Syphilis Response: Best Practices in Indian Country | October 6, 2023
Date of Presentation: October 6, 2023
Type: Past Presentation Training
Audience: Clinical
Keywords: #infectious disease #sexual health #sti #syphilis
In this presentation, Andrew Yu, MS, BSN, RN, ACRN, and Ashley Hoover, MPH, 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, 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, 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, Andrew then 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.
Recordings:
Presented by:
Andrew Yu | Ashley Hoover
Andrew Yu, BSN, RN, ACRN, is the National HIV/HCV/STI Clinical Coordinator at Indian Health Service Headquarters, Division of Clinical & Community Services
Ashley Hoover, MPH, is the STI/HIV/HCV Epi and Clinical Support Manager 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)
- Comprehensive STI/HIV/HCV Facility Assessments (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: June 1, 2023