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: firstname.lastname@example.org.
Received for publication May 4, 2012, and accepted August 9, 2012.