MedPath

Use of Self-collected Vaginal Swabs as an Innovative Approach to Facilitate Testing for Repeat Chlamydia Infection

Not Applicable
Completed
Conditions
Chlamydia Infections
Registration Number
NCT00132457
Lead Sponsor
Centers for Disease Control and Prevention
Brief Summary

The purpose of this study is to determine if, among women who were treated for a prior chlamydial infection, home-based, self-collected vaginal swabs can increase rescreening for chlamydia in comparison with rescreening in the clinic. The study design is two randomized trials with enrollment at multiple family planning clinics and sexually transmitted disease (STD) clinics following a common protocol.

Detailed Description

The study consists of two complementary trials, denoted as Part A and Part B. In Part A, women/girls who had a positive test for chlamydia will be enrolled when they visit the study clinics for treatment. After written informed consent is obtained, women will be randomly assigned to the Clinic Group, in which they will be advised to return to the clinic for rescreening for chlamydia, or the Home Group, in which women will be asked to collect a vaginal swab at home and mail it to the study laboratory for chlamydia testing. In part B, women who were tested and empirically treated for a chlamydial infection will be called if their tests were positive. Enrollment will be offered over the phone after verbal consent. Rescreening will be scheduled 3 months after treatment of the initial infection for women in both trials.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
1830
Inclusion Criteria
  • Women/girls with a lab-confirmed genital chlamydia infection
Exclusion Criteria
  • Women who are pregnant, or are trying to conceive in the following 3 months.
  • Women who are planning to move in the following 3 months or currently living outside the study areas.
  • Inability to understand spoken English adequately to assure informed consent and compliance with study procedures.
  • Self-reported HIV infection; other serious illnesses or disability.
  • Self-reported allergy to macrolide antibiotics such as azithromycin.
  • Referrals from providers or clinics other than the STD or family planning clinics, unless women are re-tested at the STD clinics and test positive for chlamydia.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Percent of women rescreened for chlamydia
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (3)

Louisiana State University (LSU) Health Sciences Center

🇺🇸

New Orleans, Louisiana, United States

The Mississippi State Department of Health, Bureau of STD/HIV

🇺🇸

Jackson, Mississippi, United States

Washington University

🇺🇸

St Louis, Missouri, United States

© Copyright 2025. All Rights Reserved by MedPath