title: Test Not Talk screening for asymptomatic men.
abstract: This audit reviews the first year's experience within a rapid comprehensive sexually transmitted infection (STI) and HIV screening for asymptomatic men in a small-integrated sexual health clinic in outer London. Men requesting STI/HIV screening only were offered symptom self-assessment, blood tests for syphilis and HIV, and first void urine tests for chlamydia and gonorrhoea. Of 468 available appointments, 337 were made (72%) and 303 were kept (80%). Of the 303 attendances, 264 (87%) were first-ever attendances. Of the 303 men seen, 295 (97.4%) underwent chlamydia and gonorrhoea testing, while 246 (80.9%) were tested for syphilis and HIV. No new HIV diagnoses were made. One patient was diagnosed with late latent syphilis and one had asymptomatic gonorrhoea, while 20 (6.6%) diagnoses of chlamydia were made. We believe that Test Not Talk clinics offer a good approach to rapid screening of asymptomatic men and to meet their sexual health needs.
authors.affiliation: Department of Reproductive and Sexual Health Care, Town Clinic, Wenlock House, 33 Eaton Road, Enfield EN1 1NJ, UK. rudiger.pittrof@enfield.nhs.uk
authors.forename: R
authors.initials: R
authors.lastname: Pittrof
authors.forename: J
authors.initials: J
authors.lastname: McLellan
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities; D002690:Chlamydia Infections / Q000175:diagnosis / Q000188:drug therapy; D006069:Gonorrhea / Q000175:diagnosis / Q000188:drug therapy; D015658:HIV Infections / Q000175:diagnosis; D006801:Humans; D008131:London; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008485:Medical Audit; D012189:Retrospective Studies; D012749:Sexually Transmitted Diseases / Q000175:diagnosis* / Q000188:drug therapy*; D013592:Syphilis, Latent / Q000175:diagnosis / Q000188:drug therapy