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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Two methods of self-sampling compared to clinician sampling to detect reproductive tract infections in Gugulethu, South Africa
Sexually Transmitted Diseases, Volume 33, No. 8, Year 2006
Notification
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Description
OBJECTIVES: To assess the validity, feasibility, and acceptability of 2 methods of self-sampling compared to clinician sampling during a speculum examination. GOAL: To improve screening for reproductive tract infections (RTIs) in resource-poor settings. STUDY DESIGN: In a public clinic in Cape Town, 450 women underwent a speculum examination and were randomized to self-sample with either a tampon or vaginal swabs. All specimens were tested for the same pathogens using the same diagnostic tests. RESULTS: Self-sampling resulted in satisfactory validity for N gonorrhoeae, C trachomatis, bacterial vaginosis, and Candida species (tampons and swabs) and high-risk human papillomavirus (swabs only) when tested with molecular tests or microscopy, but not for T vaginalis by culture. Self-sampling was feasible and acceptable, but some women preferred speculum examinations, which allow the clinician to view the vagina and cervix. CONCLUSIONS: Although self-sampling should not replace speculum examinations in all circumstances, it should be explored further as an RTI screening strategy. Copyright © 2006, American Sexually Transmitted Diseases Association All rights reserved.
Authors & Co-Authors
van de Wijgert, Janneke H.H.M.
United States, New York
The Population Council, Inc.
Netherlands, Amsterdam
Universiteit Van Amsterdam
Netherlands, Amsterdam
Iatec
Altini, Lydia
South Africa, Cape Town
University of Cape Town
Jones, Heidi E.
United States, New York
The Population Council, Inc.
de Kock, Alana E.
South Africa, Cape Town
University of Cape Town
Young, Taryn N.
South Africa, Cape Town
University of Cape Town
South Africa, Tygerberg
South African Medical Research Council
Williamson, Anna Lise
South Africa, Cape Town
Faculty of Health Sciences
Hoosen, Anwar Ahmed
South Africa, Pretoria
Sefako Makgatho Health Sciences University Smu
Coetzee, Nicol
South Africa, Cape Town
University of Cape Town
United Kingdom, Stafford
Shropshire and Staffordshire Health Protection Unit
Statistics
Citations: 45
Authors: 8
Affiliations: 8
Identifiers
Doi:
10.1097/01.olq.0000204671.62529.1f
ISSN:
01485717
Research Areas
Cancer
Health System And Policy
Sexual And Reproductive Health
Study Locations
South Africa
Participants Gender
Female