scholarly journals Feasibility and acceptability of point-of-care testing for sexually transmissible infections among men and women in mobile van settings

Sexual Health ◽  
2015 ◽  
Vol 12 (1) ◽  
pp. 71 ◽  
Author(s):  
Elizabeth A. Hesse ◽  
Lea E. Widdice ◽  
Sherine A. Patterson-Rose ◽  
Sarah St. Cyr ◽  
Laura Dize ◽  
...  
Keyword(s):  
General Population ◽  
Point Of Care ◽  
Point Of Care Testing ◽  
Transmitted Infection ◽  
Men And Women ◽  
Sexually Transmitted ◽  
Sexually Transmissible Infections ◽  
Doctor's Office ◽  
Infected Participant ◽  
Near Patient Testing

To demonstrate the feasibility and acceptability of mobile point-of-care and near-patient testing for sexually transmissible infections, we offered services during an annual community event and surveyed event-goers. Forty-two participants were tested. When provided with options, the majority of participants chose point-of-care or near-patient testing. Trichomoniasis, chlamydia and gonorrhea were detected. All but one infected participant were notified and prescribed treatment. Participants responding to a written questionnaire reported sample self-collection and testing in a van as acceptable, although men reported self-collection in a van as less acceptable than a doctor’s office. Providing mobile point-of-care and near-patient sexually transmitted infection testing to the general population is feasible and acceptable.

scholarly journals Integrating syphilis screening in a large-scale HIV prevention program for key populations: the Avahan experience from India

2013 ◽  
Vol 7 (06) ◽  
pp. 484-488 ◽  
Author(s):  
Mugundu Ramien Parthasarathy ◽  
Prakash Narayanan ◽  
Anjana Das ◽  
Anup Gurung ◽  
Parimi Prabhakar ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Prevention Program ◽  
Large Scale ◽  
Point Of Care ◽  
Key Populations ◽  
Immunochromatographic Strip ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Syphilis Screening ◽  
Strip Test

Introduction: Documented experiences from India on the implementation of syphilis screening in large-scale HIV prevention programs for “key populations at higher risk’ (KPs) are limited. Avahan is a large-scale HIV prevention program providing services to more than 300,000 KPs in six high HIV prevalence states of India since 2004. Avahan clinics provide a sexually transmitted infection service package which includes bi-annual syphilis screening. The trends in the coverage of syphilis screening among Avahan clinic attendees were studied retrospectively. Methodology: Screening was performed using either the Rapid Plasma Reagin (RPR) test or point-of-care immunochromatographic strip test (ICST). Clinic records from 2005 to 2009 were collated in an individual tracking database and analyzed with STATA-10. Results: Initially the coverage of syphilis screening (2.6% in 2005) was constrained by the availability and operational complexity of the RPR test. After its introduction in 2007, the use of ICST for screening increased from 7.4% to 77.0% and the proportion of clinic attendees screened increased from 9.0% to 21.6% during 2007-2009. The RPR reactivity rates declined from 6.6% (2006) to 4.4% (2009). Conclusion: The data showed improved rates of screening of clinic attendees and declining trends in sero-reactivity over time. The introduction of point-of-care syphilis tests may have contributed to the improved coverage of syphilis screening. The ICST may be considered for initial syphilis screening at other resource-constrained primary care sites in India such as ante-natal clinics and other KP interventions.

Could point-of-care testing be effective for reducing the prevalence of trichomoniasis in remote Aboriginal communities?

