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P214 Are we missing something? extra-genital CT/GC naat testing in female patients attending a young persons clinic
  1. Elizabeth Williams,
  2. Sarah Ramsay,
  3. Sarah Creighton,
  4. Tristan Barber
  1. Homerton University Hospital, London, UK

Abstract

Background/introduction Our service has a dedicated Young Persons Clinic (YPC) for women age ≤25. Current policy is to only offer routine vulvo-vaginal (VVS) or cervical CT/GC NAAT swabs for female patients but we are aware that STIs in non-genital sites may therefore be missed. From 15/04/14 we offered female patients attending our YPC VVS/cervical and extragenital (throat and rectum) swabs, regardless of exposure stated.

Aim(s)/objectives To quantify the number and result of CT/GC extragenital samples from YPC female patients.

Methods NAAT results for all women attending YPC between 15/04/14–16/09/14 were extracted retrospectively from an electronic database held within the clinic.

Results42 patients were documented to have been offered extragenital swabs. Of those, 34 (81%) accepted.

Discussion/conclusion Uptake of extragenital site testing was low. This is likely to reflect low rates of offering extragenital swabs, as there was a high rate (81%) of acceptance where an offer was documented. Five infections were solely identified from extragenital testing. It is recognised that a positive result does not necessarily imply infection and extragenital tests are currently unlicensed. Therefore this data suggests that further review would be useful.

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