Publications by authors named "Oluyomi A Obafemi"
Mycoplasma genitalium (MG) is an emerging sexually transmitted infection, which appears to be a cause of urethritis and cervicitis and has been associated with pelvic inflammatory disease (PID), epididymitis, proctitis, infertility, complications during pregnancy, and human immunodeficiency virus (HIV) transmission. Three Food and Drug Administration (FDA) approved tests are available. Testing should be focused to avoid inappropriate antibiotic use.
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- Women attending sexual health clinics are at a high risk for STIs and unintended pregnancies, and while LARC (long-acting reversible contraceptives) are effective, their use in these clinics is not well documented.
- A study at the Denver Sexual Health Clinic reviewed records from 2016 to 2018 and found that only 23% of women were using LARC at their visit, with lower rates of choosing LARC when compared to short-acting methods.
- The study showed that 74.8% of women who initiated IUDs received them on the same day, and there were no cases of pelvic inflammatory disease 30 days after insertion, suggesting same-day provision is safe.
Increasing sexually transmitted infections among adolescents in the USA.
Lancet Child Adolesc Health
September 2021
Article Synopsis
- Rapid syphilis tests (RST) were implemented at outreach sites for men who have sex with men, resulting in a 64% acceptance rate among eligible clients.
- RST showed high sensitivity (90%) and specificity (98.5%), accurately identifying early syphilis cases but having a low positive predictive value (47.4%), which required some clients to undergo further testing.
- The use of RST significantly reduced the median time to treatment, with clients accepting the test receiving treatment in just 1 day on average, compared to 9 days for those who declined the test.