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Arch Pediatr Adolesc Med. 2001 Jun;155(6):676-9.

Self-obtained vaginal swabs for diagnosis of treatable sexually transmitted diseases in adolescent girls.

Author information

1
Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, 229 Tinsley Harrison Tower, 1900 University Blvd, Birmingham, AL 35294-0006, USA. krs@uab.edu

Abstract

OBJECTIVE:

To ascertain the acceptability of testing and prevalence of 3 readily treatable sexually transmitted diseases (STDs) (infections with Neisseria gonorrhoeae, Chlamydia trachomatis, and Trichomonas vaginalis) with the use of patient-obtained vaginal swabs.

STUDY DESIGN:

Study participants at each initial session were asked to provide self-obtained vaginal swabs for ligase chain reaction testing to detect N gonorrhoeae and C trachomatis, and for culture of T vaginalis.

SETTING:

Behavioral intervention sessions with African American adolescent girls in a nonclinical program to reduce risk of STDs, human immunodeficiency virus infection, and pregnancy.

RESULTS:

All study participants were offered their choice of STD screening in the context of a traditional pelvic examination or using self-obtained vaginal swabs. All eligible participants chose self-administered vaginal swabs. Of the 512 participants examined at their initial study visit, 28.7% were found to be infected with 1 or more treatable STDs (5.3% with N gonorrhoeae, 17.8% with C trachomatis, and 12.9% with T vaginalis).

CONCLUSIONS:

With the use of newer detection systems, STDs can be readily detected in nonclinical settings with the use of self-obtained vaginal swabs, providing new opportunities for efforts to control STDs.

PMID:
11386956
DOI:
10.1001/archpedi.155.6.676
[Indexed for MEDLINE]

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