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- Title
Peer-delivered point-of-care testing for Chlamydia trachomatis and Neisseria gonorrhoeae within an urban community setting: a cross-sectional analysis.
- Authors
Bell, Sara F. E.; Coffey, Luke; Debattista, Joseph; Badman, Steven G.; Redmond, Andrew M.; Whiley, David M.; Lemoire, Jime; Williams, Owain D.; Howard, Chris; Gilks, Charles F.; Dean, Judith A.
- Abstract
Background The advent of fully automated nucleic acid amplification test (NAAT) technology brings new public health opportunities to provide Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) point-of-care testing (POCT) in non-traditional settings.<bold>Methods: </bold>This pilot study evaluated the integration of the CT/NG Xpert diagnostic assay into an urban peer-led community setting providing HIV and syphilis POCT. A comprehensive protocol of testing, result notification, referral and follow up, managed by peer test facilitators, was undertaken.<bold>Results: </bold>Over 67 weeks, there were 4523 occasions of CT/NG testing using urine, oropharyngeal and anorectal samples with 25.7% (803) of the 3123 unique participants returning for repeat testing. The prevalence of CT and NG was 9.5% and 5.4% respectively. Where CT and or NG infection was detected, 98.4% (604/614) of participants were successfully notified of detected infection and referred for treatment. Evaluation Survey responses (11.4%, 516/4523) indicated a substantial proportion of respondents (27.1%, 140/516) 'would not have tested anywhere else'. Of note, 17.8% (92/516) of participants reported no previous CT/NG test and an additional 17.8% (92/516) reported testing more than 12 months ago. A total of 95.9% (495/516) of participants 'Strongly agreed' or 'Agreed' to being satisfied with the service.<bold>Conclusion: </bold>The project successfully demonstrated an acceptable and feasible model for a peer-delivered community-led service to provide targeted molecular CT/NG POCT. This model offers capacity to move beyond the traditional pathology and STI testing services and establish community-led models that build trust and increase testing rates for key populations of epidemiological significance.
- Subjects
NEISSERIA gonorrhoeae; CHLAMYDIA trachomatis; SEXUALLY transmitted diseases; NUCLEIC acid amplification techniques; POINT-of-care testing
- Publication
Sexual Health (14485028), 2020, Vol 17, Issue 4, p359
- ISSN
1448-5028
- Publication type
journal article
- DOI
10.1071/SH19233