Danielle Giliauskas

Cost-effective strategies of testing for HIV and sexually transmitted infections (STIs)

-Coinfections and comorbidities, -HIV testing, -Organization of care, News, Rapid Responses / By

*+-Download pdf What are the best practices of cost-effective testing for HIV and bacterial STIs (chlamydia, gonorrhea, syphilis and trichomoniasis)?  Key take-home messages Rates of chlamydia, gonorrhea, and infectious syphilis have risen in Canada from 2015 to 2019 (1). An observed decrease in HIV cases has been detected recently, however a reduction in testing services …

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A review of supervised inhalation services in Canada

-Mental health or substance use, -Organization of care, -People who use drugs, News, Rapid Responses / By

*+-Download pdf Questions What supervised inhalation services are available in Canada and what are their characteristics? What are the best practices that provide evidence supporting supervised inhalation services as a harm reduction approach?  Key take-home messages Reports from different Canadian provinces (British Columbia, Ontario, and Alberta) indicate that more individuals overdose by inhaling opioids (including …

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Best practices to increase the uptake of HIV and HCV testing among people who use drugs

-Coinfections and comorbidities, -HIV testing, -Organization of care, -People who use drugs, News, Rapid Responses / By

*+-Download pdf Questions What are best practices to increase the uptake of HIV and HCV testing among people who use drugs?  Key take-home messages Interventions that provide HIV and/or HCV testing have been offered in a variety of settings. These include community settings such as outpatient drug treatment clinics (1–5), mobile clinics (6), harm reduction …

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Two computers on a table with a document in between with a man holding a pencil

An overview of Patient Advisory Councils and Community Advisory Councils in health care

-Organization of care, News, Rapid Responses / By

*+-Download pdf Questions What are the best practices, lessons learned, and limitations of Patient Advisory Councils and Community Advisory Councils in health care settings?  Key take-home messages Patient Advisory Councils and Community Advisory Councils promote patient engagement and the development of strategies and interventions to benefit the delivery of patient care; these collaborative councils are …

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A hand on a mouse with a computer nearby

A review of internet-based testing services for HIV and sexually transmitted infections (STIs)

-Coinfections and comorbidities, -HIV testing, -Organization of care, News, Rapid Responses / By

*+-Download pdf Questions What are the examples of providing internet-based HIV/STI testing services in high-income settings (both publicly and privately funded)? What is the uptake of such services and which population groups benefit from them? What are the implications of these services for access, standard of practice, quality of care, and costs?  Key take-home messages …

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A doctor's notepad that says diagnosis syphillis with some coloured pills on the page

Interventions and best practices to address increasing rates of syphilis transmission

-Coinfections and comorbidities, -Organization of care, -Women at risk, News, Rapid Responses / By

*+-Download pdf Questions What are the effective interventions and best practices to reduce syphilis transmission among various population groups?  Key take-home messages Infectious and congenital syphilis rates have seen a sharp growth in Canada since 2016 (1). The COVID-19 pandemic impact on syphilis rates is undetermined: some studies have shown that there are observed decreases …

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Microscopic image of a virus

Low-level HIV viremia: Definitions, predictors, mechanisms, and clinical outcomes

-Epidemiology and HIV care cascade, -Organization of care, News, Rapid Responses / By

*+-Download pdf Questions What are the factors associated with low-level HIV viremia? What are its possible mechanisms and clinical outcomes?  Key take-home messages The definitions of optimal viral suppression, low-level viremia, blips, virologic failure, and recommended management approaches to low-level viremia vary greatly across studies and clinical guidelines. There is controversy regarding the clinical implications …

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Two elderly hands resting on a thigh

Psychosocial needs and vulnerabilities of older gay and bisexual men

-Men who have sex with men, -Mental health or substance use, -Social determinants of health, News, Rapid Responses / By

*+-Download pdf Questions What are the psychosocial needs and vulnerabilities of older gay and bisexual men? Key take-home messages Health outcomes related to the intersectionality of aging and sexual minority status is an emerging area of research (1, 2). It is important to consider the context of lived experiences among older gay men (3, 4), …

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A requisition for an HIV test which resulted in negative and a bottle for 30 day of PrEP

Best practices of same-day HIV pre-exposure prophylaxis (PrEP) initiation

-HIV prevention, -HIV testing, -Organization of care, News, Rapid Responses / By

*+-Download pdf Questions What are the best practices (including successes and challenges) of same-day HIV pre-exposure prophylaxis (PrEP) initiation after a negative HIV test result? Key take-home messages Several clinics have implemented same-day PrEP programs and have reported that clinics offering this model of care, in general, have positive health outcomes (1–5). Studies also report …

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A calendar with the number 1 beside each day of the month

Immediate initiation of antiretroviral therapy (ART) after HIV diagnosis

-Epidemiology and HIV care cascade, -Organization of care, News, Rapid Responses / By

*+-Download pdf Questions What are the best practices (including successes and challenges) of immediate initiation of ART after HIV testing and diagnosis? Key take-home messages The benefits of beginning antiretroviral therapy (ART) soon after HIV diagnosis include improved health outcomes across a wide variety of settings (1–5) as well as decreased long term  healthcare costs …

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