2007
DOI: 10.1086/520517
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Selective Testing Criteria for Gonorrhea among Young Women Screened for Chlamydial Infection: Contribution of Race and Geographic Prevalence

Abstract: Although testing criteria incorporating race were most specific, criteria including local area rates of GC infection in men had similar sensitivity and required testing only slightly more women.

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Cited by 15 publications
(11 citation statements)
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“…The most satisfactory approach to deal with this conundrum is universal testing for persons in this age group. Alternatively, because the primary risk factor for chlamydial infection is encountering an infected partner, targeting screening to high prevalence areas also may be a reasonable, cost-efficient strategy (38). This strategy would increase testing among minority populations, but the primary determinant would be prevalence and geographical area, not race/ ethnicity.…”
Section: Discussionmentioning
confidence: 99%
“…The most satisfactory approach to deal with this conundrum is universal testing for persons in this age group. Alternatively, because the primary risk factor for chlamydial infection is encountering an infected partner, targeting screening to high prevalence areas also may be a reasonable, cost-efficient strategy (38). This strategy would increase testing among minority populations, but the primary determinant would be prevalence and geographical area, not race/ ethnicity.…”
Section: Discussionmentioning
confidence: 99%
“…Studies rated as 'marginal' (24%) 7,[30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46] , 'acceptable' (41%) , and 'commendable' (28%) 4,78-97 were retained in the review. Table 4 summarizes the 70 studies that were retained for further assessment.…”
Section: Assessment Of Included Studiesmentioning
confidence: 99%
“…7 However, predictors used for selective testing are often derived from clinical guidelines that are broadly perceived as evidence-based statements; because they are developed by experts, they are assumed to U n d e r r e v i e w 3 have the same level of certainty and authority as conclusions generated by scientific methods. 7,8 Few studies have been conducted to determine the degree to which evidence in the published literature supports the predictors included in recommendations. A better understanding of the use (or lack) of evidence in this area has the potential to inform the ways in which STD test recommendation practices unfold in the future.…”
mentioning
confidence: 99%
“…Various demographic and behavioural factors for infection are well recognised, including younger age, ethnicity, area of residence, previous gonorrhoea, number/concurrency/newness of partners, men who have sex with men and condom use 7. Restricting the availability of gonorrhoea screening to individuals in these risk groups would increase the ‘yield’ of positive results but at the expense of missing around 20% of infections 8. Indeed the predictive value of risk factors has largely been derived from STI clinic populations using culture-based tests for gonorrhoea, and their accuracy in identifying asymptomatic individuals with low bacterial loads detected by a NAAT remains unproved 9.…”
mentioning
confidence: 99%