Point-of-Care Testing for Chlamydia and Gonorrhoea: Implications for Clinical Practice
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Mendeley | Further Information

{"title"=>"Point-of-care testing for chlamydia and gonorrhoea: Implications for clinical practice", "type"=>"journal", "authors"=>[{"first_name"=>"Lisa", "last_name"=>"Natoli", "scopus_author_id"=>"25931597300"}, {"first_name"=>"Lisa", "last_name"=>"Maher", "scopus_author_id"=>"23990954200"}, {"first_name"=>"Mark", "last_name"=>"Shephard", "scopus_author_id"=>"7101815201"}, {"first_name"=>"Belinda", "last_name"=>"Hengel", "scopus_author_id"=>"55846109500"}, {"first_name"=>"Annie", "last_name"=>"Tangey", "scopus_author_id"=>"36899290100"}, {"first_name"=>"Steven G.", "last_name"=>"Badman", "scopus_author_id"=>"56134751600"}, {"first_name"=>"James", "last_name"=>"Ward", "scopus_author_id"=>"56789390700"}, {"first_name"=>"Rebecca J.", "last_name"=>"Guy", "scopus_author_id"=>"8696464300"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"sgr"=>"84903513127", "doi"=>"10.1371/journal.pone.0100518", "pui"=>"373418811", "pmid"=>"24956111", "scopus"=>"2-s2.0-84903513127", "issn"=>"19326203", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)"}, "id"=>"866eb462-8dff-30a9-9abf-183bceb7b5dd", "abstract"=>"OBJECTIVES Point-of-care (POC) testing for chlamydia (CT) and gonorrhoea (NG) offers a new approach to the diagnosis and management of these sexually transmitted infections (STIs) in remote Australian communities and other similar settings. Diagnosis of STIs in remote communities is typically symptom driven, and for those who are asymptomatic, treatment is generally delayed until specimens can be transported to the reference laboratory, results returned and the patient recalled. The objective of this study was to explore the clinical implications of using CT/NG POC tests in routine clinical care in remote settings. METHODS In-depth qualitative interviews were conducted with a purposively selected group of 18 key informants with a range of sexual health and laboratory expertise. RESULTS Participants highlighted the potential impact POC testing would have on different stages of the current STI management pathway in remote Aboriginal communities and how the pathway would change. They identified implications for offering a POC test, specimen collection, conducting the POC test, syndromic management of STIs, pelvic inflammatory disease diagnosis and management, interpretation and delivery of POC results, provision of treatment, contact tracing, management of client flow and wait time, and re-testing at 3 months after infection. CONCLUSIONS The introduction of POC testing to improve STI service delivery requires careful consideration of both its advantages and limitations. The findings of this study will inform protocols for the implementation of CT/NG POC testing, and also STI testing and management guidelines.", "link"=>"http://www.mendeley.com/research/pointofcare-testing-chlamydia-gonorrhoea-implications-clinical-practice", "reader_count"=>36, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>1, "Librarian"=>2, "Researcher"=>8, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>3, "Student > Postgraduate"=>2, "Student > Master"=>10, "Student > Bachelor"=>6, "Other"=>1}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>1, "Librarian"=>2, "Researcher"=>8, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>3, "Student > Postgraduate"=>2, "Student > Master"=>10, "Student > Bachelor"=>6, "Other"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Agricultural and Biological Sciences"=>2, "Business, Management and Accounting"=>1, "Veterinary Science and Veterinary Medicine"=>1, "Chemical Engineering"=>1, "Engineering"=>2, "Nursing and Health Professions"=>4, "Biochemistry, Genetics and Molecular Biology"=>2, "Mathematics"=>1, "Medicine and Dentistry"=>16, "Design"=>1, "Pharmacology, Toxicology and Pharmaceutical Science"=>1, "Social Sciences"=>1, "Immunology and Microbiology"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>16}, "Social Sciences"=>{"Social Sciences"=>1}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>2}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>1}, "Chemical Engineering"=>{"Chemical Engineering"=>1}, "Design"=>{"Design"=>1}, "Engineering"=>{"Engineering"=>2}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>4}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>2}, "Veterinary Science and Veterinary Medicine"=>{"Veterinary Science and Veterinary Medicine"=>1}}, "group_count"=>1}

Scopus | Further Information

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Relative Metric

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