@article{Whitlock:2018:10.1177/0956462417736431,
author = {Whitlock, GG and Gibbons, DC and Longford, N and Harvey, MJ and McOwan, A and Adams, EJ},
doi = {10.1177/0956462417736431},
journal = {International Journal of STD and AIDS},
pages = {474--482},
title = {Rapid testing and treatment for sexually transmitted infections improve patient care and yield public health benefits},
url = {http://dx.doi.org/10.1177/0956462417736431},
volume = {29},
year = {2018}
}

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TY  - JOUR
AB  - A service evaluation of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) testing and result notification in patients attending a rapid testing service (Dean Street Express [DSE]) compared with those attending an existing ‘standard’ sexual health clinic (56 Dean Street [56DS]), and modelling the impact of the new service from 1 June 2014 to 31 May 2015. Primary outcome: time from patients’ sample collection to notification of test results at DSE compared with 56DS. Secondary outcomes estimated using a model: number of transmissions prevented and the number of new partner visits avoided and associated cost savings achieved due to rapid testing at DSE. In 2014/15, there were a total of 81,352 visits for CT/NG testing across 56DS (21,086) and DSE (60,266). Rapid testing resulted in a reduced mean time to notification of 8.68 days: 8.95 days for 56DS (95% CI 8.91–8.99) compared to 0.27 days for DSE (95% CI 0.26–0.28). Our model estimates that rapid testing at DSE would lead to 196 CT and/or NG transmissions prevented (2.5–97.5% centile range = 6–956) and lead to annual savings attributable to reduced numbers of partner attendances of £124,283 (2.5–97.5% centile range = £4260–590,331). DSE, a rapid testing service for asymptomatic infections, delivers faster time to result notification for CT and/or NG which enables faster treatment, reduces infectious periods and leads to fewer transmissions, partner attendances and clinic costs.
AU  - Whitlock,GG
AU  - Gibbons,DC
AU  - Longford,N
AU  - Harvey,MJ
AU  - McOwan,A
AU  - Adams,EJ
DO  - 10.1177/0956462417736431
EP  - 482
PY  - 2018///
SN  - 0956-4624
SP  - 474
TI  - Rapid testing and treatment for sexually transmitted infections improve patient care and yield public health benefits
T2  - International Journal of STD and AIDS
UR  - http://dx.doi.org/10.1177/0956462417736431
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000429848100007&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - http://hdl.handle.net/10044/1/64464
VL  - 29
ER  - 

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