Sexual Health ◽  
2014 ◽  
Vol 11 (4) ◽  
pp. 370
Author(s):  
Ben B. Hui ◽  
James Ward ◽  
Louise Causer ◽  
Rebecca J. Guy ◽  
Matthew G. Law ◽  
...  
Keyword(s):  
Mathematical Modelling ◽  
Older Women ◽  
Point Of Care ◽  
Indigenous Communities ◽  
Treatment Programs ◽  
Point Of Care Testing ◽  
Aboriginal Communities ◽  
Sexually Transmissible Infections ◽  
High Prevalence ◽  
The Impact

High prevalence of trichomoniasis is reported for many remote Indigenous communities despite intensive screening and treatment programs. Mathematical modelling has previously been used to show that point-of-care (POC) testing for gonorrhoea and chlamydia has the potential to increase the impact of screening in reducing the prevalence of these sexually transmissible infections. The study was extended to estimate the impact of a rapid POC test for trichomoniasis. The results suggest that POC testing in place of conventional testing will also provide additional reductions in trichomoniasis prevalence. However, more emphasis should be placed on testing for trichomoniasis in older women due to the high prevalence observed in this group.

scholarly journals Point-of-Care Sexually Transmitted Infection Diagnostics

2017 ◽  
Vol 44 (4) ◽  
pp. 211-218 ◽  
Author(s):  
Anthony D. Cristillo ◽  
Claire C. Bristow ◽  
Rosanna Peeling ◽  
Barbara Van Der Pol ◽  
Sasha Herbst de Cortina ◽  
...  
Keyword(s):  
Sexually Transmitted Infection ◽  
Point Of Care ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Infection Diagnostics

scholarly journals Advancing prevention of sexually transmitted infections through point-of-care testing: target product profiles and landscape analysis

2017 ◽  
Vol 93 (S4) ◽  
pp. S69-S80 ◽  
Author(s):  
Igor Toskin ◽  
Maurine Murtagh ◽  
Rosanna W Peeling ◽  
Karel Blondeel ◽  
Joanna Cordero ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Point Of Care ◽  
Landscape Analysis ◽  
Target Product ◽  
Point Of Care Testing ◽  
Sexually Transmitted

Factors associated with sexually transmitted infection diagnosis in women who have sex with women, women who have sex with men and women who have sex with both

2020 ◽  
pp. sextrans-2020-054561
Author(s):  
Nazia Rahman ◽  
Khalil G Ghanem ◽  
Elizabeth Gilliams ◽  
Kathleen R Page ◽  
Susan Tuddenham
Keyword(s):  
Substance Use ◽  
Binge Drinking ◽  
Trichomonas Vaginalis ◽  
Transmitted Infection ◽  
Men And Women ◽  
Sti Prevention ◽  
Sexually Transmitted ◽  
Lower Test ◽  
Sex With Men ◽  
Use Factors

IntroductionMany US women report same sex behaviour, yet data on risk factors and STIs in women who have sex with women (WSW), women who have sex with both men and women (WSB) and how these compare to women who have sex with men only (WSM) remain limited. Here we compared self-identified WSW, WSB and WSM attending two STI clinics in Baltimore, Maryland.MethodsThis was a retrospective analysis using a database of first clinic visits 2005–2016. WSW and WSB were compared with an age-matched random sample of WSM. Proportions were compared using the χ2 test. Acute STI (aSTI) was defined as gonorrhoea (Neisseria gonorrhoeae, GC), chlamydia (Chlamydia trachomatis, CT), trichomonas (Trichomonas vaginalis, TV) or early syphilis. Logistic regression was used to assess aSTI predictors. CT testing was not uniformly done, so a sensitivity analysis removing CT from the aSTI definition was conducted.ResultsVisits from 1095 WSW, 1678 WSB and 2773 WSM were analysed. WSB had equal or higher test positivity for all STIs except urogenital chlamydia, had more sexual partners, were more likely to engage in transactional sex and were more likely to report drug use and binge drinking than WSM (p≤0.01). WSW had lower test positivity for urogenital GC and CT than WSM or WSB, but comparable test positivity for TV, higher reported binge drinking and comparable reported substance use as WSM. Younger age and cocaine use predicted STI diagnosis only in WSM.ConclusionsWSB in these clinics bear an equal or higher burden of most STIs, have more partners and report more substance use than WSM. WSW carry a lower, but still substantial burden of STIs, and many report substance use. Factors predicting STI diagnosis differ between WSW, WSB and WSM suggesting that tailored STI prevention and testing approaches are needed in these groups.

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