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Sexually transmitted disease testing protocols, sexually transmitted
disease testing, and discussion of sexual behaviors in HIV clinics in Los
Angeles County.
Sexually Transmitted Diseases 2005;32(6):341-345.
Taylor MM, McClain T, Javanbakht M, Brown B, Aynalem G, Smith LV, Kerndt
PR, Peterman TA.
Abstract
OBJECTIVE/GOAL: The objective of this study was to evaluate the use of written
protocols for sexually transmitted disease (STD) screening, the frequency
and types of STD tests performed, and the occurrence and frequency of obtaining
sexual risk assessments among HIV clinics. STUDY: A survey was administered
to 36 medical directors, clinic directors, and HIV providers representing
48 HIV healthcare clinics in Los Angeles. RESULTS: The use of a written or
electronic protocol for STD testing was reported by 50% of clinics. Clinics
with written or electronic STD protocols were significantly more likely to
report questioning patients at each visit regarding their sexual practices
(prevalence ratio, 2.2; 95% confidence interval, 1.4-3.4). Clinics with written
or electronic protocols were not more likely to report more frequent STD
testing. CONCLUSIONS: Written or electronic protocols for STD testing may
promote sexual risk assessment questioning among HIV healthcare providers
and may help to ensure STD testing per Centers for Disease Control and Prevention/IDSA
guidelines for HIV-positive persons at sexual risk.