2683. Follow-up Testing for Chlamydia trachomatis and Neisseria gonorrhea Infections in Female Basic Military Trainees
Abstract Background The Centers for Disease Control and Prevention recommends follow-up testing for Chlamydia trachomatis (CT) and Neisseria gonorrhea (GC) infections 3 months after initial positive test or within one year if repeat testing is not possible at 3 months. Follow-up testing compliance i...
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Veröffentlicht in: | Open forum infectious diseases 2023-11, Vol.10 (Supplement_2) |
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Sprache: | eng |
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Zusammenfassung: | Abstract
Background
The Centers for Disease Control and Prevention recommends follow-up testing for Chlamydia trachomatis (CT) and Neisseria gonorrhea (GC) infections 3 months after initial positive test or within one year if repeat testing is not possible at 3 months. Follow-up testing compliance in the United States is incompletely understood and has been reported below 35%, even in universally insured populations. The rates of follow-up testing in military populations are unknown.
Methods
During the study period from January 1, 2006-December 31, 2021, all female Air Force Basic Military Trainees provided a urine sample which underwent nucleic acid amplification testing (NAAT) for CT and GC. Those who tested positive were evaluated to determine demographic information as well as follow-up testing rates. Patients who were evaluated with a repeat CT/GC NAAT test within 12 months after a positive CT/GC test result were considered to have received appropriate follow-up. Nominal variables were compared by the Chi-squared test. A p-value of < 0.05 was considered significant.
Results
A total of 97,168 women were tested over the 16-year study period. Of those tested, 4,687 (4.8%) tested positive for either CT (n=4,584, 94.5%), GC (n=134, 2.7%), or both (n=131, n=2.7%). Of those who tested positive, 3,268 (69.7%) had repeat testing within 12 months of their initial positive test. There was no significant difference in follow-up by age, race, educational level, marital status, or organism. Compared to 2006-2009, 2018-2021 had significantly more follow-up testing (66.0% vs. 77.7%, p=< 0.0001) (Figure).
Follow-up Testing Rates for Chlamydia trachomatis and Neisseria gonorrhea Infections in Female Basic Military Trainees 2006-2021
Conclusion
Follow-up testing among female Air Force Basic Military Trainees is significantly higher than in other universally insured populations and has been improving with time. However, this study shows remaining barriers to adherence to recommended guidelines. Future efforts should clarify remaining barriers to follow-up testing in both military and civilian populations.
Disclosures
Jason F. Okulicz, MD, Gilead Sciences: Advisor/Consultant |
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ISSN: | 2328-8957 2328-8957 |
DOI: | 10.1093/ofid/ofad500.2294 |