{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T10:46:35Z","timestamp":1782816395500,"version":"3.54.5"},"reference-count":39,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T00:00:00Z","timestamp":1782000000000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To synthesise evidence on opportunistic screening for asymptomatic sexually transmitted infections and bloodborne viruses (STI\/BBV) in emergency departments (EDs), focusing on detection, public health outcomes and feasibility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An integrative review was conducted using Whittemore and Knafl's framework. PubMed, EBSCO, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane, and Embase were searched (2012\u20132024). Eligible sources included quantitative, qualitative, mixed\u2010methods and policy papers. Studies were appraised with the Mixed Methods Appraisal Tool (MMAT) and synthesised thematically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 20 studies were included. Thematic synthesis identified four key domains: routine or opt\u2010out ED screening increased case detection and was cost\u2010effective; barriers included privacy concerns, workflow constraints and low risk perception; behaviour\u2010based eligibility better aligned screening with actual risk factors, whereas population\u2010based approaches often misclassified exposure; and implementation was facilitated by confidentiality safeguards, streamlined workflows, self\u2010collection and electronic prompts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Routine, opportunistic asymptomatic STI\/BBV screening embedded within emergency department workflows reliably increases case detection of\n                      <jats:styled-content style=\"fixed-case\">\n                        <jats:italic>Chlamydia trachomatis<\/jats:italic>\n                      <\/jats:styled-content>\n                      ,\n                      <jats:styled-content style=\"fixed-case\">\n                        <jats:italic>Neisseria gonorrhoeae<\/jats:italic>\n                      <\/jats:styled-content>\n                      , syphilis, and HIV and is cost\u2010effective. Behaviour\u2010based eligibility better aligns screening with actual transmission risk than identity\u2010 or population\u2010based stratification, and implementation strategies that safeguard confidentiality, support self\u2010collection, deliver results discreetly, and integrate electronic prompts into routine workflows consistently improve acceptance and feasibility. For Australian emergency departments, the evidence supports adopting routine, opportunistic, behaviour\u2010based screening as a feasible, high\u2010yield public health intervention. Conclusions are bounded by the predominance of United States studies, limited longitudinal follow\u2010up, and the use of a single reviewer.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1742-6723.70298","type":"journal-article","created":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T23:23:54Z","timestamp":1782084234000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Screening for Asymptomatic Sexually Transmitted Infections in Emergency Departments: An Integrative Review of Public Health Outcomes"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-1163-9736","authenticated-orcid":false,"given":"Joshua","family":"Wilcox","sequence":"first","affiliation":[{"name":"The Prince Charles Hospital  Chermside Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faye","family":"Jordan","sequence":"additional","affiliation":[{"name":"The Prince Charles Hospital  Chermside Queensland Australia"},{"name":"Queensland University of Technology  Kelvin Grove Queensland Australia"},{"name":"Northside Clinical School, the University of Queensland  Chermside Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,21]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.08.008"},{"key":"e_1_2_9_3_1","unstructured":"B.JenkinsandI.Katz \u201cAdolescents' and Young Adults' Use of Emergency Departments: An Evidence Check Rapid Reviewed \u201d(2015)."},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2014.10.048"},{"key":"e_1_2_9_5_1","unstructured":"J.King H.McManus A.Kwon et\u00a0al. \u201cHIV Viral Hepatitis and Sexually Transmissible Infections in Australia: Annual Surveillance Report \u201d(2022)."},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102648.2005.03621.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.12327"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/cl2.1230"},{"issue":"3","key":"e_1_2_9_9_1","first-page":"204","article-title":"Efficiency of Screening for Human Immunodeficiency Virus Infection in Emergency Departments: A Systematic Review and Meta\u2010Analysis","volume":"34","author":"Del Castillo J. 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