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July 2004, Vol 94, No. 7 | American Journal of Public Health 1124-1126
© 2004 American Public Health Association

RESEARCH AND PRACTICE

Syphilis Testing in Association With Gonorrhea/Chlamydia Testing During a Syphilis Outbreak

Marc B. Rosenman, MD, Stephanie K. Kraft, MD, MPH, Jaroslaw Harezlak, MS, Barbara E. Mahon, MD, MPH, Barry P. Katz, PhD, Jane Wang, PhD and Janet N. Arno, MD

Marc B. Rosenman is with the Department of Pediatrics, Indiana University School of Medicine, Indianapolis. Stephanie K. Kraft is with the Department of Medicine, University of Colorado School of Health Sciences, Denver. Jaroslaw Harezlak is with the Department of Biostatistics, Harvard University School of Public Health, Boston, Mass. Barbara E. Mahon is with the Departments of Epidemiology and Pediatrics, Boston University Schools of Public Health and Medicine, Boston, Mass. Barry P. Katz is with the Department of Medicine, Indiana University School of Medicine, Indianapolis. Jane Wang is with Regenstrief Institute, Indiana University School of Medicine, Indianapolis. Janet N. Arno is with Indiana University School of Medicine, Indianapolis, and the Bell Flower Clinic of Marion County Health Department, Indianapolis, Ind.

Correspondence: Requests for reprints should be sent to Marc B. Rosenman, MD, Indiana University School of Medicine, Riley Hospital for Children, 699 West Dr, Room 330, Indianapolis, IN 46202 (e-mail: mrosenma{at}iupui.edu).

We used an electronic medical records system retrospectively to evaluate how frequently, in a public hospital and its clinics, combined gonorrhea/chlamydia tests were accompanied by a syphilis test before and during a syphilis outbreak. Among 70 330 gonorrhea/chlamydia tests (1996–2000), the proportion with a syphilis test increased from 13% (preoutbreak) to 50% (intervention period) for men and from 6% to 13% for nonpregnant women. The increased syphilis testing coincided with a multifaceted public health intervention.






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