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The feasibility of testing commercial sex workers for chlamydia and gonorrhoea on outreach
  1. Sarah Macauley (sarahmacauley{at}
  1. Open Doors, City and Hackney PCT, London, United Kingdom
    1. Sarah Creighton (sarah.creighton{at}
    1. Homerton Hospital, United Kingdom


      Objectives: To assess the feasibility of testing indoor commercial sex workers (CSW) for Chlamydia trachomatis and Neisseria gonorrhoeae in an outreach setting.

      Methods: All CSWs seen on outreach over a six 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.

      Results: Of the 93 women offered the service 40 accepted, of whom 5 (12%) had not previously accessed sexual health services. The majority of women declining the service had recently attended a sexuaol health clinic. Three cases of Chlamydia and one of gonorrhoea were diagnosed. The cost per sexually transmitted infection (STI) was £392.50

      Conclusions: 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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