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RESEARCH ARTICLE

Acceptability of self-collecting oropharyngeal swabs for sexually transmissible infection testing among men and women

Derek T. Dangerfield II A E , Jason E. Farley A B , Jeffrey Holden C , Mathilda Barnes C , Perry Barnes Jr C , Mary Jett-Goheen C and Charlotte Gaydos C D
+ Author Affiliations
- Author Affiliations

A Johns Hopkins School of Nursing, 525 N Wolfe Street, Baltimore, MD 21205, USA.

B The REACH Initiative, Johns Hopkins School of Nursing, 855 N Wolfe Street, Suite 601, Baltimore, MD 21205, USA.

C Division of Infectious Diseases, Johns Hopkins School of Medicine, 733 N Broadway, Baltimore, MD 21205, USA.

D Department of Emergency Medicine, Johns Hopkins School of Medicine, 733 N Broadway, Baltimore, MD 212105, USA.

E Corresponding author. Email: ddanger2@jhu.edu

Sexual Health 16(3) 296-298 https://doi.org/10.1071/SH18209
Submitted: 5 November 2018  Accepted: 1 February 2019   Published: 22 March 2019

Abstract

In 2016, the rate of USA gonorrhoea and chlamydia cases increased by 18.6% and 6.9% respectively. Most people infected are asymptomatic and are not treated immediately, which negatively affects sexually transmissible infection (STI)/HIV rates. Men and women were asked to provide self-collected oropharyngeal specimens for STI testing (n = 79). Over 75% reported the collection of the swab was ‘easy’ or ‘very easy’ to use; 90% were willing to test for STIs at home in the future. Self-collecting oropharyngeal swabs for STI testing is acceptable among men and women. Future research should test the effect of self-collecting pharyngeal swabs on STI testing behaviours and results.

Additional keywords: chlamydia, gonorrhoea, screening, self-test.


References

[1]  Centers for Disease Control and Prevention. Chlamydia – 2017 sexually transmitted diseases surveillance. Atlanta: US Department of Health & Human Services; 2018. Available online at: https://www.cdc.gov/std/stats17/chlamydia.htm [verified 16 October 2018].

[2]  Centers for Disease Control and Prevention. Gonorrhoea – 2017 sexually transmitted diseases surveillance. Atlanta: US Department of Health and Human Services; 2018. Available online at: https://www.cdc.gov/std/stats17/gonorrhea.htm [verified 16 October 2018].

[3]  Pinsky L, Chiarilli DB, Klausner JD, Kull RM, O’Keefe R, Heffer C, Seward Jr SL. Rates of asymptomatic nonurethral gonorrhea and chlamydia in a population of university men who have sex with men. J Am Coll Health 2012; 60 481–4.
Rates of asymptomatic nonurethral gonorrhea and chlamydia in a population of university men who have sex with men.Crossref | GoogleScholarGoogle Scholar | 22857141PubMed |

[4]  Bernstein KT, Marcus JL, Nieri G, Philip SS, Klausner JD. Rectal gonorrhea and chlamydia reinfection is associated with increased risk of HIV seroconversion J Acquir Immune Defic Syndr 2010; 53 537–43.
Rectal gonorrhea and chlamydia reinfection is associated with increased risk of HIV seroconversionCrossref | GoogleScholarGoogle Scholar | 19935075PubMed |

[5]  Deguchi T, Yasuda M, Ito S. Management of pharyngeal gonorrhea is crucial to prevent the emergence and spread of antibiotic-resistant Neisseria gonorrhoeae. Antimicrob Agents Chemother 2012; 56 4039–40.
Management of pharyngeal gonorrhea is crucial to prevent the emergence and spread of antibiotic-resistant Neisseria gonorrhoeae.Crossref | GoogleScholarGoogle Scholar | 22700700PubMed |

[6]  Torpy JM, Lynm C, Golub RM. Gonorrhea. JAMA 2013; 309 196
Gonorrhea.Crossref | GoogleScholarGoogle Scholar | 23299613PubMed |

[7]  Bolan GA, Sparling PF, Wasserheit JN. The emerging threat of untreatable gonococcal infection. N Engl J Med 2012; 366 485–7.
The emerging threat of untreatable gonococcal infection.Crossref | GoogleScholarGoogle Scholar | 22316442PubMed |

[8]  Unemo M, Nicholas RA. Emergence of multidrug-resistant, extensively drug-resistant and untreatable gonorrhea. Future Microbiol 2012; 7 1401–22.
Emergence of multidrug-resistant, extensively drug-resistant and untreatable gonorrhea.Crossref | GoogleScholarGoogle Scholar | 23231489PubMed |

[9]  Centers for Disease Control and Prevention. 2015 Sexually Transmitted Diseases Treatment Guidelines – screening recommendations and considerations referenced in treatment guidelines and original sources. Atlanta: US Department of Health & Human Services; 2015. Available online at: https://www.cdc.gov/std/tg2015/screening-recommendations.htm [verified 16 October 2018].

