People in correctional facilities

Overview

Testing advice

InfectionConsideration
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.
HIV Repeat test if patient exposed within previous 12 weeks (window period).

Syphilis

If clinical suspicion of syphilis, refer to the syphilis  guideline.
Hepatitis A Vaccinate if not immune.
Hepatitis B

Vaccinate if not immune.

Serological testing after hepatitis B vaccination should be considered in correctional facilities.

Hepatitis C If antibody positive, test for hepatitis C NAAT to determine if patient has chronic hepatitis C.
NAAT – Nucleic Acid Amplification Test

Specimen collection

Clinician collected |
Self-collection

Clinical indicators for testing

  • All people should have a risk assessment for sexual health and BBV infection on admission to prison by appropriately trained staff.
  • All people should be able to access advice and screening for STIs and BBVs.
  • It is not recommended to routinely test for herpes and genital warts with serology. Consider testing for herpes and genital warts only if there are clinical signs and symptoms.

Special considerations

Pregnancy test where appropriate.

Follow up

If testing results are positive, refer to STI management section for advice: Even if all test results are negative, use the opportunity to:

  • Educate about condom use and risk minimisation
  • Vaccinate for hepatitis A and B, if susceptible
  • Discuss and activate reminders for regular screening tests according to risk, especially if their behaviors indicate the need for more frequent testing.

Auditable outcomes

  • 100% of individuals tested for STIs and blood-borne viruses in first week of admission to prison
  • 100% of individuals positive for an STI are appropriately managed.
Last Updated: Monday, 16 February 2015