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In the Asia Pacific (APAC) region, syndromic management is widely practiced, though approaches to aetiological testing vary. Thirteen experts from across APAC convened to develop evidence-based recommendations for testing the four most common infections associated with STI syndromes:\n                      <jats:italic toggle=\"yes\">Chlamydia trachomatis<\/jats:italic>\n                      ,\n                      <jats:italic toggle=\"yes\">Neisseria gonorrhoeae, Trichomonas vaginalis,<\/jats:italic>\n                      and\n                      <jats:italic toggle=\"yes\">Mycoplasma genitalium.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p>The consensus was developed according to a modified Delphi-based approach. Thirteen experts of multidisciplinary background, representing nine geographical areas in APAC, contributed to the discussion. Twenty-two statements were developed addressing five clinical questions: (1) testing and screening recommendations for these four STIs and frequency of screening, where possible; (2) antimicrobial resistance testing; (3) optimal specimen types for testing; (4) role of self-\/patient-collected samples for testing; and (5) role of sample pooling (multiple sites from an individual or pooling of the same sample type from different individuals) in testing. All statements achieved strong consensus, with \u226590% agreement among the experts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These recommendations, while not replacing the existing guidelines, will provide evidence-based pragmatic approach on the testing of four common STIs, which can be adapted for specific settings, depending on available resources.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09564624261424560","type":"journal-article","created":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T07:05:37Z","timestamp":1772003137000},"page":"709-724","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Consensus recommendations for testing of\n                    <i>Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis<\/i>\n                    , and\n                    <i>Mycoplasma genitalium<\/i>\n                    infections in the Asia-Pacific (APAC)\u2014modified Delphi method"],"prefix":"10.1177","volume":"37","author":[{"given":"David","family":"Whiley","sequence":"first","affiliation":[{"name":"The University of Queensland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adilahtul Bushro Binti","family":"Zaini","sequence":"additional","affiliation":[{"name":"Department of Pathology Hospital Sungai Buloh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Azzato","sequence":"additional","affiliation":[{"name":"The Peter Doherty Institute for Infection and Immunity"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gilho","family":"Lee","sequence":"additional","affiliation":[{"name":"Dankook University College of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5441-4386","authenticated-orcid":false,"given":"Hung-Chin","family":"Tsai","sequence":"additional","affiliation":[{"name":"Kaohsiung Veterans General Hospital"},{"name":"National Yang Ming Chiao Tung University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Opass","family":"Putcharoen","sequence":"additional","affiliation":[{"name":"King Chulalongkorn Memorial Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephane Wen-Wei","family":"Ku","sequence":"additional","affiliation":[{"name":"Taipei City Hospital Renai Branch"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benson Yeo Koon","family":"Wee","sequence":"additional","affiliation":[{"name":"National Skin Centre"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norliza","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Ministry of Health Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryoichi","family":"Hamasuna","sequence":"additional","affiliation":[{"name":"Shin-Kokura Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tran Thi Nhat Thien","family":"Trang","sequence":"additional","affiliation":[{"name":"Tu Du Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seema","family":"Sood","sequence":"additional","affiliation":[{"name":"All India Institute of Medical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catriona S.","family":"Bradshaw","sequence":"additional","affiliation":[{"name":"Alfred Hospital"},{"name":"Monash University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,2,24]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.86a.18098"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1071\/SH22053"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.rr7004a1"},{"key":"e_1_3_5_5_2","volume-title":"Guidelines for the management of symptomatic sexually transmitted infections","year":"2021","unstructured":"Guidelines for the management of symptomatic sexually transmitted infections. 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