Feasibility of screening for Chlamydia trachomatis in young men attending an emergency department

Sood, Tara; Sally, Deirdre; Spencer, Nicholas; Banerjee, Anirban; Hinchley, Geoff

doi:10.1136/emj.2007.054155

Cited by 4 publications

(3 citation statements)

References 11 publications

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“…Many studies have examined universal screening for chlamydia and gonorrhea in the ED, 5-7,27-30 with some arguing that age-based screening is cost-effective. 31,32 Despite these studies, we are unaware of any ED's doing routine age-based gonorrhea/chlamydia screening, though our ED and others now conduct routine age-based HIV screening.…”

Section: Discussionmentioning

confidence: 99%

Computerized Self-Interviews Improve Chlamydia and Gonorrhea Testing Among Youth in the Emergency Department

Ahmad

Jeffe

Plax

et al. 2014

Annals of Emergency Medicine

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Study Objective National guidelines recommend annual Chlamydia trachomatis and Neisseria gonorrhea screening for sexually active youth at-risk for infection. These infections have serious sequelae in women if untreated, and methods to improve testing are needed. We hypothesized that an electronic method of identifying at-risk youth would significantly increase testing for these sexually transmitted infections during emergency department (ED) visits. Methods We developed an audio-enhanced computer-assisted self-interview (ACASI) to obtain sexual histories from ED patients and an embedded decision-tree to create an STI testing recommendation. ED healthcare providers were prompted via the electronic medical record to review the participant answers and testing recommendations, and to offer testing to at-risk youth. Patients 15-21 years old visiting the St. Louis Children's Hospital ED, regardless of complaint, were eligible for participation. Results STI testing among all 15-21 year old ED patients increased from 9.3% in the three months prior to the ACASI, to 17.8% during the eight-month period the ACASI was available, and diminished to 12.4% in the three months after ACASI withdrawal (P<0.001). During the ACASI period we approached 51.4% of eligible patients and enrolled 59.8% (800/1337) of those approached. Among ACASI participants, 52.4% (419/800) received a recommendation to receive STI testing. Of these, 52.7% (221/419) received testing in the ED, and 18.1% (40/221) of those tested were positive for chlamydia and/or gonorrhea, 55% of whom (22/40) had chief complaints unrelated to STIs. Most (89%) participants rated the ACASI easy to use. Conclusions STI testing in the ED significantly increased during ACASI use and diminished after withdrawal. The ACASI was well accepted by youth and holds promise for enhancing STI testing in the ED.

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Section: Discussionmentioning

confidence: 99%

Computerized Self-Interviews Improve Chlamydia and Gonorrhea Testing Among Youth in the Emergency Department

Ahmad

Jeffe

Plax

et al. 2014

Annals of Emergency Medicine

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“…Unlike females, males do not routinely consult a doctor about their sexual health and contraception 31 unless symptomatic or alerted through partner notification systems. Awareness within general practice and emergency departments 32 of opportunistic screening of males who present acutely for other reasons would help boost screening, particularly given the ease of screening based on urine sampling. In general, however, males, particularly healthy young males in the age groups at most risk, access healthcare infrequently.…”

Section: Discussionmentioning

confidence: 99%

Chlamydia trachomatis in Tasmania 2001–2007: rising notification trends

Stephens¹,

O'Sullivan²,

Coleman³

et al. 2010

Australian and New Zealand Journal of Public Health

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Objectives: To investigate trends in notification rates of Chlamydia trachomatis in Tasmania, Australia, by population sub‐groups, from 1 January 2001 to 31 December 2007. Methods: An enhanced surveillance dataset was used to supplement case notifications. Rates based on age group were analysed by sex, geographic region, indigenous status, sexual exposure, reason for testing and healthcare provider. Results: In all age groups, the notification rate increased steeply. The highest rates were seen in the ages 15–24 years; this age group represented 15% of the population but accounted for 74% of the chlamydial notifications. The increased rates in females aged 15–24 years and males 15–19 years in Tasmania were larger than the increases observed nationally. Rates were consistently higher in urban areas. Females were more likely to have been tested as a result of screening, and males were more likely to have been tested when presenting with symptoms or as a result of contact tracing. The majority of cases reported sexual exposure with opposite sex partners only. Conclusions: This study highlights the increasing significance of chlamydial infection as a public health issue, the gender differences in health‐seeking behaviour, and the discrepancies in testing patterns. These findings will assist with the design of health promotion programs.

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“…[1][2][3][4][5] There are many obstacles to ED SBI, including ED crowding and lack of adequate resources or funding for both the interventions and the follow-up. 6 Using the ED as a specimen collection site only, and transferring the burden of testing and follow-up to the public health department (PHD), may be one way to overcome some of these obstacles.…”

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confidence: 99%

Emergency Department Chlamydia Screening Through Partnership with the Public Health Department

Irvin

Nowak

Moore

et al. 2009

Academic Emergency Medicine

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Feasibility of screening for Chlamydia trachomatis in young men attending an emergency department

Cited by 4 publications

References 11 publications

Computerized Self-Interviews Improve Chlamydia and Gonorrhea Testing Among Youth in the Emergency Department

Computerized Self-Interviews Improve Chlamydia and Gonorrhea Testing Among Youth in the Emergency Department

Chlamydia trachomatis in Tasmania 2001–2007: rising notification trends

Emergency Department Chlamydia Screening Through Partnership with the Public Health Department

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