title: 'The waiting game': are current chlamydia and gonorrhoea near-patient/point-of-care tests acceptable to service users and will they impact on treatment?
abstract: The objective of this study was to assess the length of time service users were prepared to wait for chlamydia and gonorrhoea (CT/GC) near-patient/point-of-care test (NP-POCT) results and to determine the possible effect on management. Individuals attending two UK clinics from November 2013 to February 2014 were surveyed asking the maximum length of time they would wait for CT/GC NP-POCT results after consultation. Linked CT/GC prevalence and treatment rates were analysed. A total of 1817 participants were surveyed, and 1356 provided CT/GC NAAT samples, in which it was found that 115 (8.5%) could wait over 90 minutes in clinic for their result. 115 received treatment at consultation, of which 50 were CT/GC negative and 12 were treated for urethritis or cervicitis; 38 attended as CT/GC contacts. Six of this population would have waited over 90 minutes were NP-POCTs available. A total of 129 tested CT/GC positive, of whom 65 were treated at their consultation, 61 at a later date, and three were untreated. Twelve of these 129 patients would also have waited over 90 minutes for a NP-POCT result. We conclude that 90-minute NP-POCTs are not acceptable to most clinic attendees and would not have impacted on treatment rates or inappropriate prescribing, and 20-minute NP-POCTs show a marginal benefit in treating CT/GC. While NP-POCTs for CT/GC are promising, they must meet client expectations and enhance disease management in order to be accepted by patients and clinicians.
authors.affiliation: University of Southampton, Southampton, UK.
authors.forename: Lindsay M
authors.initials: LM
authors.lastname: Atkinson
authors.affiliation: Department of Sexual Health, St Mary's Hospital, Portsmouth, UK.
authors.forename: Dayan
authors.initials: D
authors.lastname: Vijeratnam
authors.affiliation: Department of Sexual Health, St Mary's Hospital, Portsmouth, UK.
authors.forename: Reena
authors.initials: R
authors.lastname: Mani
authors.affiliation: University of Southampton, Southampton, UK Department of Sexual Health, Royal South Hants, Southampton, UK prj466@aol.com.
authors.forename: Raj
authors.initials: R
authors.lastname: Patel
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities; D002689:Chlamydia / Q000302:isolation & purification; D002690:Chlamydia Infections / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D006069:Gonorrhea / Q000175:diagnosis* / Q000453:epidemiology; D006801:Humans; D008297:Male; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification; D010342:Patient Acceptance of Health Care; D063868:Patient Outcome Assessment; D019095:Point-of-Care Systems / Q000458:organization & administration*; D000067716:Point-of-Care Testing / Q000706:statistics & numerical data*; D015995:Prevalence; D011446:Prospective Studies; D012648:Self Care / Q000523:psychology*; D013997:Time Factors; D014850:Waiting Lists; D055815:Young Adult
keywords: Sexually trasnmitted infection; chlamydia; diagnosis; gonorrhoea; point-of-care test; testing; time to result; waiting time