Search

No vaccines and few chemoprophylaxis options exist for the prevention of bacterial sexually transmitted infections (STIs) (specifically syphilis, chlamydia, and gonorrhea). These infections have increased in the United States and disproportionately affect gay, bisexual, and other men who have sex with men (MSM) and transgender women (TGW). In three large randomized controlled trials, 200 mg of doxycycline taken within 72 hours after sex has been shown to reduce syphilis and chlamydia infections by >70% and gonococcal infections by approximately 50%. This report outlines CDC's recommendation for the use of doxycycline postexposure prophylaxis (doxy PEP), a novel, ongoing, patientmanaged biomedical STI prevention strategy for a selected population. CDC recommends that MSM and TGW who have had a bacterial STI (specifically syphilis, chlamydia, or gonorrhea) diagnosed in the past 12 months should receive counseling that doxy PEP can be used as postexposure prophylaxis to prevent these infections. Following shared decision-making with their provider, CDC recommends that providers offer persons in this group a prescription for doxy PEP to be self-administered within 72 hours after having oral, vaginal, or anal sex. The recommended dose of doxy PEP is 200 mg and should not exceed a maximum dose of 200 mg every 24 hours. Doxy PEP, when offered, should be implemented in the context of a comprehensive sexual health approach, including risk reduction counseling, STI screening and treatment, recommended vaccination and linkage to HIV PrEP, HIV care, or other services as appropriate. Persons who are prescribed doxy PEP should undergo bacterial STI testing at anatomic sites of exposure at baseline and every 3-6 months thereafter. Ongoing need for doxy PEP should be assessed every 3-6 months as well. HIV screening should be performed for HIV-negative MSM and TGW according to current recommendations. [ABSTRACT FROM AUTHOR]

These guidelines for the treatment of persons who have or are at risk for sexually transmitted infections (STIs) were updated by CDC after consultation with professionals knowledgeable in the field of STIs who met in Atlanta, Georgia, June 11-14, 2019. The information in this report updates the 2015 guidelines. These guidelines discuss 1) updated recommendations for treatment of Neisseria gonorrhoeae, Chlamydia trachomatis, and Trichomonas vaginalis; 2) addition of metronidazole to the recommended treatment regimen for pelvic inflammatory disease; 3) alternative treatment options for bacterial vaginosis; 4) management of Mycoplasma genitalium; 5) human papillomavirus vaccine recommendations and counseling messages; 6) expanded risk factors for syphilis testing among pregnant women; 7) one-time testing for hepatitis C infection; 8) evaluation of men who have sex with men after sexual assault; and 9) two-step testing for serologic diagnosis of genital herpes simplex virus. Physicians and other health care providers can use these guidelines to assist in prevention and treatment of STIs. [ABSTRACT FROM AUTHOR]

The article discusses the rising use of methamphetamine, injection drugs, and heroin among women and heterosexual men with primary and secondary syphilis in the U.S. in 2013-2017. Topics covered include increasing syphilis transmission among heterosexual methamphetamine users, but not among men who have sex with men (MSM), and drug users' possible decreased health care use. Also noted is the potential of substance use disorder interventions in sexually transmitted disease (STD) clinics.

The article discusses human immunodeficiency virus (HIV) transmission patterns in the low morbidity state of Wisconsin in 2014-2017. Topics covered include molecular linkage to at least one other person by one in three persons with a reported HIV sequence, the linkages' occurrence among persons with common race, transmission risk, and ages, with the greatest being among blacks, men who have sex with men (MSM) and the 20-29 age group. Also noted are the patterns' reflection of national analysis.

The changes not only won Initiative the sportswear titan's business outside of North America but also led to the agency taking the Amazon Web Services global performance marketing business from Dentsu's Merkle. Media Agency of the Year Initiative Nike's global media review was one of the biggest planning and buying assignments awarded last year, and Interpublic Group of Cos'. [Extracted from the article]

The availability of antiretroviral therapy has changed the course of human immunodeficiency virus (HIV) disease progression, and as a result the face of HIV in the UK is ageing. Men who have sex with men remain disproportionately affected. Those who have lived into older age with HIV, as well as those older men that are newly diagnosed with the virus, are at risk of a range of non acquired immune deficiency syndrome-related co-morbidities, resulting in the need for care not only in HIV specialist settings but also in other areas of healthcare provision. This article examines some of the issues that nurses caring for people ageing with HIV in non-HIV healthcare settings may encounter. Particular attention is paid to issues that affect older HIV-positive men who have sex with men. [ABSTRACT FROM AUTHOR]

The article reports that researchers at the International AIDS Conference in Washington, D.C. calls for HIV prevention efforts to be scaled-up for men who have sex with men (MSM) across low-middle- and high-income countries.

