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2nd BASHH Oxford Diagnostics Course, November 2015.

R R Patel1, J A White2, A S Menon-Johansson3

  • 11 Walsall Healthcare NHS Trust, Walsall, UK.

International Journal of STD & AIDS
|January 21, 2016
PubMed
Summary
This summary is machine-generated.

Rising sexually transmitted infection rates are straining UK sexual health services. This course explored novel remote testing, cost-effective diagnostics like nucleic acid amplification tests, and combating antimicrobial resistance to improve patient care and service efficiency.

Keywords:
Sexually transmitted infectionantibioticchlamydia (Chlamydia trachomatis)diagnosisgonorrhoea (Neisseria gonorrhoeae)screeningtestingtreatmenttrichomoniasis (Trichomonas vaginalis)

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Area of Science:

  • Sexual health diagnostics
  • Public health service design

Background:

  • Increasing sexually transmitted infection (STI) rates and demand on UK sexual health services.
  • Need for improved patient flow and reduced waiting times in sexual health clinics.

Purpose of the Study:

  • To discuss challenges and emerging concepts in diagnostics and service design for sexual health.
  • To explore novel remote STI testing strategies and their patient journey, demographics, and uptake.
  • To evaluate cost-benefits of diagnostic methods and address antimicrobial resistance.

Main Methods:

  • Presentation of various approaches to improve patient flow and reduce waiting times.
  • Exploration of remote STI testing, including patient journey and uptake data.
  • Cost-benefit analysis of nucleic acid amplification tests versus microscopy/culture for Trichomonas vaginalis detection.
  • Discussion on antimicrobial resistance, genotypic markers, and point-of-care testing.

Main Results:

  • Novel remote STI testing shows potential for managing patient flow and reaching new demographics.
  • Nucleic acid amplification tests offer a cost-effective alternative to traditional methods for Trichomonas vaginalis detection, especially in high-risk groups.
  • Antimicrobial resistance is a growing concern, necessitating vigilance and advanced testing methods.

Conclusions:

  • Innovative diagnostic and service design approaches are crucial for addressing rising STI rates and service demand.
  • Remote testing and advanced diagnostics like NAATs can enhance efficiency and cost-effectiveness in sexual health services.
  • Combating antimicrobial resistance requires continuous monitoring and the development of point-of-care resistance tests.