Abstract



PHOTODIAGNOSIS OF GENITAL HERPES AND WARTS WITHIN A SPECIALIST ONLINE SEXUAL HEALTH SERVICE

Jessica Engen1

Adam Black1

Gillian Holdsworth1

Chris Howroyd1

Mollie Courtenay1

Paula Baraitser1,2

1.  SH:24, London

2. King's College London

Objectives: study objectives, hypotheses tested, or description of problem (max 650 characters)

Diagnosis and management of genital herpes and warts requires an intimate examination and sometimes multiple clinic attendances, with inconvenience and embarrassment for users and significant costs to the health system. We evaluated a pilot, free photodiagnosis service for genital herpes and warts with postal treatment delivered by a specialist online sexual health service to test its feasibility and acceptability

Methods: methods used, or approach taken (max 650 characters)

Routinely collected anonymised data from orders received during 2019 were analysed to describe user characteristics and clinical outcomes. A purposive sample of 15 face-to-face or telephone semi-structured interviews explored users’ perceptions and experience of the service with an inductive, thematic analysis

Results: presented in a summarized form, must include data and/or substantial information about results (max 650 characters)

The service was accessed by 237 users with assessment possible for 86% of users based on the photographs provided. A diagnosis of genital herpes or warts was made for 40.5% and 89.6% were subsequently treated online. Eighteen per cent were diagnosed as normal/not needing treatment and 42% were signposted to clinic for further clinical assessment.

Qualitative data showed that users felt able and willing to provide genital images for diagnosis. Those who were treated or reassured expressed high satisfaction with the service, valuing the convenience, discreetness and support provided.  However, users who required referral to other services requested more personal and detailed communication when a clinical diagnosis is given remotely.

Conclusion: description of the main outcomes of the study (max 650 characters).

Findings suggest that online photo-diagnosis was feasible and acceptable. However, effective and acceptable management of those who require referral needs careful remote communication.

 


26|paula@sh24.org.uk|
34 IUSTI Congress - European Congres on Sexually transmitted Infections and HIV/AIDS
TAMING THE TIDE of STIs & HIV
Bucharest, September 3-5,