The article reports on a study which indicates that providing pre-exposure prophylaxis (PrEP) medication could help reduce the risk of HIV infection in men who have sex with other men.

The article discusses strategies to reduce the incidence of sex while using psychoactive drugs, known as chemsex.

The article discusses a study, led by Monica E. Patton and published in the April 15, 2014 issue of the journal "Clinical Infectious Diseases," on lack of testing of men who have sex with men (MSM) for extragenital gonorrhea and chlamydia infections.

The article reports that the U.S. Advisory Committee on Immunization Practices does not recommend any change to meningococcal vaccinations among men who have sex with other men (MSM) despite a reported outbreak of the disease in New York City from August 2010 to February 2012.

The article discusses a study by M. Witt published in a 2013 issue of the journal "Clinical Infectious Diseases," findings of which show the occurrence of high hepatitis C virus (HCV) transmission rates among men who have sex with men (MSM) early in the human immunodeficiency virus (HIV) epidemic.

The article reports on a September 2011 decision which health ministers from England, Scotland and Wales made to lift a ban on blood donation by men who have sex with men.

The article reveals that researchers at the University of Melbourne in Australia have found that young men who have sex with men were willing to receive the human papillomavirus (HPV) vaccine if provided for free.

The article discusses research on the identification of HIV infections among African American men who have sex with other men (MSM), referencing a study by the U.S. Centers for Disease Control and Prevention (CDC) published in a 2014 issue of the journal "Morbidity and Mortality Weekly Report."

The article discusses research being done on the sources of transmitted drug-resistant HIV among men who have sex with men, which references a study by S. Drescher published in a 2013 issue of "Clinical Infectious Diseases."

The article reports on the unchanged rate of human immunodefiency virus (HIV) infection among men who have sex with men (MSM) in England and Wales between 2001 and 2010 based on a report from the journal "The Lancet Infectious Diseases."

The article reports on the lack of association between human immunodefiency virus (HIV) infection and bone mineral density (BMD) in men who have sex with men (MSM) based on a study by M. Grijsen et al. published in the "Journal of Infectious Diseases" in 2013.

The article discusses a report in "Morbidity and Mortality Weekly Report" that as of December 31, 2012, 18 cases of invasive serogroup C Neisseria meningitidis disease were identified among men who have sex with men (MSM) in New York City. According to data, the incidence rate of invasive meningococcal disease among MSM aged 18-64 years in 2012 was 12.6 per 100,000 persons. Among the 18 patients identified, nine were from Brooklyn while nine also were African Americans.

The article reports on the emergence of male-to-male sexual contact as the most common transmission mode for HIV infections among people in major metropolitan areas in the U.S.

The article reports on a study which found that 16 percent of men who have sex with men with HIV have unprotected sex with an HIV-discordant partner.

The article reports on a study on the cost-effectiveness of pre-exposure prophylaxis among men who have sex with men and transwomen.

The article discusses a research study on seroprevalence of hepatitis E virus among men who have sex with men (MSM), conducted by W. Liu and colleagues and presented at the September 2012 Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC) held in San Francisco, California.

The article discusses the research conducted by researchers at the Harvard School of Public Health on the increased resistance to ciprofloxacin in Neisseria gonorrhea among men who have sex with men (MSM).

The article discusses the research conducted by researcher Alexandra Oster and colleagues at Centers for Disease Control & Prevention (CDC) shows that HIV testing rates increased among young men who have sex with men (MSM).

The article discusses the study presented by Dr. Stefan D. Baral at the International AIDS Society (IAS) Conference on the structural factors that pose major challenges for reducing the HIV burden in men who have sex with men (MSM).

The article discusses the research on the racial disparities with the HIV transmission potential among men who have sex with men (MSM).

The article offers news briefs related to research in communicable diseases including gender-based violence related to mortality in women with HIV, antiretroviral therapy (ART) treatment led to better dyslipedemia treatment, and black men who have sex with men (MSM) are likely to have HIV.

A decision to lift the lifetime ban on blood donation from men who have sex with men could help kick-start a new HIV/AIDS awareness campaign, senior nurses have said. [ABSTRACT FROM AUTHOR]

The article discusses research on the transmission of hepatitis C virus through sexual intercourse among HIV-infected men who have sex with men in New York City, by D. Fierer and colleagues, published in "MMWR."

The article reports on a study which found that treatment with oral emtricitabine plus tenofovir disoproxil fumarate provided partial protection against HIV in men who have sex with men.