People living with HIV are affected disproportionally by STI and STI infected individuals are more susceptible to HIV infection. This applies especially to men who have sex with men (MSM), transgender persons and sex workers. In this presentation, current issues of concern in the clinical management of STI and HIV are discussed. We need to de-silo STI care and HIV care. Preventive measures in both fields are required to break chains of infection and synergy is needed on the health care provider level. The currently developed NAAT tests promise faster availability of results and will become true point of care tests. This will enable infection management (including counselling, treatment and contact tracing) while the patient waits during a single consultation, further limiting ongoing transmission. Treatment of STI will remain a point of concern in the coming years, either due to emerging antimicrobial resistance or drugs shortages.
Henry de Vries is a dermatologist and Professor of skin infections. In addition to his work at the Amsterdam UMC (location AMC), he works at the Public Health Service (GGD Amsterdam) and is expert at the Dutch Institute for Public Health (RIVM). He is expert in clinical, epidemiological and diagnostic aspects of STI and emerging tropical skin infections.
His research topics are: cutaneous leishmaniasis, leprosy, STI in men who have sex with men (MSM), biomedical and behavioural interventions to curb HIV and STI transmission, gonorrhoea, lymphogranuloma venereum, and HPV related anal dysplasia.