P112 Removing Barriers to HIV Screening in a Community-based Pediatric Emergency Department

Abstract

Results A total of 40,217 women were included in the analyses, of whom 15.4% tested chlamydia positive genitally at their second test. Not being tested anorectally at the first test was an independent risk factor of genital chlamydia infection at the repeat test ). This effect was in the same range as most other significant risk factors in the model: low education level, no condom use, STI symptoms and previous STI diagnosis. Young age (<20 years 2.67, [2.39-2.98]) and received partner notification (3.11, [2.91-3.31]) showed stronger effects. The findings were robust: correcting for interactions and a sensitivity analysis stratifying by chlamydia infection at first visit did not show significant differences in the aOR of not being tested anorectally at first test. ConclusionThe results are suggestive of an autoinoculation process from the anorectal to the genital anatomical site in women. To enhance chlamydia control, future studies on the role of extragenital testing and autoinoculation in chlamydia transmission are needed.