Sexually Transmitted Diseases

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Sexually Transmitted Diseases:
doi: 10.1097/01.olq.0000253337.62932.29

Potential Impact of Human Papillomavirus Vaccines on Public STD Clinic Workloads and on Opportunities to Diagnose and Treat Other Sexually Transmitted Diseases

Dempsey, Amanda F. MD, PhD, MPH*; Koutsky, Laura A. PhD†; Golden, Matthew MD, MPH‡

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Background: Eradicating genital warts through HPV immunization could decrease STD clinic utilization but may result in missed opportunities to diagnose other STDs.

Objectives: To define the proportion of STD clinic visits attributable to HPV and to describe the prevalence of other STD diagnoses among visits for HPV-related presenting concerns.

Study Design: Cross-sectional analysis of medical records (1994–2004) from a single STD clinic. Prevalences of STDs were calculated for male and female patients with and without HPV-related presenting concerns.

Results: Of the 66,537 visits included in the study, 10.3% were HPV-related. Of the 3085 HPV-related “new problem” visits, only 281 non-HPV diagnoses were made, with nonspecific urethritis and CT being the most common diagnosis for males and females, respectively. Nearly 25% of the 14,574 follow-up visits were for HPV.

Conclusions: Newly developed HPV vaccines may substantially decrease public STD clinic workloads with little associated lost opportunity to diagnose and treat other STDs.

© Copyright 2007 American Sexually Transmitted Diseases Association


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