van Rooijen Martijn S, Koekenbier Rik H, Hendriks Alfons, de Vries Henry J C, van Leeuwen Petra, van Veen Maaike G
From the *Department of Infectious Diseases, Public Health Service of Amsterdam (GGD Amsterdam); †Center for Infection and Immunology Amsterdam (CINIMA), and ‡Department of Dermatology, Academic Medical Center (AMC), University of Amsterdam, Amsterdam, the Netherlands.
Sex Transm Dis. 2016 Nov;43(11):710-716. doi: 10.1097/OLQ.0000000000000517.
Home-based self-collection of specimens for urogenital and anorectal chlamydia testing has been proven feasible and acceptable. We studied the efficiency of chlamydia home collection kits for young low-risk persons to optimize care at the Amsterdam sexually transmitted infection (STI) clinic.
Low-risk heterosexual persons under 25 years submitting an appointment request online were offered 3 different ways of chlamydia testing: (1) receiving a home collection kit, (2) coming to the clinic without, or (3) with sexual health counseling. The collection kit was sent to the client by surface mail and was used to self-collect a vaginal swab or urine sample (men). This sample was sent back to the laboratory for testing and the results could be retrieved online. Testing for gonorrhea, syphilis, and human immunodeficiency virus was indicated after testing chlamydia-positive.
Between September 2012 until July 2013, from 1804 online requests, 1451 (80%) opted for the home collection kit, 321 (18%) preferred an appointment at the clinic without, and 32 (2%) with sexual health counseling. Of the requested home collection kits, 88% were returned. Chlamydia was diagnosed in 6.0% of the clients receiving a home collection kit, and none of the chlamydia-positive clients tested positive for other STI.
Home collection is the preferred method for most young low-risk heterosexual clients who seek STI care. With a high compliance to collect and return the samples, home collection can be used as a tool to increase efficiency and dedicate STI clinic workers efforts to those at highest risk.
在家自行采集泌尿生殖系统和肛门直肠衣原体检测样本已被证明是可行且可接受的。我们研究了衣原体家庭采集试剂盒对年轻低风险人群的有效性，以优化阿姆斯特丹性传播感染（STI）诊所的护理服务。
对25岁以下通过在线预约的低风险异性恋者提供3种不同的衣原体检测方式：（1）收到家庭采集试剂盒；（2）无咨询情况下到诊所；（3）有性健康咨询情况下到诊所。采集试剂盒通过平邮寄给客户，用于自行采集阴道拭子或尿液样本（男性）。该样本被送回实验室检测，结果可在线获取。衣原体检测呈阳性后，会进行淋病、梅毒和人类免疫缺陷病毒检测。
2012年9月至2013年7月期间，在1804份在线预约中，1451人（80%）选择了家庭采集试剂盒，321人（18%）更倾向于无咨询情况下在诊所预约，32人（2%）选择有性健康咨询情况下在诊所预约。在申请的家庭采集试剂盒中，88%被退回。接受家庭采集试剂盒的客户中，6.0%被诊断出衣原体感染，且衣原体检测呈阳性的客户均未检测出其他性传播感染呈阳性。
对于大多数寻求性传播感染护理的年轻低风险异性恋客户来说，家庭采集是首选方法。由于样本采集和返回的依从性较高，家庭采集可作为提高效率的工具，并使性传播感染诊所工作人员能够将精力投入到高危人群中。
