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The Rapid Test Paradox: When Fewer Cases Detected Lead to More Cases Treated

Article Abstract:

Rapid testing for chlamydia infection may increase the number of patients treated, compared to delayed testing at a laboratory. Rapid testing at the point of care is not as sensitive as laboratory testing, but patients diagnosed with the sexually transmitted disease can be treated immediately. Untreated chlamydia can cause pelvic inflammatory disease and infertility. Researchers determined that, if fewer than 65% of patients returned to the clinic to find out the result of a delayed laboratory test, rapid testing would lead to more patients being treated. Diagnosis and treatment at a single clinic visit can prevent infected patients from going untreated.

Author: KASSLER, WILLIAM J., HOOK, EDWARD W. III, GIFT, THOMAS L., PATE, MITCHELL S.
Publisher: American Venereal Disease Association
Publication Name: Sexually Transmitted Diseases
Subject: Health
ISSN: 0148-5717
Year: 1999
Product/Service Evaluation, Testing, Chlamydia, BioStar Chlamydia OIA (Medical test kit)

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Medical Care Expenditures for Genital Herpes in the United States

Article Abstract:

Genital herpes is an important public health problem. Based on an analysis of pharmacy claims from national and state databases, researchers estimate that genital herpes results in half a million visits to a doctor or clinic each year and over 2 million drug prescriptions. In 1999 dollars, this translates into $207 million. Doctor and clinic visits account for 36% of the cost and drug treatment for 64%.

Author: TAO, GUOYU, KASSLER, WILLIAM J., REIN, DAVID B.
Publisher: American Venereal Disease Association
Publication Name: Sexually Transmitted Diseases
Subject: Health
ISSN: 0148-5717
Year: 2000
Economic aspects, Herpes genitalis, Genital herpes

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Privatization of STD Services in Tacoma, Washington: A Quality Review

Article Abstract:

Many privatized sexually transmitted diseases (STDs) clinics do not maintain adequate medical records or follow CDC guidelines for treating pelvic inflammatory disease. This was the conclusion of a survey of 3,275 visits at privatized STD clinics in Tacoma, Washington.

Author: KASSLER, WILLIAM J., EUBANKS, CAROL, LAFFERTY, WILLIAM E., KIMBALL, ANN MARIE, MacCORNACK, RICK
Publisher: American Venereal Disease Association
Publication Name: Sexually Transmitted Diseases
Subject: Health
ISSN: 0148-5717
Year: 1999
Care and treatment, Ambulatory care facilities, Privatization, Privatization (Business), Clinics

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Subjects list: Sexually transmitted diseases, Evaluation
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