determine risk with sexual history
MSM: 3 monthly screen
ATSI: <35 not in stable long term monogamous relationship, pregnant. consider trichomonas and donovanosis testing in some areas
Pregnant: first antenatal visit
Sex workers: same STI rates as pop. regular screening recommended.
screen anyone who:
- request STI testing.
- are at increased risk of STI: new sexual partner, living or travelling to areas of higher prevalence in Australia or in other countries.
- have a known exposure to any STI or history of an STI within the past 12 months.
- are a partner of special subpopulation (listed above) or any of above
Blood test:
- HIV: Ag/Ab test - Repeat if recent exposure (6-week window period if Ag/Ab test).
- Syphilis serology - If recent exposure, repeat at 12 weeks
- Hep B - establish stats and immunise if not documented
Urethral first pass urine (FPU)/ Self-collected vaginal swab: