Resources

Past Presentation
Training

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:

Date added: June 1, 2023