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Testing commercial sex workers for chlamydia and gonorrhoea on outreach
  1. S Macauley1,
  2. S Creighton2
  1. 1
    Open Doors, City and Hackney PCT, London, UK
  2. 2
    Department of Sexual Health, Homerton Hospital, London, UK
  1. Dr S Creighton, Department of Sexual Health, Homerton Hospital, Homerton Row, London E9 5SL, UK; sarah.creighton{at}


To assess the feasibility of testing indoor commercial sex workers (CSW) for Chlamydia trachomatis and Neisseria gonorrhoeae in an outreach setting. All CSW seen on outreach over a 6-week period were offered self-taken vulval swabs for chlamydia and gonorrhoea testing. Feasibility was assessed by all the outreach workers on a standardised proforma. Of the 93 women offered the service, 40 accepted, of whom five (12%) had not previously accessed sexual health services. The majority of women declining the service had recently attended a sexual health clinic. Three cases of chlamydia and one of gonorrhoea were diagnosed. The cost per sexually transmitted infection (STI) was £392.50. Most of this group of women were knowledgeable about sexual health and were already having regular check-ups, but a significant minority did not know how to access STI care. Offering STI testing on outreach was feasible and cost effective.

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  • Competing interests: None.