Vaginal self-swab better for STIs in women than other tests

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Goodfellow Gems

Vaginal self-swab better for STIs in women than other tests

A recent Alberta Tools for Practice1 found that self-collected vaginal swabs (SCVS) appear more sensitive in diagnosing chlamydia and gonorrhoea than health professional collected endocervical swabs and first catch urine (FCU). Endocervical swabs and FCU testing may miss up to 10% of STIs in women.

SCVS (when pelvic exam not required) is recommended in women and FCU in men. The patients find SCVS “easy” to perform (88%) and prefer home completion. Guidelines recommend SCVS when a pelvic exam is not otherwise indicated.2

References:

  1. Alberta Tools for Practice # 208  Click here
  2. Recommendations for the Laboratory-Based Detection of Chlamydia trachomatis and Neisseria gonorrhoeae — 2014. CDC. Click here

Gems are chosen by the Goodfellow director Dr. Bruce Arroll to be either practice changing or practice maintaining. The information is educational and not clinical advice.



As published in NZ Doctor 20/06/2018