title: "Express testing" in STI clinics: extant literature and preliminary implementation data.
abstract: In an era of stagnant resources for sexually transmitted infection (STI) and HIV testing clinics, and at a time of ongoing-and in some cases increasing-STI and HIV transmission, it is important to trial and evaluate novel STI/HIV testing strategies. Based on the extant literature, one such approach is express testing, which includes full STI/HIV testing (as per clinical indication and client request), altered pretest counseling, and no physical examination for both men and women. In this paper, we overview the available research about express testing, including the literature on less-invasive testing, the effects of risk reduction counseling HIV testin/HIV testing, available research on various HIV testing modalities, and the reasons people undergo such testing. Thereafter, we overview our express testing program, which includes a detailed review of our clinical processes (which are unique within the published literature). Lastly, we provide some preliminary pre-implementation data to support the proposed efficacy of express testing.
authors: University of Ottawa, School of Nursing, Ottawa, Canada. Electronic address: pjobyrne@uottawa.ca.
authors: Patrick
authors: P
authors: O'Byrne
authors: University of Ottawa, School of Nursing, Ottawa, Canada.
authors: J Craig
authors: JC
authors: Phillips
authors: Ottawa Public Health, Ottawa, Canada.
authors: Barbara
authors: B
authors: Campbell
authors: Ottawa Public Health, Ottawa, Canada.
authors: Aideen
authors: A
authors: Reynolds
authors: Ottawa Public Health, Ottawa, Canada.
authors: Gila
authors: G
authors: Metz
mesh_terms: D003376:Counseling; D005260:Female; D015658:HIV Infections / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008487:Medical History Taking; D012749:Sexually Transmitted Diseases / Q000175:diagnosis*
keywords: Clinical services; Express testing; Nursing; Sexually transmitted infections