Chlamydia and gonorrhoea testing should include oropharyngeal and anorectal swabs in addition to FPU

Testing is recommended every 3 months