Rapid screening and treatment for sexually transmitted diseases in arrestees: a feasible control measure.
OBJECTIVE
The purpose of this study was to determine the feasibility and usefulness of rapid screening and immediate presumptive treatment for sexually transmitted diseases among arrestees at a county jail.


METHODS
The rapid plasma reagin test (for syphilis) and the urine leukocyte esterase test (for urethritis) were used in establishing routine screening and presumptive treatment for sexually transmitted diseases among arrestees.


RESULTS
Of 4757 arrestees screened, 82 (1.7%) had untreated syphilis, and, of 4174 male arrestees screened, 541 (13%) had a positive leukocyte esterase test. The syphilis prevalence rate was higher among women than among men (3.1% vs 1.5%), and the rate was higher among Blacks than among Whites (2.3% vs 0.7%). Although leukocyte esterase test positivity was higher among persons reporting a urethral discharge (57% vs 12%), 88% of persons with a positive test result did not report such symptoms.


CONCLUSIONS
The program described here has reached persons with sexually transmitted diseases who are unlikely to use traditional health care services and thus are likely to remain untreated. Rapid screening and treatment for sexually transmitted diseases among arrestees is feasible and should be considered in areas with high sexually transmitted disease rates.
Beltrami
J F
JF
Tulane University School of Medicine, New Orleans, La, USA.
Cohen
D A
DA
Hamrick
J T
JT
Farley
T A
TA
D000293:Adolescent; D000328:Adult; D002690:Chlamydia Infections / Q000175:diagnosis; D002692:Chlamydia trachomatis; D005240:Feasibility Studies; D005260:Female; D006069:Gonorrhea / Q000175:diagnosis; D006801:Humans; D008145:Louisiana / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011329:Prisoners; D012749:Sexually Transmitted Diseases / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D019966:Substance-Related Disorders / Q000453:epidemiology; D011795:Surveys and Questionnaires; D013587:Syphilis / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D014505:Urban Population; D014526:Urethritis / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy