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P08.16 Risk profile of patients diagnosed with a sexually transmitted infection (sti): a comparison of patients consulting general practices (gp) and specialised sexual health clinics (shc) in belgium, 2013
  1. R Verbrugge1,
  2. V Van Casteren2,
  3. S Moreels2
  1. 1Scientific Institute of Public Health, Epidemiology of Infectious Diseases, Belgium
  2. 2Scientific Institute of Public Health, Health Care Research, Belgium

Abstract

Introduction Assuming that STI patients visiting SHC have different risk profiles triggered STI surveillance by GP. The aim was to compare patient characteristics and to explore the contribution of the different health care settings to STI control.

Methods STI surveillance exists since 2000 by voluntary participation of gynaecologists, dermatologists, medical centres for sex workers (SW), STI clinics, and aids reference centres (ARC), collecting socio-demographic, testing and behavioural data. They are defined as SHC.

In order to compare STI patients consulting GP and SHC, the GP sentinel network was invited to participate STI surveillance in 2013. Chi2-test for proportions was used to test for significant differences.

Results GP (N = 160) and SHC (N = 30) reported respectively 158 and 855 episodes.

Patients did not differ in gender, age, education and STI diagnosis.

GP patients consulted because of a STI plaints (GP: 67%; SHC: 42%), SHC performed more screening (GP: 17%, SHC: 36%). SHC patients mentioned more multi partnership (GP: 36%; SHC: 73%) and used more condoms (GP: 20%; SHC: 46%). The proportion of MSM, SW and drug users was higher in SHC (resp. GP: 39%, SHC: 66%; GP: 1%, SHC: 15%; GP: 0%, SHC: 3%). The proportion of MSM by STI, with exception of genital warts, was always higher in SHC and was strongest for syphilis (GP: 60%, SHC: 92%).

Conclusion STI patients were analogue for age and gender in the 2 types of health care settings. GP screened less for STI and diagnosis was made in case of a particular plaint. High risk groups (MSM, SW and drug users) were more seen in SHC than in the GP network,. The probable lower risk profile of GP patients could be dedicated to lower STI knowledge and risk awareness, by as well GP and patient not belonging to a known risk group. GP training in STI consulting and opportunistic screening with risk factor awareness and strengthen condom use in general are recommended.

Disclosure of interest statement Nothing to Declare.

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