title: Assessment of screening practices in a subacute clinical setting following introduction of Trichomonas vaginalis nucleic acid amplification testing.
abstract: OBJECTIVE
  Trichomonas vaginalis analyte-specific reagent is a highly sensitive assay for T vaginalis detection. We report how this diagnostic innovation influenced the sexually transmitted infection ordering practice patterns of 20 subacute-care clinicians.
  
  
  METHODS
  T vaginalis, Neisseria gonorrhoeae, and/or Chlamydia trachomatis screening data were audited on female swab submissions when only wet mount testing was available for detection of T vaginalis (2004-2007) and when T vaginalis detection options included analyte-specific reagent and wet mount (2008-2010).
  
  
  RESULTS
  Analyte-specific reagent availability resulted in more screening and detection of T vaginalis, prompted less utilization of wet mount microscopy, and increased overall RNA-based screening for N gonorrhoeae and C trachomatis (P < 0.0002).
  
  
  CONCLUSIONS
  Clinician familiarity with T vaginalis analyte-specific reagent can benefit both clinical practice and public health.
authors.affiliation: Wheaton Franciscan Laboratory, Wauwatosa, WI, USA. erik.munson@wfhc.org
authors.forename: Erik
authors.initials: E
authors.lastname: Munson
authors.forename: Cheryl
authors.initials: C
authors.lastname: Miller
authors.forename: Maureen
authors.initials: M
authors.lastname: Napierala
authors.forename: Timothy
authors.initials: T
authors.lastname: Kramme
authors.forename: Robin
authors.initials: R
authors.lastname: Olson
authors.forename: Kimber L
authors.initials: KL
authors.lastname: Munson
authors.forename: Sarah
authors.initials: S
authors.lastname: Olson
authors.forename: Jeanne E
authors.initials: JE
authors.lastname: Hryciuk
authors.forename: Ronald F
authors.initials: RF
authors.lastname: Schell
mesh_terms: D002690:Chlamydia Infections / Q000175:diagnosis; D005260:Female; D006069:Gonorrhea / Q000175:diagnosis; D006801:Humans; D008403:Mass Screening / Q000379:methods; D021141:Nucleic Acid Amplification Techniques / Q000379:methods*; D012680:Sensitivity and Specificity; D015231:Sexually Transmitted Diseases, Bacterial / Q000175:diagnosis*; D014247:Trichomonas Vaginitis / Q000175:diagnosis*