OBJECTIVES: The purpose of this study was to determine the feasibility and usefulness of rapid screening and immediate presumptive treatment for sexually transmitted diseases among arrestees at a county jail. METHODS: The rapid plasma reagin test (for syphilis) and the urine leukocyte esterase test (for urethritis) were used in establishing routine screening and presumptive treatment for sexually transmitted diseases among arrestees. RESULTS: Of 4757 arrestees screened, 82 (1.7%) had untreated syphilis, and, of 4174 male arrestees screened, 541 (13%) had a positive leukocyte esterase test. The syphilis prevalence rate was higher among women than among men (3.1% vs 1.5%), and the rate was higher among Blacks than among Whites (2.3% vs 0.7%). Although leukocyte esterase test positivity was higher among persons reporting a urethral discharge (57% vs 12%), 88% of persons with a positive test result did not report such symptoms. CONCLUSIONS: The program described here has reached persons with sexually transmitted diseases who are unlikely to use traditional health care services and thus are likely to remain untreated. Rapid screening and treatment for sexually transmitted diseases among arrestees is feasible and should be considered in areas with high sexually transmitted disease rates.
OBJECTIVES: The purpose of this study was to determine the feasibility and usefulness of rapid screening and immediate presumptive treatment for sexually transmitted diseases among arrestees at a county jail. METHODS: The rapid plasma reagin test (for syphilis) and the urine leukocyte esterase test (for urethritis) were used in establishing routine screening and presumptive treatment for sexually transmitted diseases among arrestees. RESULTS: Of 4757 arrestees screened, 82 (1.7%) had untreated syphilis, and, of 4174 male arrestees screened, 541 (13%) had a positive leukocyte esterase test. The syphilis prevalence rate was higher among women than among men (3.1% vs 1.5%), and the rate was higher among Blacks than among Whites (2.3% vs 0.7%). Although leukocyte esterase test positivity was higher among persons reporting a urethral discharge (57% vs 12%), 88% of persons with a positive test result did not report such symptoms. CONCLUSIONS: The program described here has reached persons with sexually transmitted diseases who are unlikely to use traditional health care services and thus are likely to remain untreated. Rapid screening and treatment for sexually transmitted diseases among arrestees is feasible and should be considered in areas with high sexually transmitted disease rates.
Authors: J A Kluytmans; H G Niesters; J W Mouton; W G Quint; J A Ijpelaar; J H Van Rijsoort-Vos; L Habbema; E Stolz; M F Michel; J H Wagenvoort Journal: J Clin Microbiol Date: 1991-12 Impact factor: 5.948
Authors: H Grosskurth; F Mosha; J Todd; E Mwijarubi; A Klokke; K Senkoro; P Mayaud; J Changalucha; A Nicoll; G ka-Gina Journal: Lancet Date: 1995-08-26 Impact factor: 79.321
Authors: Felicia M T Lewis; Julia A Schillinger; Melanie Taylor; Toye H Brewer; Susan Blank; Tom Mickey; Bruce W Furness; Greta L Anschuetz; Melinda E Salmon; Thomas A Peterman Journal: J Public Health Manag Pract Date: 2011 Nov-Dec
Authors: Kyle T Bernstein; Joan M Chow; Juan Ruiz; Julius Schachter; Evalyn Horowitz; Rebecca Bunnell; Gail Bolan Journal: Am J Public Health Date: 2006-10 Impact factor: 9.308
Authors: Julie R Kraut-Becher; Thomas L Gift; Anne C Haddix; Kathleen L Irwin; Robert B Greifinger Journal: J Urban Health Date: 2004-09 Impact factor: 3.671
Authors: Marjan Javanbakht; Melina Boudov; Laura J Anderson; Mark Malek; Lisa V Smith; Michael Chien; Sarah Guerry Journal: Am J Public Health Date: 2014-09-11 Impact factor: 9.308
Authors: Nina T Harawa; Russell Brewer; Victoria Buckman; Santhoshini Ramani; Aditya Khanna; Kayo Fujimoto; John A Schneider Journal: Am J Public Health Date: 2018-11 Impact factor: 9.308
Authors: M Villarroel-Torrico; K Montaño; P Flores-Arispe; E Jeannot; A Flores-León; N Cossio; C Valencia-Rivero; A Salcedo-Meneses; M Jiménez-Velasco; R Castro-Soto; G Gétaz-Jiménez; H Bermúdez-Paredes; H Wolff; L Gétaz Journal: Rev Esp Sanid Penit Date: 2018 May-Aug