Opportunistic screening for Chlamydia trachomatis in men attending three different secondary healthcare settings
| Autor: | Alexander Allan Templeton, Sreebala Sripada, A Sutherland, H Mckenzie, S Logan, S McGillivray, Siladitya Bhattacharya, M. P. R. Hamilton |
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| Rok vydání: | 2007 |
| Předmět: |
Sexually transmitted disease
Adult Male medicine.medical_specialty Urinalysis Adolescent Opportunistic infection media_common.quotation_subject Fertility Chlamydia trachomatis Dermatology medicine.disease_cause Fractures Bone Ambulatory care Surveys and Questionnaires medicine Ambulatory Care Humans Mass Screening Mass screening Infertility Male media_common Aged Gynecology Chlamydia medicine.diagnostic_test Obstetrics business.industry Chlamydia Infections Middle Aged medicine.disease Infectious Diseases Patient Satisfaction Family Planning Services Screening Feasibility Studies business |
| Zdroj: | Sexually transmitted infections. 83(4) |
| ISSN: | 1368-4973 |
| Popis: | Objectives: To assess the feasibility and acceptability of opportunistic Chlamydia trachomatis (CT) screening of asymptomatic men attending three different secondary healthcare settings and to investigate CT positivity in these settings. Methods: Men attending fracture, fertility and family planning (FP) clinics were invited to be screened by first-void urine and complete a questionnaire which collected demographic, sexual and behavioural characteristics, and their opinion about the screening process. Results: 1290 men were approached, with 80% participating. The number of men approached, number providing a satisfactory urine specimen and CT positivity rate (95% CI) were, respectively, n = 401, n = 206, 14.6% (10.4 to 20.1) for the FP clinic, n = 505, n = 328, 1.2% (0.5 to 3.2) for the fracture clinic and n = 384, n = 319, 0.3% (0.1 to 1.8) for the fertility clinic. The highest rates of CT infection were found in men attending the FP clinics, aged between 20–24 years. Most of the men from all three clinics felt that the setting (87.9%) and specimen (97.7%) were acceptable. Conclusion: Opportunistic chlamydial screening of asymptomatic men in three secondary healthcare settings found high positivity rates, but low uptake rates in a FP setting compared with fertility and fracture clinics. Innovative and targeted intervention strategies are required to engage this high-risk group of men in screening. |
| Databáze: | OpenAIRE |
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