Syphilis Response: Best Practices in Indian Country | April 26, 2023
Date of Presentation: April 26, 2023
Type: Past Presentation Training
Audience: Clinical
Keywords: #infectious disease #sexual health #sti #syphilis
In this presentation, Andrew Yu, MS, BSN, RN, ACRN, and Cody Knight, MPH, highlight best practices for responding to the rise of syphilis in Indigenous communities. Andrew provides an overview of syphilis (including the natural history of untreated syphilis, primary/secondary/latent/tertiary and congenital syphilis, as well as the neurologic manifestations of syphilis), the current epidemiology, rapid/point-of-care tests available, testing algorithms including non-treponemal and treponemal approaches, as well as testing options for I/T/U clinics to implement (via standing orders, express STI testing services, in-home specimens collection, and expanded screening). Andrew then reviews the management and treatment of syphilis & congenital syphilis, Jarisch-Herxheimer Reaction, post-treatment follow-up and field based screening and treatment strategies, allergies, DoxyPEP, how our EHRs can be leveraged to improve screening, case management approaches, and discusses how we can communicate with and provide incentives to our communities to best respond to the rise in syphilis in Indian Country.
Recording:
Presented by:
Andrew Yu | Cody Knight
Andrew Yu, BSN, RN, ACRN, is the National HIV/HCV/STI Clinical Coordinator at Indian Health Service Headquarters, Division of Clinical & Community Services
Joshua “Cody” Knight serves as the HIV program coordinator of the Oklahoma Area Tribal Epidemiology Center. As the HIV Program Coordinator, he supports and works with Tribal organizations to provide guidance and technical assistance surrounding HIV treatment and prevention policies, procedures, and other related inquiries as made by citizens, providers, and Tribal leaders. Cody leads a team of staff responsible for program development, implementation, and evaluation. He is an appointed member of both state and national groups working on policy and prevention surrounding HIV, HCV, and STIs in Indian Country. Cody earned a Master of Public Health degree from the University of Oklahoma Hudson School of Public Health, and is certified in public health by the National Board of Public Health Examiners. He also earned a Bachelor of Science in Biomedical Science from the University of Central Oklahoma and an Associate of Science from Northern Oklahoma College.
Resources Provided:
- Dual Rapid HIV-Syphilis Test (McKesson)
- I Want the Kit (STI/HIV Home test kit)
- Rapid Syphilis Test (McKesson)
- Syphilis and Drug User Health Webinar Series (NASTAD)
- Syphilis Resource Hub
- Syphilis Screening Using the Reverse Algorithm (CDC)
- "Why Some Injection Drug Users Lick Their Needles: A Preliminary Survey" (National Library of Medicine)
- Syphilis Response: Best Practices (Presentation Slides)
- Toolkit for Express STI Testing (Toolkit)
- Syphilis Field Based Treatment (Policy/Protocol)
- Field Based Treatment - Treatment of Anaphylaxis (Protocol)
- Rapid Syphilis Testing and Immediate Treatment for High-Risk Patients (Policy)
Date added: March 30, 2023