Tuesday, 19 February 2013

Questions (699)

Aodhán Ó Ríordáin

Question:

699. Deputy Aodhán Ó Ríordáin asked the Minister for Health if he will provide a full list, in tabular form, of all locations nationwide which provide screenings for sexually transmitted infections; and if he will list the criteria for screening in each location based on gender and sexual orientation, that is, the number of screening centres for men, women and gay men and so on. [8332/13]

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Written answers (Question to Health)

Sexual health prevention and treatment services include a broad range of health care at different levels, both public and private, throughout the health care system. The main elements include prevention of sexually transmitted infections (STIs) and clinical care for those with STIs, contraception, screening for diseases such as genital chlamydia, psychosexual counselling and support, and specialised services for high-risk groups and diseases.

HSE public STI screening services are almost exclusively based in hospitals and special community clinic settings around Ireland and are free. Some GP practices and family planning services also provide STI testing services for a fee.

STI screening is provided free of charge in the following sites:

County

Address

Target Population

Dublin

GUIDE Clinic, St. James’s Hospital, Dublin 8

(Young Persons Only clinic on Thursdays)

Mater Hospital, Dublin 7

Women's Health Project

Gay Men's Health Service(GMHS)

General

(Young People)

General

Women in prostitution

MSM/Transgender

Louth

Outpatients Department, Louth County Hospital, Dundalk

Our Lady of Lourdes Hospital, Drogheda

General

General

Monaghan

Outpatients Dept, Monaghan Hospital

General

Westmeath

Midland Regional Hospital, Mullingar, Co. Westmeath

General

Laois

St Fintan’s Hospital, Portlaoise, Co. Laois

General

Cork

South Infirmary, Victoria Hospital, Cork City

Youth Health Service, Cork City

General

General

Kerry

General Hospital, Tralee, Co. Kerry

General

Waterford

Regional Hospital, Waterford City

General

Carlow

District Hospital, Carlow

General

Tipperary

South Tipperary Hospital, Clonmel, Co. Tipperary

General Hospital, Nenagh, Co. Tipperary

General

General

Limerick

Regional Hospital, Limerick City

General

Clare

General Hospital, Ennis, Co. Clare

General

Galway

University Hospital, Galway City

Portiuncula Hospital, Ballinasloe, Co. Galway

General

General

Mayo

General Hospital, Castlebar, Co. Mayo

General

Sligo

Regional Hospital, Sligo Town

General

Donegal

General Hospital, Letterkenny, Co Donegal

General

The criteria for screening is as follows:

Female Screening Criteria

Symptomatic

Asymptomatic

Or Clinical signs of infection

Or contact of STI

- Vaginal

- Gram stain

- Wet Vaginal Prep – TV

- High Vaginal swab

- GC Culture

- Cervical

- Gram stain

- Cervical CTNG

Consider Pharyngeal and rectal CTNG in conjunction with Sexual History

No clinical signs of infection

- Cervical CTNG

Wait for results

No Need to wait for results

Bloods: All patients HIV Ab, Syphilis Serology, Hep BsAg,

In addition for IVDU: Hep A IgG, HepBcAb, Hep C Ab.

Male Screening Criteria

Symptomatic

Asymptomatic

Or Clinical signs of infection

Or contact of STI

- Urethral Smear

- Gram stain

- GC Culture

- FVU

No clinical signs of infection

- FVU

Wait for results

No Need to wait for results

Bloods: for all patients HIV Ab, Syphilis Serology, Hep BsAg,

In addition for IVDU and MSM Hep A IgG, HepBcAb, Hep C Ab

Male Screening Criteria – MSM’s Only

Symptomatic

Asymptomatic

Or Clinical signs of infection

Or contact of STI

- Urethral Smear

- Gram stain

- GC Culture

- FVU

- Pharyngeal CTNG

- CG Culture

- Rectal

- Gram stain

- GC Culture

- CTNG

No clinical signs of infection

- FVU

- Pharyngeal CTNG

- Rectal CTNG

Wait for results

No Need to wait for results

Bloods: HIV Ab, Syphilis Serology, Hep BsAg, HepBcAb,

Hep A IgG, Hep C Ab