The check is in the mail: piloting a novel approach to Chlamydia trachomatis testing using self-collected, mailed specimen.

Buhrer-Skinner, Monika, Muller, Reinhold, Bialasiewicz, Seweryn, Sloots, Theo P., Debattista, Joseph, Gordon, Rose and Buettner, Petra G. (2009) The check is in the mail: piloting a novel approach to Chlamydia trachomatis testing using self-collected, mailed specimen.. Sexual Health, 6 2: 163-169. doi:10.1071/SH08076


Author Buhrer-Skinner, Monika
Muller, Reinhold
Bialasiewicz, Seweryn
Sloots, Theo P.
Debattista, Joseph
Gordon, Rose
Buettner, Petra G.
Title The check is in the mail: piloting a novel approach to Chlamydia trachomatis testing using self-collected, mailed specimen.
Formatted title
The check is in the mail:  piloting a novel approach to Chlamydia trachomatis testing using self-collected, mailed specimen.
Journal name Sexual Health   Check publisher's open access policy
ISSN 1448-5028
Publication date 2009-05
Year available 2009
Sub-type Article (original research)
DOI 10.1071/SH08076
Volume 6
Issue 2
Start page 163
End page 169
Total pages 7
Editor Christopher Fairley
Place of publication Australia
Publisher C.S.I.R.O. Publishing
Collection year 2010
Language eng
Subject 060501 Bacteriology
060502 Infectious Agents
060506 Virology
920109 Infectious Diseases
920119 Urogenital System and Disorders
C1
Abstract Abstract. Objectives: To develop, implement and evaluate the processes ofa novel approach to chlamydia testing that is accessible, confidential, free of charge, easy to use, and allows for self-collection of specimens, their transportation by regular mail and the central management of results. Methods: A 'self-collection kit' was developed including all items and instructions necessary to obtain a sample. A network of distribution sites at locations frequented by the target population has been established. The 'kits' can be requested via an advertised website and by phone. Specimens are returned via reply paid mail A centralised system for the management of results and follow up has been established. Test results are conveyed by the participant's method of choice. Treatment is organised via a network of health care providers. Results: Of the first 100 returned kits 99% were safely packed and 86% were sent back with a completely filled out pathology request form. Ninety-two participants provided contact details; 70.7% indicated mobile phone or SMS as the preferred methods to receive results. Seven positive cases were identified and treatment was confirmed for all within 6 days. Discussion: These findings provide evidence that the presented approach to chlamydia testing is easy to implement, achieves excellent follow-up and treatment rates, and therefore opens important new channels to otherwise difficult to access high-risk populations, such as young people and geographically and socially isolated populations.
Formatted abstract
Abstract. Objectives: To develop, implement and evaluate the processes ofa novel approach to chlamydia testing that is accessible, confidential, free of charge, easy to use, and allows for self-collection of specimens, their transportation by regular mail and the central management of results. Methods: A 'self-collection kit' was developed including all items and instructions necessary to obtain a sample. A network of distribution sites at locations frequented by the target population has been established. The 'kits' can be requested via an advertised website and by phone. Specimens are returned via reply paid mail A centralised system for the management of results and follow up has been established. Test results are conveyed by the participant's method of choice. Treatment is organised via a network of health care providers. Results: Of the first 100 returned kits 99% were safely packed and 86% were sent back with a completely filled out pathology request form. Ninety-two participants provided contact details; 70.7% indicated mobile phone or SMS as the preferred methods to receive results. Seven positive cases were identified and treatment was confirmed for all within 6 days. Discussion: These findings provide evidence that the presented approach to chlamydia testing is easy to implement, achieves excellent follow-up and treatment rates, and therefore opens important new channels to otherwise difficult to access high-risk populations, such as young people and geographically and socially isolated populations.


Keyword Sexually transmitted infection
Mail
Screening
self-collection kits
Q-Index Code C1
Q-Index Status Confirmed Code
Additional Notes Could not locate a doi.

 
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Created: Thu, 03 Sep 2009, 08:05:52 EST by Mr Andrew Martlew on behalf of Clinical Medical Virology Centre