[10]  Centers for Disease Control and Prevention. Preexposure prophylaxis for the prevention of HIV infection in the United States – 2017 update: a clinical practice guideline. Atlanta: US Department of Health & Human Services; 2018. Available online at: https://www.cdc.gov/hiv/pdf/risk/prep/cdc-hiv-prep-guidelines-2017.pdf [verified 30 October 2018].

[11]  Patton ME, Kidd S, Llata E, Stenger M, Braxton J, Asbel L, Bernstein K, Gratzer B, Jespersen M, Kerani R, Mettenbrink C, Mohamed M, Pathela P, Shchumacher C, Stirland A, Stover J, Tabidze I, Kirkcaldy RD, Weinstock H. Extragenital gonorrhea and chlamydia testing and infection among men who have sex with men—STD Surveillance Network, United States, 2010–2012. Clin Infect Dis 2014; 58 1564–70.
Extragenital gonorrhea and chlamydia testing and infection among men who have sex with men—STD Surveillance Network, United States, 2010–2012.Crossref | GoogleScholarGoogle Scholar | 24647015PubMed |

[12]  Bernstein KT, Liu K-L, Begier EM, Koblin B, Karpati A, Murrill C. Same-sex attraction disclosure to health care providers among New York City men who have sex with men: implications for HIV testing approaches. Arch Intern Med 2008; 168 1458–64.
Same-sex attraction disclosure to health care providers among New York City men who have sex with men: implications for HIV testing approaches.Crossref | GoogleScholarGoogle Scholar | 18625927PubMed |

[13]  Barbee LA, Dhanireddy S, Tat SA, Marrazzo JM. Barriers to bacterial STI testing of HIV-infected men who have sex with men engaged in HIV primary care. Sex Transm Dis 2015; 42 590–4.
Barriers to bacterial STI testing of HIV-infected men who have sex with men engaged in HIV primary care.Crossref | GoogleScholarGoogle Scholar | 26372931PubMed |

[14]  Paudyal P, Llewellyn C, Lau J, Mahmud M, Smith H. Obtaining self-samples to diagnose curable sexually transmitted infections: a systematic review of patients’ experiences. PLoS One 2015; 10 e0124310
Obtaining self-samples to diagnose curable sexually transmitted infections: a systematic review of patients’ experiences.Crossref | GoogleScholarGoogle Scholar | 25909508PubMed |

[15]  Purcell HN, Gaydos C, Widdice L. Preference for and acceptability of self-collection of pharyngeal swabs for sexually transmitted infection testing. J Adolesc Health 2018; 62 S81
Preference for and acceptability of self-collection of pharyngeal swabs for sexually transmitted infection testing.Crossref | GoogleScholarGoogle Scholar |

[16]  Huang W, Gaydos CA, Barnes MR, Jett-Goheen M, Blake DR. Cost-effectiveness analysis of Chlamydia trachomatis screening via Internet-based self-collected swabs compared to clinic-based sample collection. Sex Transm Dis 2011; 38 815–20.
Cost-effectiveness analysis of Chlamydia trachomatis screening via Internet-based self-collected swabs compared to clinic-based sample collection.Crossref | GoogleScholarGoogle Scholar | 21844736PubMed |

[17]  Patel AV, Abrams SM, Gaydos CA, Jett-Goheen M, Latkin CA, Rothman RE, Hsieh YH. Increasing HIV testing engagement through provision of home HIV self-testing kits for patients who decline testing in the emergency department: a pilot randomisation study. Sex Transm Infect 2018;
Increasing HIV testing engagement through provision of home HIV self-testing kits for patients who decline testing in the emergency department: a pilot randomisation study.Crossref | GoogleScholarGoogle Scholar | 29903889PubMed |

[18]  Buhrer-Skinner M, Muller R, Bialasiewicz S, Sloots TP, Debattista J, Gordon R, Buettner PG. The check is in the mail: piloting a novel approach to Chlamydia trachomatis testing using self-collected, mailed specimen. Sex Health 2009; 6 163–9.
The check is in the mail: piloting a novel approach to Chlamydia trachomatis testing using self-collected, mailed specimen.Crossref | GoogleScholarGoogle Scholar | 19457297PubMed |

[19]  Gaydos CA, Jett-Goheen M, Barnes M, Dize L, Hsieh Y-H. Self-testing for Trichomonas vaginalis at home using a point-of-care test by women who request kits via the Internet. Sex Health 2016; 13 491–3.
Self-testing for Trichomonas vaginalis at home using a point-of-care test by women who request kits via the Internet.Crossref | GoogleScholarGoogle Scholar |