What's the Point? How Point-of-Care STI Tests Can Impact Infected Patients
- PMID: 20401167
- PMCID: PMC2853950
- DOI: 10.1097/POC.0b013e3181d2d8cc
What's the Point? How Point-of-Care STI Tests Can Impact Infected Patients
Abstract
Point-of-care (POC) tests are an important strategy to address the epidemic of sexually transmitted infections (STIs) among both adolescents and young adults. While access to care and confidentiality are major barriers to STI care, POC tests allow the clinician to provide immediate and confidential test results and treatment. In addition, POC test results constitute a "teachable moment"; that is, an opportunity to provide immediate feedback to the patient that may impact his/her risk behaviors. This paper reviews published data and manufacturer's product literature describing current point-of-care STI tests, including studies of test performance as well as impact on treatment intervals and disease spread. It presents theoretical and proposed pitfalls and solutions of implementing POC tests in clinical settings, non-traditional settings, and home care venues. We reviewed the available STI tests according to the World Health Organization (WHO) criteria for judging POC tests: the "ASSURRED" criteria (Affordable, Sensitive, Specific, User-friendly, Rapid and Robust, Equipment-free, Delivered).
References
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- Centers for Disease Control and Prevention. Sexually transmitted disease surveillance, 2007, Chlamydia. Atlanta, GA: U.S. Department of Health and Human Services; 2008. pp. 27–36. ed.
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- Miller WC, Ford CA, Morris M, et al. Prevalence of chlamydial and gonococcal infections among young adults in the United States. JAMA. 2004 May 12;291(18):2229–2236. - PubMed
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- Weinstock H, Berman S, Cates W., Jr Sexually transmitted diseases among American youth: incidence and prevalence estimates,2000. Perspect Sex Reprod Health. 2004 Jan-Feb;36(1):6–10. - PubMed
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