Impact of deploying multiple point-of-care tests with a 'sample first' approach on a sexual health clinical care pathway. A service evaluation.

Objectives: To assess clinical service value of STI point-of-care test (POCT) use in a 'sample first' clinical pathway (patients providing samples on arrival at clinic, before clinician consultation). Specific outcomes were: patient acceptability; whether a rapid nucleic acid amplification test (NAAT) for (CT/NG) could be used as a POCT in practice; feasibility of non-NAAT POCT implementation for (TV) and bacterial vaginosis (BV); impact on patient diagnosis and treatment.

Methods: Service evaluation in a south London sexual health clinic.

Seven years of teenage pregnancy in an inner London genitourinary medicine service - a retrospective cohort study.

Young people attending genitourinary medicine services are at high risk of unplanned pregnancy. We performed a retrospective cohort study to identify characteristics of pregnant teenagers accessing an inner London genitourinary medicine service. There were 481 pregnancies in 458 teenagers with 54 previous pregnancies and 46 previous terminations of pregnancy.

Renal impairment is associated with coronary heart disease in HIV-positive men.

Background: Chronic kidney disease is a risk factor for coronary heart disease (CHD). The association between renal impairment and CHD in HIV-positive patients remains poorly described.

Objective: To describe the CHD incidence in a cohort of HIV-positive patients and to examine the relationship between reduced estimated glomerular filtration rate (eGFR) and incident CHD.