Reported case data suggest that few men are being tested for Chlamydia trachomatis (CT) infection (female : male reported case ratio is>5 : 1) partially because men seek preventive health services less frequently than women and, until recently, obtaining a CT specimen from men required a urethral swab, which has low patient acceptability.
A study was conducted in San Diego, CA, to determine whether urine specimens could be obtained from high-risk teen males in the field using a peer teen outreach approach.
Goals : Identify teen males infected with CT and provide treatment and partner management services.
Prevalence survey of 261 teen males and a program cost evaluation.
During the 6.5-month study period (Dec 15,1995 to June 30,1996) an estimated 1,860) teen males were approached and 261 submitted a urine specimen ; 16 (6.1%) were positive by polymerase chain reaction.
All positive males were treated with azithromycin, 1 gm, in the field, and 9 female sex partners were treated, 7 of whom were CT positive.
The cost per specimen obtained and per CT infection identified was $103 and $1,677, respectively.
The annual cost for adding a peer teen outreach service to an existing STD program using existing staff and adding 1.2 full-time equivalents of outreach time is approximately $25,000. (...)
Mots-clés Pascal : Chlamydia trachomatis, Chlamydiaceae, Chlamydiales, Bactérie, Dépistage, Facteur risque, Enquête sur terrain, Prélèvement, Urine, Exploration bactériologique, Evaluation, Coût, Etude comparative, Adolescent, Homme, Prévention, Bactériose, Infection, Appareil génital mâle pathologie, Appareil génital femelle pathologie, Maladie sexuellement transmissible, Education santé, Economie santé
Mots-clés Pascal anglais : Chlamydia trachomatis, Chlamydiaceae, Chlamydiales, Bacteria, Medical screening, Risk factor, Field inquiry, Samplings, Urine, Bacteriological investigation, Evaluation, Costs, Comparative study, Adolescent, Human, Prevention, Bacteriosis, Infection, Male genital diseases, Female genital diseases, Sexually transmitted disease, Health education, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0074160
Code Inist : 002B05B02H. Création : 14/05/1998.