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Evidence-Based Medicine 2009;14:150; doi:10.1136/ebm.14.5.150
Copyright © 2009 by the BMJ Publishing Group Ltd.

OTHER

Diagnosis

Self-administered vaginal swabs were accurate for screening for sexually transmitted infections in the emergency department

The first 150 words of the full text of this article appear below.

Study question

In female patients in the emergency department (ED), is screening for sexually transmitted infections using self-administered vaginal swabs (SAVS) as accurate as physician-assisted cervical swabs (PACS)?

Study design

Design:

prospective cohort study.

Setting:

2 EDs (at a university-based tertiary care centre and a municipal academic level 1 trauma centre) serving a low-income community in Brooklyn, New York, USA.

Patients:

162 sexually active women 18–55 years of age (mean age 32 y) who attended the ED, with or without genitourinary complaints, and consented to the collection of both types of sample.

Description of test:

self-collection of a vaginal swab for polymerase chain reaction (PCR) testing for Chlamydia trachomatis and Neisseria gonorrhoeae. Patients were given written instructions, and research assistants were available to answer questions.

Diagnostic standard:

cervical swab for PCR testing collected by the ED physician during pelvic examination.

Outcomes:

sensitivity and specificity of SAVS compared with PACS.

Main results

The prevalence of C trachomatis was 6.8%. N gonorrhoeae was detected (by . . . [Full text of this article]

Jeff Andrews

Vanderbilt University, Nashville, Tennessee, USA


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