Opportunistic screening for Chlamydia trachomatis in men attending three different secondary healthcare settings
Opportunistic screening for Chlamydia trachomatis in men attending three different secondary healthcare settings
复制标题
对就读三个不同二级医疗机构的男性进行沙眼衣原体机会性筛查
DOI：
10.1136/sti.2006.020149
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发表时间：
2007
影响因子：
3.6
通讯作者：
S. Bhattacharya
中科院分区：
文献类型：
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作者：
S. Sripada;S. Logan;S. McGillivray;H. Mckenzie;A. Templeton;M. Hamilton;A. Sutherland;S. Bhattacharya
目的：评估机会性沙眼衣原体（CT）筛查的可行性和可接受性的无症状男性参加三个不同的二级医疗机构，并调查CT阳性在这些设置。研究方法：参加骨折，生育和计划生育（FP）诊所的男性被邀请通过首次排尿进行筛查，并完成一份问卷，收集人口统计学，性和行为特征，以及他们对筛查过程的看法。结果：1290名男性进行了接触，80%的参与。FP诊所的男性接触人数、提供满意尿液标本的人数和CT阳性率（95% CI）分别为n = 401，n =206，14.6%（10.4 - 20.1），骨折诊所的n= 505，n =328，1.2%（0.5 - 3.2）和生育诊所的n= 384，n =319，0.3%（0.1 - 1.8）。 CT感染率最高的是参加FP诊所的男性，年龄在20-24岁之间。三个诊所的大多数男性认为设置（87.9%）和标本（97.7%）是可以接受的。结论：在三个二级卫生保健机构对无症状男性进行衣原体筛查，发现阳性率较高，但与生育和骨折诊所相比，FP机构的感染率较低。需要创新和有针对性的干预战略，让这一高危男性群体参与筛查。
Objectives: To assess the feasibility and acceptability of opportunistic Chlamydia trachomatis (CT) screening of asymptomatic men attending three different secondary healthcare settings and to investigate CT positivity in these settings. Methods: Men attending fracture, fertility and family planning (FP) clinics were invited to be screened by first-void urine and complete a questionnaire which collected demographic, sexual and behavioural characteristics, and their opinion about the screening process. Results: 1290 men were approached, with 80% participating. The number of men approached, number providing a satisfactory urine specimen and CT positivity rate (95% CI) were, respectively, n = 401, n = 206, 14.6% (10.4 to 20.1) for the FP clinic, n = 505, n = 328, 1.2% (0.5 to 3.2) for the fracture clinic and n = 384, n = 319, 0.3% (0.1 to 1.8) for the fertility clinic. The highest rates of CT infection were found in men attending the FP clinics, aged between 20–24 years. Most of the men from all three clinics felt that the setting (87.9%) and specimen (97.7%) were acceptable. Conclusion: Opportunistic chlamydial screening of asymptomatic men in three secondary healthcare settings found high positivity rates, but low uptake rates in a FP setting compared with fertility and fracture clinics. Innovative and targeted intervention strategies are required to engage this high-risk group of men in screening.