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P012 Highlighting clinical need in diagnosing mycoplasma genitalium infection: use of a modified delphi approach to obtain a uk perspective
  1. Jonathan Ross1,
  2. Helen Fifer2,
  3. Peter Muir3,
  4. Simon Gwynn4,
  5. Patrick Horner5,
  6. Catherine Ison6,
  7. Jane Nicholls5,
  8. Keith Radcliffe1,
  9. David Taylor-Robinson7,
  10. John White8
  1. 1University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
  2. 2Public Health England, London, UK
  3. 3Public Health England, Bristol, UK
  4. 4SG Market Access Ltd, Chichester, UK
  5. 5University of Bristol, Bristol, UK
  6. 6Health Protection Agency, London, UK
  7. 7Retired, London, UK
  8. 8Guys and St Thomas, NHS Foundation Trust, London, UK

Abstract

Introduction Despite Mycoplasma genitalium (MG) being increasingly recognised as a genital pathogen in men and women, commercial testing has only recently become available. The opinion of sexual health clinicians and allied professionals was sought on how MG testing should be used.

Methods 32 consensus statements were developed by an expert group and circulated to clinicians and laboratory staff who were asked to evaluate their level of agreement with each statement; 75% agreement was set as the threshold for defining consensus for each statement. A modified Delphi approach was used and high levels of agreement obviated the need to test the original statement set further.

Results 60 respondents returned questionnaires, most (48) being sexual health consultants. More than 10% of UK GUM consultants therefore responded. 27 (84.4%) of the statements exceeded the 75% threshold for consensus. Respondents strongly supported MG testing of patients with urethritis or PID, or unexplained persistent vaginal discharge, or post-coital bleeding. Fewer favoured testing patients with proctitis and support was divided for routinely testing chlamydia-positive patients. Testing sexual contacts of MG-positive patients was supported, as was a test of cure for MG-positive patients by most respondents, although agreement fell below the 75% threshold. Respondents agreed that all level 3 services should have access to testing for MG (98.3%).

Discussion There was strong agreement for having MG-testing available for specific patient groups, which may reflect concern over antibiotic resistance and the desire to comply with clinical guidelines that recommend MG testing in sexual health clinic settings.

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