Enhanced STI Retesting Services [23OP]

Publisher Website
Google Scholar
Abstract
INTRODUCTION: Chlamydia, gonorrhea, and trichomoniasis (CGT) retesting 3 months after treatment is recommended, however retesting rates are low. Untreated sexually transmitted infections (STI) can lead to adverse reproductive outcomes, and reinfections have even worse outcomes compared with the initial infection. To increase retests, we implemented alternative options of home-based self-testing and clinic-based “fast-track” appointments in a large academic practice. METHODS: OB/GYN patients who were CGT positive in 2016 and not retested were telephoned. We offered postage-paid home-test kits or fast-track appointments with medical assistants. Chi-squared and logistic regression were performed. RESULTS: Nine percent of STI tested patients were positive. The majority were black (92%) with median age 25 (IQR: 21–30). Younger women (24). There was no difference between older vs younger women on positive retest (AOR=0.932, 95% CI: 0.34–2.55, P=.891). CONCLUSION: A large proportion of women retested positive for an STI. Alternative retesting options like home-testing or fast-track visits should be widely used to increase retesting. Further examination of patients' decision-making about home-testing versus fast-track appointment may further improve care delivery.

This publication has 0 references indexed in Scilit: