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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

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:

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

© Copyright 2012 American Sexually Transmitted Diseases Association