Illustrated instructions for self-collection of anorectal swab specimens and their adequacy for cytological examination

TM Lampinen, L LaTulippe, D Van Niekerk… - Sexually transmitted …, 2006 - journals.lww.com
TM Lampinen, L LaTulippe, D Van Niekerk, AJ Schilder, ML Miller, A Anema, RS Hogg
Sexually transmitted diseases, 2006journals.lww.com
Background: Self-collection of anorectal swab specimens would facilitate screening for anal
cancer precursors and sexually transmitted rectal infections among men who have sex with
men (MSM). However, pictorial guides for self-collection were not previously available.
Goals: Develop and field test a set of illustrated self-collection instructions. Design: Cross-
sectional study of community-recruited MSM who were naïve with regard to collection of
specimens for anal cytology. Results: Among 222 self-and clinician-collected swab pairs …
Background:
Self-collection of anorectal swab specimens would facilitate screening for anal cancer precursors and sexually transmitted rectal infections among men who have sex with men (MSM). However, pictorial guides for self-collection were not previously available.
Goals:
Develop and field test a set of illustrated self-collection instructions.
Design:
Cross-sectional study of community-recruited MSM who were naïve with regard to collection of specimens for anal cytology.
Results:
Among 222 self-and clinician-collected swab pairs provided by mostly human immunodeficiency virus (HIV)-1 seronegative MSM (median age, 31.5 years), most specimens were adequate for cytologic evaluation, though self-collected swabs were less likely to be so (83% versus 92%, P=< 0.001). The illustrated instructions were reportedly essential, but having used them, men rated their understanding of the self-collection procedure as very high.
Conclusions:
Provided with illustrated instructions, most MSM who are naïve to the technique can self-collect anorectal swab specimens that are suitable for screening.
Lippincott Williams & Wilkins