Eradicating genital warts through HPV immunization could decrease STD clinic utilization but may result in missed opportunities to diagnose other STDs.
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.
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.
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.
Newly developed HPV vaccines may substantially decrease public STD clinic workloads with little associated lost opportunity to diagnose and treat other STDs.
A retrospective study of medical records from an STD clinic in Washington State demonstrated that patients presenting specifically for HPV-related concerns had a low prevalence of other sexually transmitted infections.
From the *Department of Pediatrics, University of Michigan, Ann Arbor, Michigan; and Departments of †Epidemiology and ‡Medicine, University of Washington, Seattle, Washington
This work was supported by a 2005 developmental grant from the University of Washington STI TM Cooperative Research Center (STITMCRC), an NIH funded program (U19 AI 31448).
Correspondence: Amanda Dempsey, Department of Pediatrics, 300 N. Ingalls St., Room 6E08, Ann Arbor, MI 48109-0456. E-mail: email@example.com.
Received for publication June 1, 2006, and accepted October 30, 2006.