Testing for urethral gonorrhoea not indicated in asymptomatic men
Recent overseas contact add serology for HIV, syphilis and Hep B
If IVDU include Hep C
Asymptomatic women
First void urine for Chlamydia
Serology optional according to risk and request
Testing for gonorrhoea not required if asymptomatic
Speculum not required, but if taking CST can take a cervical swab for chlamydia over a first pass urine
Recent overseas contact or IVDU offer serology including Hep C for latter, as well as endocervical or high vaginal swab for gonorrheoa and vaginal swab for trichomonas culture
Asymptomatic men who have sex with men
Urine Chlamydia
Serology for HIV, Syphilis, Hep B if status unknown
Throat swab for gonorrhoea
Anal swabs for gonorrhoea and chlamydia if practicing receptive anal sex
Sex workers
Frequency determined by state legislation
Victoria, monthly
Must have genital examination but can be external
Urine/anal swabs for chlamydia, swabs for gonorrhoea and trichomonas
Serology for HIV and syphilis, check Hep B and immunise if not already immune
Pharyngeal for gonorrhoea warranted if have unprotected receptive oral sex
MBBS, BBioMedSci(Hons), DipParamedSc(Ambulance).
Kane is a father, husband, nerd and all round nice guy. He founded several Meducation sites, including Critically Caring, Ward Ready and of course Generally Practicing. In his spare time he enjoys playing with his son, wife and two greyhounds. He lives in Mildura, Victoria, Australia and is passionate about online medical education platforms.
