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STI screen prior to coil fitting

99 Posts

Posted:  27-Sep-2013 18:32
I have read the posts from June regarding triple swabs and we use the NAATs test for chlamydia and gonorrhoea, we have some GPs semnding patients away with self collection kits while others are requesting endocervical swabs. The thing is, I have contacted the lab and the assistant said that the endocervical swab is more accurate but couldnt give a reason for her answer.
So I would like to know if there is any evidence to say which is better as surely there would be information stating that the self testing swab is not to be used pre coil etc if less reliable??, I noticed Iualua's comments from June so has made me dig further, will see if I can find some info in the meantime.

759 Posts

Posted:  30-Sep-2013 13:55
I think maybe depends where you work. In our area e do naat test for chlamydia and gonnorrhoea which are self swabs
our naat swab for ecs is no different to my knowledge- certainly not we are aware of

But our ecs we do for sensitivities is much less accurate for sensitivities

99 Posts

Posted:  30-Sep-2013 17:22
Many thanks tigha 

425 Posts

Posted:  30-Sep-2013 19:22
Vaginal specimens have been demonstrated by a number of workers to produce similar sensitivity to cervical testing.14 (IIa, Grade B)
hope this helps answer your query


99 Posts

Posted:  30-Sep-2013 21:18
Thanks so much for the article cloe, it's given just what I wanted and there are more links for further reading. I've got so much reading to do!

0 Posts

Posted:  15-Oct-2013 13:16
I know this is a little late to reply but there is now evidence that blind swabs (done either by a clinician or patient) is more effective than an endocervical swab. Certain STI clinics no longer do endocerical tests on asymptomatic patients. If you think about it the blind swab will be catching more bugs than when using a speculum which opens up the cavity.[8)]

1425 Posts

Posted:  15-Oct-2013 13:37
turtle do you have the research/guidelines for this please?


99 Posts

Posted:  16-Oct-2013 06:43
Good point Turtle, thanks, I will try to locate the research.

5368 Posts

Posted:  16-Oct-2013 07:38

The info is in faculty guidance

Please be informed that the above is personal opinion only.
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