Laboratory diagnosis of sexually transmitted infections in estonia in 2001-2002: shortcomings with impact on diagnostic quality and surveillance

The objectives of this study were to comprehensively characterize the range, content, and performance of sexually transmitted infection (STI) testing services in Estonia during the period 2001 to 2002 and to determine if the observed diagnostic laboratory practices and methods adhered to internation...

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Vydané v:Sexually transmitted diseases Ročník 32; číslo 12; s. 759
Hlavní autori: Naaber, Paul, Uusküla, Anneli, Naaber, Janika, Põder, Airi, Hjelm, Eva, Hallén, Anders, Unemo, Magnus, Domeika, Marius
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States 01.12.2005
Predmet:
Animals
Chlamydia trachomatis - isolation & purification
Clinical Laboratory Techniques - standards
Clinical Laboratory Techniques - statistics & numerical data
Estonia - epidemiology
Female
Humans
Laboratories - standards
Male
Neisseria gonorrhoeae - isolation & purification
Population Surveillance - methods
Quality Control
Sexually Transmitted Diseases - diagnosis
Sexually Transmitted Diseases - epidemiology
Sexually Transmitted Diseases - etiology
Surveys and Questionnaires
Treponema pallidum - isolation & purification
Trichomonas vaginalis - isolation & purification
World Health Organization
Estonia
ISSN:0148-5717
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Shrnutí:The objectives of this study were to comprehensively characterize the range, content, and performance of sexually transmitted infection (STI) testing services in Estonia during the period 2001 to 2002 and to determine if the observed diagnostic laboratory practices and methods adhered to international evidence-based recommendations. Survey data, focusing on organization and performance characteristics of STI diagnostics services, were assessed using questionnaires, telephone interviews, and site visits to all responding facilities providing STI diagnostics services in Estonia. Guidelines of international evidence-based recommendations for STI testing were used as references. There were significant shortcomings in STI testing availability and practices. Among all participating laboratories diagnosing STIs, only a minority (n = 16, 28%) offered testing for the full minimum range of relevant STIs in Estonia, i.e., Treponema pallidum, Neisseria gonorrhoeae, Chlamydia trachomatis, and Trichomonas vaginalis. In addition, because testing methods used were not properly selected, confirmation of several infections in accordance with evidence-based requirements was not possible, which has an impact both on STI diagnostic quality and surveillance.
Bibliografia:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0148-5717
DOI:10.1097/01.olq.0000175381.26082.fc