GULSHAN K. SETHI

Genital Herpes

GULSHAN K. SETHI

Herpes simplex virus (HSV) is a common infection in the genital area and is usually associated with type 2 HSV. Painful grouped vesicles are characteristic, and the problem can recur in some patients. Atypical lesions occur in the immunosuppressed, and there are …

Chlamydial Infection

GULSHAN K. SETHI

Chlamydial infection accounts for almost half of all sexually transmitted infections (STIs) in the United Kingdom. Up to 80% are asymptomatic, but may include abnormal bleeding, vaginal discharge, and pain. Lymphogranuloma venereum (LGV) is uncommon in women outside the developing world, being …

Other Sexually Transmitted Infections

GULSHAN K. SETHI

The vulva may be involved in some other less common sexually transmitted infections and in ectoparasite infestations. Infections with chancroid, donovanosis, and mycoplasma are discussed together with molluscum contagiosum, scabies, and pubic lice.

Gonorrhoea

GULSHAN K. SETHI

Neisseria gonorrhoeae is a gram-negative diplococcus which infects the urethra, cervix, anorectum, and pharynx. In women, genital infection may spread to the surrounding areas including the paraurethral and Bartholin's glands, the fallopian tubes, and the endometrium. Disseminated disease can cause many complications. …

HIV Infection and Vulval Disease

GULSHAN K. SETHI

Ulcerative sexually transmitted infections are associated with a higher incidence of HIV acquisition. There is an association with herpes simplex infection and also HPV-related disease, including not only genital warts but also intraepithelial neoplasia.

Scholarship, teaching practice and educational responsibility: Issues in designing and implementing a quality improvement and evidence-based practice module in the undergraduate curriculum

Anne McKee, GULSHAN K. SETHI, Joe Esland, Hannah Wright et autres

As part of a review of the undergraduate medical curriculum at King's College London, a module preparing students to undertake a quality improvement project (QIP) was developed. Using an illuminative evaluation method, the successes and challenges of the module were identified. The …

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United Kingdom British association for sexual health and HIV national guideline for the management of epididymo-orchitis, 2020

Mimie Chirwa, Olubanke Davies, Sheena Castelino, Mbiye Mpenge et autres

The British Association for Sexual Health and HIV (BASHH) UK guideline for the management of epididymo-orchitis has been updated in 2020. It offers advice on diagnostic tests, treatment and health promotion principles in the effective management of epididymo-orchitis. Empirical treatment should be …

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Implementing Mycoplasma genitalium testing across a London-based sexual health service: A quality improvement project

H Khan, Vardah Alam, Lucia Yin, Laura Tincknell et autres

Recent national guidelines recommended testing for Mycoplasma genitalium (MG) in clinically-indicated conditions (CIC) including non-gonococcal urethritis (NGU), pelvic inflammatory disease (PID) and epididymo-orchitis. Over five months in 2018 a quality improvement project (QIP) was carried out across three London sexual health clinics …

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114 Leading a quality improvement project across a London-based sexual health service

Vardah Alam, Lucia Yin, Laura Tincknell, Emma Wallis et autres

Background Recent BASHH Guidelines recommend testing for Mycoplasma genitalium (MG) in clinically indicated conditions (CIC); non-gonococcal urethritis (NGU); epididymo-orchitis; pelvic inflammatory disease (PID). The aim of this quality improvement project was to ensure that 100% of clinically indicated patients were tested for …

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Implementing undergraduate quality improvement

Martha Martin, Ann Wylie, Louise Dubras, Anne McKee et autres

BACKGROUND: All clinicians need to have knowledge and expertise to undertake quality improvement (QI). In 2016, a London medical school initiated a core QI and evidence-based practice module for fourth-year students. We describe the structure and content of the module and analyse …

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Occurrence and impact of domestic violence and abuse in gay and bisexual men: A cross sectional survey

Loraine Bacchus, Ana Maria Buller, Giulia Ferrari, T. J. Peters et autres

This cross-sectional survey measured adult experience and perpetration of negative and potentially abusive behaviours with partners and its associations with mental and sexual health problems, drug and alcohol abuse in gay and bisexual men attending a UK sexual health service. Of 532 …

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Domestic violence and abuse in gay and bisexual men attending a sexual health clinic: pilot testing of an educational support intervention for sexual health practitioners

Loraine Bacchus, Ana Maria Buller, T. J. Peters, Karen M. Devries et autres

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