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Kees Rietmeijer's Blog

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The Road Beyond Dean Street

Kees Rietmeijer: on October 10, 2018 at 07:29:19 PM

STIcking Points


The Road Beyond Dean Street

Kees Rietmeijer

October 10, 2018


Over a decade ago, Heijman and colleaguesfrom the Amsterdam Health Department published an article in the journal Sexually Transmitted Diseasesdetailing the implementation and evaluation of a risk-based, short screening protocol for asymptomatic patients visiting their STD clinic. The short protocol included a minimal sexual and medical history followed by phlebotomy for HIV and syphilis testing and self-obtained urine or vaginal sampling for gonorrhea and chlamydia testing - without physical examination.1


In the Denver STD clinic, we had implemented a similar protocol we referred to as “Express Visits” in 2003 and published our results in STDin 2008. Our paper suggested that about a quarter
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