Dean Street Express
Laboratory
Self screeningroom
Blood tests
Self check in
Presenter: Farhad Cooper (Specialist Registrar)Evaluation team: T. Appleby, L. Chislett, L. Freeman, E. Kershaw, A. McOwan, G.Whitlock
What is it?
● Nurse / HCA led ● Asymptomatic patients● Self-taken swabs● Rapid diagnostics● Results in 6 hours
A guided tour
Check in & history
Automated ordering
Given screening pack
Video guided self sampling
No lost samples Scan and place in Cepheid Infinity machine
Text to confirm correct mobile Automated
results
Aims & methods
- To see if:
● there was a change in the people using the service
● we were reaching high-risk MSM ● we were minimising periods of infectivity
- using questionnaires and notes review
Results: demographics
● No difference
M Fe t0.0%
10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%90.0%
Het Bi MS
MWSW
Other/NS n/
a0.0%
10.0%20.0%30.0%40.0%50.0%60.0%
Sex
Sexuality
Age
Results: uptake, times to inform/treat
56DS DSETotal no screened 1500* 2868No of positive results
176 296
Time attendance to informing result (median hours, IQR)
183 (143 – 326) 3.7 (2.5-5.1)
Time attendance to treatment (median hours, IQR)
238 (170 – 452) 48.9 (27.2-96.6)
* Approxmation
Results: removing barriers to screening
56DS DSEWait to get an appointment
Up to 3 weeks
None
Maximum visit length
2hrs 32 min
Results: Infections detected at DSE
Infection Percentage of all positive results
Percentage of everyone screening
Chlamydia / Gonorrhoea
83% 10%
Syphilis 8% 1%HIV 6% 0.8%Hep B 0.9% 0.1%Hep C 0.9% 0.1%At least one infection
- 11.5%
% of all infections detected in MSM
- 84%
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