Syphilis Response: Best Practices in Indian Country | March 13, 2024
Date of Presentation: March 13, 2024
Type: Past Presentation Training
Audience: Clinical
Keywords: #infectious disease #sexual health #sti #syphilis
In this presentation, Ashley Hoover, MPH, and Gwenda Gorman, highlight best practices for responding to the rise of syphilis in Indigenous communities. First, Ashley discusses an opportunity to provide comprehensive clinic assessments, which include interview-style assessments covering topics related to the STI/HIV/HCV and SUD syndemic. Then, Ashley and Gwenda provide 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, the Indian Health Service Chief Medical Officers recommendations, testing algorithms including non-treponemal and treponemal approaches, rapid/point-of-care tests available, 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). Finally, Ashley reviews the management and treatment of syphilis & congenital syphilis, post-treatment follow-up, the latest on the penicillin shortage, Jarisch-Herxheimer Reaction, 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:
Gwenda Gorman | Ashley Hoover, MPH
Gwenda Gorman, is the Health and Human Services Director for the Inter Tribal Council of Arizona
Ashley Hoover, MPH, is the Syndemic Support Director at the Northwest Portland Area Indian Health Board
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)
- StopSyphilis.org (NPAIHB)
- Syphilis Response: Best Practices (Presentation Slides)
- Rapid Syphilis Testing and Immediate Treatment for High-Risk Patients (Policy)
- Guidance for the use of doxycycline post-exposure prophylaxis (DoxyPEP) for bacterial sexually transmitted infection prevention (IHS)
- Toolkit for Express STI Testing (Toolkit)
- Syphilis Field Based Treatment (Policy/Protocol)
- Field Based Treatment - Treatment of Anaphylaxis (Protocol)
Date added: February 15, 2024