1. Portlaoise STI Clinic Mullingar STI Clinic Outpatients Dept Ash Unit Midland regional Hospital Level C Portlaoise Midland regional Hospital Co Laois Mullingar 086 8591273Co Westmeath 086 4169830 Clinic operates by appointment, GP referrals and symptomatic pts are given priority Waiting list is 4-6 weeks On site Clinical Governance is provided by GUIDE clinic, St James monthly at Portlaoise since January 2016 and quick access referral pathway as required

2.  Combined chlamydia & gonnorrhoea molecular test available since March 2016 (as per BASHH)  Fully automated & validated  Advantage: Next day result  Ideal for General Practice, refrigeration not essential immediately  No penile swab from men, urine specimen adequate

3. Audit of the uptake & compliance rates of Hepatitis B vaccination at STI clinic Midland Regional Hospital Portlaoise

4.  2011 audit using the Schedule 0,1 and 6 months:  The audit identified that the time interval between doses was a barrier to attending and the subsequent lower level of compliance and follow up. Hepatitis B Vaccination Audit 2011 Total No Patients Offered Vaccine 235 Number who availed of vaccine 152 (64%) 1 st 32 (14%) 2 nd 66 (28%) 3 rd 36 (15%) 4th18 (8%) Titres (1 >100)1 (0.5%)

5.  Due to the poor uptake and level of compliance schedule was changed to 0,1,2 and booster at 12 months with subsequent titres in November 2013.  A second Audit was then carried out in 2014 and 2015 to review the uptake after the revised schedule was implemented.  From November 2013 vaccination was only offered to IDU’s, MSM’s and Heterosexuals who were not practising safer sex.

6. Hepatitis B Vaccination Audit 2014 Total No Patients Offered Vaccine 252 Number who availed of vaccine 80 (32%) 1 st 26 (10%) 2 nd 17 (7%) 3 rd 24 (9%) 4th13 (5%) Titres (16 >100) (5< 100)21 (8%)

7. Hepatitis B Vaccination Audit 2015 Total No Patients Offered Vaccine 254 Number who availed of vaccine 51 (20%) 1 st 21 (8%) 2 nd 9 (4%) 3 rd 21 (8%) 4th0 Titres 2 (4%) <100) 18 (35%) >100 20 (7.8%)

8. 201120142015 Total pts 235252254 Total vaccinated 152 (64%) 80 (32%) 51 (20%) 1st32 (14%) 26 (10%) 21(8%) 2nd66 (28%) 17 (7%) 9 (4%) 3rd36 (15%) 24 (9%) 21 (8%) 4th18 (8%) 13 (5%) 0 Titre1 (0.4%)>10 0) 21(8%) 16 (6%) >100 20 (8%) 18 (35%) >100

9.  Overall results show that compliance rates using both schedules is poor. Some of the difficulties:  Defaulting on appointment dates resulting in patients having to recommence the programme  Patients not attending to complete the vaccination programme  Patients not returning for Titres

10. Thank You Mary O’Neill Project Manager: Mary.oneill11@hse.ie Contact No: 086 8069852