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Using Patient-Provided Information to Refine Sexually Transmitted Infection Screening Criteria Among Women Presenting in the Emergency Department

Jenkins, Wiley D. PhD, MPH*†; Kovach, Regina MD; Wold, Brittany J. BS; Zahnd, Whitney E. MS

doi: 10.1097/OLQ.0b013e31826e882f
Note

Emergency department patients are at increased risk for infection with chlamydia and gonorrhea, but routine screening of asymptomatic patients is problematic. Limiting screening to patients answering the affirmative to 2 questions would reduce the number of tests administered by 51.9%, increase the tested population prevalence to 15.7%, and still identify 82.8% of those infected.

Emergency department patient-provided responses to 2 questions are sufficient to reduce the number of chlamydia/gonorrhea screening tests administered (vs. universal screening) by 52% while still identifying 83% those infected.

From the *Research and Program Development, Family and Community Medicine, †Center for Clinical Research, and ‡Division of Emergency Medicine, Southern Illinois University School of Medicine, Springfield, IL

Supported by a grant from the Memorial Medical Center Foundation.

All authors state that they have no conflicts of interest to report.

Correspondence: Wiley D. Jenkins, PhD, MPH, Research and Program Development, Family and Community Medicine, Center for Clinical Research, Southern Illinois University School of Medicine, 801 N Rutledge St, PO Box 19664, Springfield, IL 62794-9664. E-mail: wjenkins@siumed.edu.

Received for publication May 4, 2012, and accepted August 9, 2012.

© Copyright 2012 American Sexually Transmitted Diseases Association