| Evaluation of a testing-only "express" visit option to enhance efficiency in a busy STI clinic. | |
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MedLine Citation:
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PMID: 18277943 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate the use of a testing-only "express" visit option to enhance efficiency in a busy STI clinic. METHODS: At the Denver Metro Health Clinic, clients at low risk for sexually transmitted infections (STI) are offered an express visit comprised of a urine test for Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (GC) as well as optional syphilis and human immunodeficiency virus (HIV) testing, but no physical examination. Higher risk clients (STI-related symptoms, contact to STI, men having sex with men, injection drug use, exchange of sex for money or drugs) are offered a comprehensive visit that includes a physical examination. The triage system was evaluated for the period April 2005--July 2006 by comparing rates of CT, GC, syphilis, and HIV between the 2 visit options. RESULTS: Of 13,447 clients with new visits, 3284 (24.4%) were express visits. When compared with clients with comprehensive visits, express visit clients had lower rates of CT (8.1% vs. 17.2%), GC (0.9% vs. 7.4%), syphilis (0.7% vs. 1.2%), and HIV (0.1% vs. 0.2%). Of 2969 STI cases, only 10.8% were diagnosed among clients with express visits. Express visits resulted in a 39% time saving for men and a 56% for women. With the possible exception of asymptomatic urethritis among men, underdiagnosis of STI beyond CT, GC, syphilis, and HIV among express visit clients appeared to be low. CONCLUSION: The triage system at DMHC effectively selects clients at highest risk for STI and increases clinic efficiency. |
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Authors:
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Sara J Shamos; Christie J Mettenbrink; Julie A Subiadur; Brandy L Mitchell; Cornelis A Rietmeijer |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Sexually transmitted diseases Volume: 35 ISSN: 0148-5717 ISO Abbreviation: Sex Transm Dis Publication Date: 2008 Apr |
Date Detail:
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Created Date: 2008-03-25 Completed Date: 2008-05-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7705941 Medline TA: Sex Transm Dis Country: United States |
Other Details:
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Languages: eng Pagination: 336-40 Citation Subset: IM |
Affiliation:
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Denver Public Health Department, Denver, Colorado 80204-4506, USA. |
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| MeSH Terms | |
Descriptor/Qualifier:
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AIDS Serodiagnosis Adult Ambulatory Care Facilities / statistics & numerical data, utilization* Chlamydia Infections* / diagnosis, drug therapy, epidemiology Chlamydia trachomatis / isolation & purification Female Gonorrhea* / diagnosis, drug therapy, epidemiology HIV Infections / diagnosis, drug therapy, epidemiology Humans Male Neisseria gonorrhoeae / isolation & purification Nucleic Acid Amplification Techniques / methods* Office Visits / statistics & numerical data, utilization* Prevalence Sexually Transmitted Diseases / drug therapy, epidemiology, etiology, prevention & control* Syphilis / diagnosis, drug therapy, epidemiology Time Factors |
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