|Chlamydia||Consider self-collection of samples for testing.|
|Gonorrhoea||Consider self-collection of samples for testing.
If NAAT test result is positive, take swab at relevant site(s) for culture, before treatment. Cultures are the preferred test for samples from non-genital sites.
|Syphilis||If clinical suspicion of syphilis, refer to the syphilis guideline.|
|HIV||HIV status should be confirmed in anyone reporting a history of injecting drugs. Annual testing in those with an ongoing history of injecting drugs is recommended.
Repeat test if patient exposed within previous 12 weeks (window period).
|Hepatitis A||Vaccinate if not immune.|
|Hepatitis B||PWID are at high risk of hepatitis B acquisition, if not vaccinated and have not been previously exposed to the virus.
Vaccinate if not immune. Serological testing after completing vaccination is recommended.
|Hepatitis C||Hepatitis C status should be confirmed in all people reporting a history of injecting drugs. Annual testing in those with an ongoing history of injecting drugs is recommended. Hepatitis C is not considered an STI except between HIV infected men having unprotected anal sex.
If antibody positive, test for hepatitis C NAAT to determine if patient has chronic hepatitis C.
|NAAT – Nucleic Acid Amplification Test|
If test results are positive, refer to STI management section for advice on:
Even if all test results are negative, use the opportunity to: