{"title":"S08.4 Four questions arising from three digital approaches to STI testing: reflections on digital care as it develops and is mainstreamed","authors":"P. Baraitser","doi":"10.1136/SEXTRANS-2021-STI.41","DOIUrl":"https://doi.org/10.1136/SEXTRANS-2021-STI.41","url":null,"abstract":"","PeriodicalId":301606,"journal":{"name":"Symposium presentations","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114999050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"S03.2 What is the role of quinolone resistance testing in the management of M. genitalium?","authors":"G. Murray","doi":"10.1136/SEXTRANS-2021-STI.27","DOIUrl":"https://doi.org/10.1136/SEXTRANS-2021-STI.27","url":null,"abstract":"","PeriodicalId":301606,"journal":{"name":"Symposium presentations","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127458025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Lozupone, B. Palmer, C. Neff, E. Yamada, S. Li, T. Campbell
{"title":"S01.4 Immune activation by the gut microbiome in HIV positive and negative men who have sex with men; potential implications for transmission and disease pathogenesis","authors":"C. Lozupone, B. Palmer, C. Neff, E. Yamada, S. Li, T. Campbell","doi":"10.1136/SEXTRANS-2021-STI.22","DOIUrl":"https://doi.org/10.1136/SEXTRANS-2021-STI.22","url":null,"abstract":"Bacterial vaginosis (BV), high diversity vaginal microbiota, and presence of specific BV-associated bacteria have been associated with an increased risk of reproductive outcomes including pelvic inflammatory disease, miscarriage, and preterm birth. The effects of BV and vaginal microbiota on fecundity and fertility in the context of non-medically assisted reproduction is not yet fully characterized. In this session, we will summarize what is known about the relationship between vaginal microbiota disruption and fertility among infertile populations undergoing in-vitro fertilization, discuss results from a recently published study assessing BV and fecundability – the per menstrual cycle probability of pregnancy – among Kenyan women trying to conceive, and identify key considerations for future studies of how the vaginal microbiota may influence conception, implantation, and early pregnancy.","PeriodicalId":301606,"journal":{"name":"Symposium presentations","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116415437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"S08.2 Self-testing and e-STI: the Dutch experience with home-based and internet-based services and transformation into effective implementation","authors":"E. O. D. Coul","doi":"10.1136/SEXTRANS-2021-STI.38","DOIUrl":"https://doi.org/10.1136/SEXTRANS-2021-STI.38","url":null,"abstract":"The main STI-healthcare providers in the Netherlands are GPs and sexual health clinics (SHCs). SHCs offer free-of-charge STI-care for key-populations. At the same time, Internet-based STI-test and home-sampling offers increase, offering new opportunities for a blended, more efficient, low threshold service. Currently, SHCs and national partners are reshaping sexual healthcare for young people and other key-populations, using a stepped-care model (SCM). The SCM is based on the principal that not all individuals need the same level of STI-care: some may be helped by online self-assessment tools (sense.info, Advies.chat) and a home sampling-kit and others need support by a professional. NoMoreC and Limburg4zero are regional e-STI services for MSM, developed by SHCs, and co-created with MSM communities, healthcare professionals and other stakeholders, based on a scientific/theoretical framework. NoMoreC targets high-risk MSM for HCV-prevention and offers anonymous, low cost, home-sampled HCV-testing. Limburg4zero provides home-sampling for HIV/STI testing as an extension of regular STI-care including peer-to-peer sharing, and e-counselling on e.g. chemsex and PrEP. Opportunities Community involvement is essential to reach the right target groups Personalized e-STI advice and test-options provide a viable alternative for those preferring autonomic testing, and can saves costs The HCV-test service appeared especially suitable for MSM using PrEP who arrange their own STI-care e-STI should deliver prevention messages for those who tested negative Challenges Quality assurance of test procedures (e.g. quality of the test, which test is offered) is a topic that should be high on the agenda Implementation is only effective when based on a clear theoretical/scientific framework Sustainability of regional e-STI initiatives is challenging; most are financed by research grants and broader/sustainable expansion may need governmental funding Tracking linkage-to-care is challenging in interventions with anonymous participation Return rates of home-sampling kits may be improved through digital innovations","PeriodicalId":301606,"journal":{"name":"Symposium presentations","volume":"47 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131828955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"S05.4 Amplifying the voices of young people in global south to accessible and affordable sexual reproductive health and rights services in the effort to curb STIs","authors":"I. Ogeta","doi":"10.1136/SEXTRANS-2021-STI.33","DOIUrl":"https://doi.org/10.1136/SEXTRANS-2021-STI.33","url":null,"abstract":"","PeriodicalId":301606,"journal":{"name":"Symposium presentations","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122618835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"S02.3 Molecular testing for STI antimicrobial resistance: tackling a moving target","authors":"D. Whiley","doi":"10.1136/SEXTRANS-2021-STI.24","DOIUrl":"https://doi.org/10.1136/SEXTRANS-2021-STI.24","url":null,"abstract":"","PeriodicalId":301606,"journal":{"name":"Symposium presentations","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125116273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}