Huneeus Andrea, Fernández Mario I, Schilling Andrea, Parra Paulina, Zakharova Aleksandra
Facultad de Medicina, Universidad del Desarrollo, Santiago, Chile.
Centro de Genética y Genómica, Servicio de Urología, Clínica Alemana de Santiago, Santiago, Chile.
Rev Chilena Infectol. 2017 Apr;34(2):116-119. doi: 10.4067/S0716-10182017000200003.
As alternative for patients that fear genital examination, we assessed adolescent's comfort and ease with self-collected samples for nucleic acid amplification testing for sexually transmitted infections.
Sexually active Chilean adolescents and youth under 25 years (174 males and 117 females) were enrolled. Females used self-collected vaginal swabs and males collected first-stream urine. A satisfaction survey evaluating self-sampling system was applied.
Self-collection was considered easy in 99.3% of the interviewees (CI 95% 0.88-0.98). In women, 79.3% preferred vaginal self-collected samples than pelvic exam (CI 95% 0.73-0.85). In men, 80.3% preferred self-collected first-stream urine to urethral swabs (CI 95% 0.73-0.87). Assuming that self-collected sampling were available, 89.6% of women (CI 95% 0.85-0.94) and 93.2% of men (CI 95% 0.89-0.98) would be prone to be tested more often. Ease of self-collected sampling is not associated with age, gender, educational level or poverty.
Chile currently does not have sexually transmitted infections surveillance or screening programs for youth and adolescents. Given self-collected sampling's good acceptability, it could be successfully used when these programs are implemented.
作为害怕生殖器检查的患者的替代方案,我们评估了青少年对自行采集用于性传播感染核酸扩增检测样本的舒适度和便利性。
纳入了性活跃的智利青少年及25岁以下青年(174名男性和117名女性)。女性自行采集阴道拭子,男性采集首段尿液。应用了一项评估自我采样系统的满意度调查。
99.3%的受访者(95%置信区间0.88 - 0.98)认为自行采集很容易。在女性中,79.3%的人更喜欢自行采集阴道样本而非盆腔检查(95%置信区间0.73 - 0.85)。在男性中,80.3%的人更喜欢自行采集首段尿液而非尿道拭子(95%置信区间0.73 - 0.87)。假设可以进行自行采集样本,89.6%的女性(95%置信区间0.85 - 0.94)和93.2%的男性(95%置信区间0.89 - 0.98)会更倾向于更频繁地接受检测。自行采集样本的便利性与年龄、性别、教育水平或贫困程度无关。
智利目前没有针对青年和青少年的性传播感染监测或筛查项目。鉴于自行采集样本具有良好的可接受性,在实施这些项目时可以成功采用。