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. 2001 Mar;91(3):461–464. doi: 10.2105/ajph.91.3.461

Emergency department screening for asymptomatic sexually transmitted infections.

C S Todd 1, C Haase 1, B P Stoner 1
PMCID: PMC1446598  PMID: 11236416

Abstract

OBJECTIVES: This study assessed the prevalence and correlates of asymptomatic genital tract infection with Neisseria gonorrhoeae and Chlamydia trachomatis among emergency department patients. METHODS: Individuals seeking emergency department evaluation for nongenitourinary complaints provided urine samples for N gonorrhoeae and C trachomatis testing by ligase chain reaction and completed a sociodemographic and behavioral questionnaire. RESULTS: Asymptomatic N gonorrhoeae or C trachomatis was found in 9.7% of persons tested. Correlates of C trachomatis infection included younger age, residence in high-morbidity zip code areas, previous history of N gonorrhoeae or C trachomatis, and number of sex partners in the past year. CONCLUSIONS: Urine-based screening of asymptomatic emergency department patients detected significant numbers of N gonorrhoeae and C trachomatis infections. Targeted screening programs may contribute to community-level prevention and control of sexually transmitted infections.

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Selected References

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  1. Aral S. O., Holmes K. K., Padian N. S., Cates W., Jr Overview: individual and population approaches to the epidemiology and prevention of sexually transmitted diseases and human immunodeficiency virus infection. J Infect Dis. 1996 Oct;174 (Suppl 2):S127–S133. doi: 10.1093/infdis/174.supplement_2.s127. [DOI] [PubMed] [Google Scholar]
  2. Burstein G. R., Gaydos C. A., Diener-West M., Howell M. R., Zenilman J. M., Quinn T. C. Incident Chlamydia trachomatis infections among inner-city adolescent females. JAMA. 1998 Aug 12;280(6):521–526. doi: 10.1001/jama.280.6.521. [DOI] [PubMed] [Google Scholar]
  3. Gaydos C. A., Howell M. R., Pare B., Clark K. L., Ellis D. A., Hendrix R. M., Gaydos J. C., McKee K. T., Jr, Quinn T. C. Chlamydia trachomatis infections in female military recruits. N Engl J Med. 1998 Sep 10;339(11):739–744. doi: 10.1056/NEJM199809103391105. [DOI] [PubMed] [Google Scholar]
  4. Howell M. R., Quinn T. C., Brathwaite W., Gaydos C. A. Screening women for chlamydia trachomatis in family planning clinics: the cost-effectiveness of DNA amplification assays. Sex Transm Dis. 1998 Feb;25(2):108–117. doi: 10.1097/00007435-199802000-00008. [DOI] [PubMed] [Google Scholar]
  5. Lee H. H., Chernesky M. A., Schachter J., Burczak J. D., Andrews W. W., Muldoon S., Leckie G., Stamm W. E. Diagnosis of Chlamydia trachomatis genitourinary infection in women by ligase chain reaction assay of urine. Lancet. 1995 Jan 28;345(8944):213–216. doi: 10.1016/s0140-6736(95)90221-x. [DOI] [PubMed] [Google Scholar]
  6. Lieu T. A., Newacheck P. W., McManus M. A. Race, ethnicity, and access to ambulatory care among US adolescents. Am J Public Health. 1993 Jul;83(7):960–965. doi: 10.2105/ajph.83.7.960. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Lindsay M. K., Grant J., Peterson H. B., Risby J., Williams H., Klein L. Human immunodeficiency virus infection among patients in a gynecology emergency department. Obstet Gynecol. 1993 Jun;81(6):1012–1015. [PubMed] [Google Scholar]
  8. Marrazzo J. M., White C. L., Krekeler B., Celum C. L., Lafferty W. E., Stamm W. E., Handsfield H. H. Community-based urine screening for Chlamydia trachomatis with a ligase chain reaction assay. Ann Intern Med. 1997 Nov 1;127(9):796–803. doi: 10.7326/0003-4819-127-9-199711010-00004. [DOI] [PubMed] [Google Scholar]
  9. Oh M. K., Cloud G. A., Fleenor M., Sturdevant M. S., Nesmith J. D., Feinstein R. A. Risk for gonococcal and chlamydial cervicitis in adolescent females: incidence and recurrence in a prospective cohort study. J Adolesc Health. 1996 Apr;18(4):270–275. doi: 10.1016/1054-139X(95)00232-H. [DOI] [PubMed] [Google Scholar]
  10. Oh M. K., Richey C. M., Pate M. S., Brown P. R., Hook E. W., 3rd High prevalence of Chlamydia trachomatis infections in adolescent females not having pelvic examinations: utility of PCR-based urine screening in urban adolescent clinic setting. J Adolesc Health. 1997 Aug;21(2):80–86. doi: 10.1016/s1054-139x(96)00311-4. [DOI] [PubMed] [Google Scholar]
  11. Oh M. K., Smith K. R., O'Cain M., Kilmer D., Johnson J., Hook E. W., 3rd Urine-based screening of adolescents in detention to guide treatment for gonococcal and chlamydial infections. Translating research into intervention. Arch Pediatr Adolesc Med. 1998 Jan;152(1):52–56. doi: 10.1001/archpedi.152.1.52. [DOI] [PubMed] [Google Scholar]
  12. Pfaff J. A., Pimentel L. Chlamydial antigen testing on female patients presenting to the emergency department. Mil Med. 1991 Jul;156(7):362–364. [PubMed] [Google Scholar]
  13. Schachter J., Shafer M. A., Young M., Ott M. Routine pelvic examinations in asymptomatic young women. N Engl J Med. 1996 Dec 12;335(24):1847–1848. doi: 10.1056/NEJM199612123352417. [DOI] [PubMed] [Google Scholar]
  14. Smith K. R., Ching S., Lee H., Ohhashi Y., Hu H. Y., Fisher H. C., 3rd, Hook E. W., 3rd Evaluation of ligase chain reaction for use with urine for identification of Neisseria gonorrhoeae in females attending a sexually transmitted disease clinic. J Clin Microbiol. 1995 Feb;33(2):455–457. doi: 10.1128/jcm.33.2.455-457.1995. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Stary A., Tomazic-Allen S., Choueiri B., Burczak J., Steyrer K., Lee H. Comparison of DNA amplification methods for the detection of Chlamydia trachomatis in first-void urine from asymptomatic military recruits. Sex Transm Dis. 1996 Mar-Apr;23(2):97–102. doi: 10.1097/00007435-199603000-00002. [DOI] [PubMed] [Google Scholar]
  16. Washington A. E., Johnson R. E., Sanders L. L., Jr Chlamydia trachomatis infections in the United States. What are they costing us? JAMA. 1987 Apr 17;257(15):2070–2072. [PubMed] [Google Scholar]
  17. Yealy D. M., Greene T. J., Hobbs G. D. Underrecognition of cervical Neisseria gonorrhoeae and Chlamydia trachomatis infections in the emergency department. Acad Emerg Med. 1997 Oct;4(10):962–967. doi: 10.1111/j.1553-2712.1997.tb03659.x. [DOI] [PubMed] [Google Scholar]

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