-Coinfections and comorbidities

E.g. HCV, STIs

doxycycline pills

Doxycycline prophylaxis for the prevention of bacterial sexually transmitted infections (STIs)

-+*Download pdf Questions  Key take-home messages The issue and why it’s important In Canada, bacterial STIs are a significant public health concern as incidence rates have risen markedly since 2010 (21). Between 2010 and 2019, the number of reported cases of chlamydia, syphilis, and gonorrhea all increased, by 33.1%, 393.1%, and 181.7%, respectively (21). One …

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A liver, pills, and a close-up of the HCV virus

Best practices to increase engagement and retention in hepatitis C care among people who use drugs

-+*Download pdf Question  Key take-home messages The issue and why it’s important Hepatitis C virus (HCV) is transmitted when the blood of an infected person comes into contact with the blood of an uninfected person (23). Approximately 25% of individuals spontaneously clear the virus after infection; however, the majority of individuals go on to develop …

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

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

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

-+*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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Interventions and best practices to address increasing rates of syphilis transmission

-+*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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Effectiveness of and best practices for using contingency management and incentives for health care issues related to HIV, sexually transmitted infections (STIs), and pre-exposure prophylaxis (PrEP)

-+*Download pdf Question What is the effectiveness of and what are the best practices for using contingency management and incentives for health care issues such as HIV, STIs, and PrEP?  Key take-home messages Using contingency management and incentives at the different steps of HIV care continuum (such as testing, treatment adherence, viral suppressions) is widely …

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A syringe and pills beside a tag labelled 'Hepatitis C'

Effectiveness of and best practices for using contingency management and incentives in hepatitis C infection among people who use drugs

-+*Download pdf Questions What is the effectiveness of and what are the best practices for using contingency management and incentives to support linkage to care and treatment for hepatitis C infection among people who use drugs?  Key take-home messages Recent studies in Canada have indicated that hepatitis C virus (HCV) treatment uptake among individuals who …

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Testing interventions for HIV and sexually transmitted infections (STIs) among young men who have sex with men

-+*Download pdf Questions What are effective interventions to increase uptake of HIV and sexually transmitted infections (STIs) testing among young men who have sex with men?  Key take-home messages In Canada in 2018, 63% of all HIV diagnoses among youth were attributed to gay, bisexual, and other men who have sex with men (1); similarly, …

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The risk of HIV among women after acquiring a sexually transmitted infection (STI) and considerations for their use of PrEP

-+*td {vertical-align:top !important; padding: 20px !important;} Download pdf Questions What is the current evidence among women in high-income countries regarding HIV risk after acquiring a sexually transmitted infection (STI)? What does the evidence state regarding the use of pre-exposure prophylaxis (PrEP) to prevent HIV among women who have acquired an STI?  Key take-home messages A …

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