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Self-obtained Vaginal Swabs for Diagnosis of Treatable Sexually Transmitted Diseases in Adolescent Girls
Kim Smith, MT(ASCP);
Kathy Harrington, MAEd, MPH;
Gina Wingood, ScD, MPH;
M. Kim Oh, MD;
Edward W. Hook III, MD;
Ralph J. DiClemente, PhD
Arch Pediatr Adolesc Med. 2001;155:676-679.
Objective To ascertain the acceptability of testing and prevalence of 3 readily
treatable sexually transmitted diseases (STDs) (infections with Neisseria gonorrhoeae, Chlamydia trachomatis,
and Trichomonas vaginalis) with the use of patient-obtained
vaginal swabs.
Study Design Study participants at each initial session were asked to provide self-obtained
vaginal swabs for ligase chain reaction testing to detect N gonorrhoeae and C trachomatis, and for culture
of T vaginalis.
Setting Behavioral intervention sessions with African American adolescent girls
in a nonclinical program to reduce risk of STDs, human immunodeficiency virus
infection, and pregnancy.
Results All study participants were offered their choice of STD screening in
the context of a traditional pelvic examination or using self-obtained vaginal
swabs. All eligible participants chose self-administered vaginal swabs. Of
the 512 participants examined at their initial study visit, 28.7% were found
to be infected with 1 or more treatable STDs (5.3% with N gonorrhoeae, 17.8% with C trachomatis, and
12.9% with T vaginalis).
Conclusions With the use of newer detection systems, STDs can be readily detected
in nonclinical settings with the use of self-obtained vaginal swabs, providing
new opportunities for efforts to control STDs.
From the Division of Infectious Diseases, Department of Medicine (Ms
Smith and Dr Hook), and the Department of Pediatrics (Ms Harrington and Dr
Oh), University of Alabama at Birmingham; Rollins School of Public Health,
Emory University, Atlanta, Ga (Drs Wingood and DiClemente); and Emory/Atlanta
Center for AIDS Research (Drs Wingood and DiClemente).
Corresponding author and reprints: Kim Smith, MT(ASCP), Division
of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham,
229 Tinsley Harrison Tower, 1900 University Blvd, Birmingham, AL 35294-0006
(e-mail: krs{at}uab.edu).
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