Department of Primary Healthcare and General Practice, University of Otago, Wellington, New Zealand.
Aust N Z J Public Health. 2010 Oct;34(5):517-20. doi: 10.1111/j.1753-6405.2010.00600.x.
New strategies are needed to reach at-risk populations for Chlamydia screening.
Self-sample collection kits containing instructions and all items required for testing were developed and piloted in a three-month trial in primary care. Practice staff offered kits to young people receiving opportunistic Chlamydia screening to pass on to their 'social contacts.'
The 'pass it on' approach failed to reach adequate numbers of youth for testing: of 67 kits distributed, three specimens were sent to the laboratory (4.5%).
The method of kit distribution trialled here was not successful in reaching at-risk youth for testing outside the primary care setting.
Use of self-sample collection for chlamydia testing outside healthcare settings is likely to be important for increased access to testing. The importance of chlamydia testing needs to be widely promoted and methods for kit distribution to reach at-risk youth identified.
需要新策略来接触衣原体筛查的高危人群。
自行采集样本试剂盒包含了检测所需的全部说明和物品，在初级保健机构进行了为期三个月的试点。医务人员将试剂盒提供给接受机会性衣原体筛查的年轻人，让他们将试剂盒转交给自己的“社交接触者”。
“传递”方法未能为足够多的年轻人提供检测：在分发的 67 个试剂盒中，只有三个标本被送到实验室（4.5%）。
这里试验的试剂盒分发方法在初级保健机构之外未能成功接触到有风险的青年进行检测。
在医疗保健环境之外使用自我样本采集进行衣原体检测可能对于增加检测机会非常重要。需要广泛宣传衣原体检测的重要性，并确定将试剂盒分发给高危青年的方法。
