{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T01:52:27Z","timestamp":1792115547480,"version":"4.4.0"},"reference-count":18,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2017,10,23]],"date-time":"2017-10-23T00:00:00Z","timestamp":1508716800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:p>A service evaluation of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) testing and result notification in patients attending a rapid testing service (Dean Street Express [DSE]) compared with those attending an existing \u2018standard\u2019 sexual health clinic (56 Dean Street [56DS]), and modelling the impact of the new service from 1 June 2014 to 31 May 2015. Primary outcome: time from patients\u2019 sample collection to notification of test results at DSE compared with 56DS. Secondary outcomes estimated using a model: number of transmissions prevented and the number of new partner visits avoided and associated cost savings achieved due to rapid testing at DSE. In 2014\/15, there were a total of 81,352 visits for CT\/NG testing across 56DS (21,086) and DSE (60,266). Rapid testing resulted in a reduced mean time to notification of 8.68 days: 8.95 days for 56DS (95% CI 8.91\u20138.99) compared to 0.27 days for DSE (95% CI 0.26\u20130.28). Our model estimates that rapid testing at DSE would lead to 196 CT and\/or NG transmissions prevented (2.5\u201397.5% centile range\u2009=\u20096\u2013956) and lead to annual savings attributable to reduced numbers of partner attendances of \u00a3124,283 (2.5\u201397.5% centile range\u2009=\u2009\u00a34260\u2013590,331). DSE, a rapid testing service for asymptomatic infections, delivers faster time to result notification for CT and\/or NG which enables faster treatment, reduces infectious periods and leads to fewer transmissions, partner attendances and clinic costs.<\/jats:p>","DOI":"10.1177\/0956462417736431","type":"journal-article","created":{"date-parts":[[2017,10,23]],"date-time":"2017-10-23T13:29:30Z","timestamp":1508765370000},"page":"474-482","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":63,"title":["Rapid testing and treatment for sexually transmitted infections improve patient care and yield public health benefits"],"prefix":"10.1177","volume":"29","author":[{"given":"Gary G","family":"Whitlock","sequence":"first","affiliation":[{"name":"GUM\/HIV, Chelsea and Westminster NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel C","family":"Gibbons","sequence":"additional","affiliation":[{"name":"Aquarius Population Health Limited, London, UK"},{"name":"Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nick","family":"Longford","sequence":"additional","affiliation":[{"name":"Division of Medicine, Imperial College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J","family":"Harvey","sequence":"additional","affiliation":[{"name":"Aquarius Population Health Limited, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"McOwan","sequence":"additional","affiliation":[{"name":"GUM\/HIV, Chelsea and Westminster NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth J","family":"Adams","sequence":"additional","affiliation":[{"name":"Aquarius Population Health Limited, London, UK"},{"name":"School of Social and Community Medicine, University of Bristol, Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,10,23]]},"reference":[{"key":"bibr1-0956462417736431","unstructured":"Public Health England. Infection report \u2013 sexually transmitted infections and chlamydia screening in England, 2015.\n                      Health Prot Rep\n                      2016; 10: 8\u201334."},{"key":"bibr2-0956462417736431","unstructured":"Public Health England. Sexually transmitted infections and chlamydia screening in England, 2014.\n                      Health Prot Rep\n                      2015; 11: 1\u201320."},{"key":"bibr3-0956462417736431","doi-asserted-by":"publisher","DOI":"10.2217\/fmb.14.110"},{"key":"bibr4-0956462417736431","unstructured":"Department of Health. A framework for sexual health improvement in England. London. 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