Optimizing Screening for Sexually Transmitted Infections in Men Using Self-Collected Swabs: A Systematic Review

Sexually Transmitted Diseases
Nicholas YaredShalini Kulasingam

Abstract

Sexually transmitted infection (STI) rates are increasing in the United States while funding for prevention and treatment programs has declined. Sample self-collection for STI testing in men may provide an acceptable, easy, rapid, and potentially cost-effective method for increasing diagnosis and treatment of STIs. We conducted a systematic review of articles assessing self-collection of anal, oral, or genital swab samples among adult men for detection of STIs and/or human papillomavirus-related dysplasia. We searched for English-language articles in which men 18 years or older were recruited to participate. Our literature search resulted in 1053 citations, with 20 meeting inclusion criteria. Self-collection methods were highly sensitive and comparable with clinician collection for detection of multiple STI pathogens. However, self-collected samples were less likely to be of adequate quality for anorectal cytology and less sensitive for detection of anal intraepithelial neoplasia than clinician-collected samples. Self-collection was highly acceptable. Overall, studies were small and heterogeneous and used designs providing lower levels of evidence. Self-collection methods are a viable option for collecting samples for STI testi...Continue Reading

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Citations

Oct 14, 2020·Journal of American College Health : J of ACH·Lisa L LindleyTasnuva Chowdhury
Jun 20, 2021·Family Medicine and Community Health·Amina R ZeidanKelly R Reveles
Dec 21, 2020·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Kuan-Yin LinShan-Chwen Chang
Oct 12, 2021·Annals of Internal Medicine·Julia C Dombrowski
Jun 27, 2021·Sexually Transmitted Diseases·Tembe Carveth-JohnsonChelsea Morroni

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