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Public Health screening for Chlamydia trachomatis and Neisseria gonorrhoeae in adult detention facilities



Public Health screening for Chlamydia trachomatis and Neisseria gonorrhoeae in adult detention facilities



Abstracts of the General Meeting of the American Society for Microbiology 101: 194



Public Health screening of jail inmates for C. trachomatis and N. gonorrhoeae has been performed by transporting the inmate under guard to the health clinic or by clinic professional staff travelling to the jail. Amplified methods can detect C. trachomatis and N. gonorrhoeae using urine or genital swab specimens. During late 1999 and early 2000, two Florida county health departments conducted demonstration projects using LCR technology in their respective county detention facilities to determine if the prevalence of C. trachomatis and N. gonorrhoeae in jail inmates justifies screening and if urine is a suitable specimen. Both projects offered testing at intake. Specimen collection was performed by a combination of Disease Intervention Specialists and privately contracted medical personnel. Urine specimens were obtained from male and female inmates at the detention facilities. Specimens were tested for C. trachomatis and N. gonorrhoeae by LCR. Demographic and risk factor data were obtained from detainees, enabling field investigation by the local health department if the detainee was released before treatment. Of 550 females screened, 51 (9.3%) were positive for C. trachomatis and 44 (8%) were positive for N. gonorrhoeae. Of 700 males screened, 84 (12%) were positive for C. trachomatis and 72 (10.2%) were positive for N. gonorrhoeae. Results of the jail screening project emphasize the need for C. trachomatis and N. gonorrhoeae screening in this "high risk" population. The use of urine specimens obviates the need for physical examination to collect specimens. Amplified testing of urine specimens for C. trachomatis and N. gonorrhoeae is a suitable alternative to invasive specimen collection in a non-clinical setting such as a jail.

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