Point-of-care testing for chlamydia and gonorrhoea: implications for clinical practice.

<h4>Objectives</h4>Point-of-care (POC) testing for chlamydia (CT) and gonorrhoea (NG) offers a new approach to the diagnosis and management of these sexually transmitted infections (STIs) in remote Australian communities and other similar settings. Diagnosis of STIs in remote communities...

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Autores principales:	Lisa Natoli, Lisa Maher, Mark Shephard, Belinda Hengel, Annie Tangey, Steven G Badman, James Ward, Rebecca J Guy, TTANGO Investigators
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/e449a3a832484853a93cbfd58c9e9546
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spelling	oai:doaj.org-article:e449a3a832484853a93cbfd58c9e95462021-11-18T08:14:41ZPoint-of-care testing for chlamydia and gonorrhoea: implications for clinical practice.1932-620310.1371/journal.pone.0100518https://doaj.org/article/e449a3a832484853a93cbfd58c9e95462014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24956111/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objectives</h4>Point-of-care (POC) testing for chlamydia (CT) and gonorrhoea (NG) offers a new approach to the diagnosis and management of these sexually transmitted infections (STIs) in remote Australian communities and other similar settings. Diagnosis of STIs in remote communities is typically symptom driven, and for those who are asymptomatic, treatment is generally delayed until specimens can be transported to the reference laboratory, results returned and the patient recalled. The objective of this study was to explore the clinical implications of using CT/NG POC tests in routine clinical care in remote settings.<h4>Methods</h4>In-depth qualitative interviews were conducted with a purposively selected group of 18 key informants with a range of sexual health and laboratory expertise.<h4>Results</h4>Participants highlighted the potential impact POC testing would have on different stages of the current STI management pathway in remote Aboriginal communities and how the pathway would change. They identified implications for offering a POC test, specimen collection, conducting the POC test, syndromic management of STIs, pelvic inflammatory disease diagnosis and management, interpretation and delivery of POC results, provision of treatment, contact tracing, management of client flow and wait time, and re-testing at 3 months after infection.<h4>Conclusions</h4>The introduction of POC testing to improve STI service delivery requires careful consideration of both its advantages and limitations. The findings of this study will inform protocols for the implementation of CT/NG POC testing, and also STI testing and management guidelines.Lisa NatoliLisa MaherMark ShephardBelinda HengelAnnie TangeySteven G BadmanJames WardRebecca J GuyTTANGO InvestigatorsPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 6, p e100518 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Lisa Natoli Lisa Maher Mark Shephard Belinda Hengel Annie Tangey Steven G Badman James Ward Rebecca J Guy TTANGO Investigators Point-of-care testing for chlamydia and gonorrhoea: implications for clinical practice.
description	<h4>Objectives</h4>Point-of-care (POC) testing for chlamydia (CT) and gonorrhoea (NG) offers a new approach to the diagnosis and management of these sexually transmitted infections (STIs) in remote Australian communities and other similar settings. Diagnosis of STIs in remote communities is typically symptom driven, and for those who are asymptomatic, treatment is generally delayed until specimens can be transported to the reference laboratory, results returned and the patient recalled. The objective of this study was to explore the clinical implications of using CT/NG POC tests in routine clinical care in remote settings.<h4>Methods</h4>In-depth qualitative interviews were conducted with a purposively selected group of 18 key informants with a range of sexual health and laboratory expertise.<h4>Results</h4>Participants highlighted the potential impact POC testing would have on different stages of the current STI management pathway in remote Aboriginal communities and how the pathway would change. They identified implications for offering a POC test, specimen collection, conducting the POC test, syndromic management of STIs, pelvic inflammatory disease diagnosis and management, interpretation and delivery of POC results, provision of treatment, contact tracing, management of client flow and wait time, and re-testing at 3 months after infection.<h4>Conclusions</h4>The introduction of POC testing to improve STI service delivery requires careful consideration of both its advantages and limitations. The findings of this study will inform protocols for the implementation of CT/NG POC testing, and also STI testing and management guidelines.
format	article
author	Lisa Natoli Lisa Maher Mark Shephard Belinda Hengel Annie Tangey Steven G Badman James Ward Rebecca J Guy TTANGO Investigators
author_facet	Lisa Natoli Lisa Maher Mark Shephard Belinda Hengel Annie Tangey Steven G Badman James Ward Rebecca J Guy TTANGO Investigators
author_sort	Lisa Natoli
title	Point-of-care testing for chlamydia and gonorrhoea: implications for clinical practice.
title_short	Point-of-care testing for chlamydia and gonorrhoea: implications for clinical practice.
title_full	Point-of-care testing for chlamydia and gonorrhoea: implications for clinical practice.
title_fullStr	Point-of-care testing for chlamydia and gonorrhoea: implications for clinical practice.
title_full_unstemmed	Point-of-care testing for chlamydia and gonorrhoea: implications for clinical practice.
title_sort	point-of-care testing for chlamydia and gonorrhoea: implications for clinical practice.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/e449a3a832484853a93cbfd58c9e9546
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Point-of-care testing for chlamydia and gonorrhoea: implications for clinical practice.

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