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P218 Rising STI rate in female sex workers attending an inner city dedicated clinic
  1. Elizabeth Williams1,
  2. Kim Leverett2,
  3. Vanessa Apea1
  1. 1Ambrose King Centre, Barts Health NHS Trust, London, UK
  2. 2Homerton University Hospital NHS Trust, London, UK

Abstract

Background/introduction Our GUM service has a dedicated sex worker (SW) clinic. In 2014 there was an anecdotal increase in in CT and GC diagnoses in patients attending this clinic therefore a retrospective case note review was performed to assess this observation and explore causal factors.

Aim(s)/objectives To compare number of CT/GC infections in the SW clinic in 2012 and 2014.

Methods Notes were reviewed for age, ethnicity and CT/GC codes in all patients seen in 2012 and 2014. The notes of those found to be CT or GC positive had a more detailed review for type of services offered, condom use, place of work (i.e. flat, sauna). Chi-squared test was used to calculate p value.

Abstract P218 Table 1

STI rates in female sex workers

Discussion/conclusion There was a significant increase in STIs from 2012 to 2014. In addition, concurrent CT and GC infection and repeat infections were seen in 2014, but not in 2012. This observation has guided an update in patient education materials and a more targeted approach to outreach. Possible infection clusters are being explored.

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