Genital Chlamydia trachomatis infection: a study on testing in general practice

Spillman, Margaret, Cheffins, Tracy, Buhrer-Skinner, Monika, Heal, Clare, and Larkins, Sarah (2012) Genital Chlamydia trachomatis infection: a study on testing in general practice. Australian Family Physician, 41 (10). pp. 811-813.

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Abstract

Background Genital Chlamydia trachomatis infection is prevalent in Australia. Although testing rates are increasing, studies suggest that levels of testing of asymptomatic, sexually active people aged 16-29 years remain relatively low. Various barriers to testing in general practice have been identified. This article reports on one component of a study conducted to gain an understanding of chlamydia management in general practice in northern Queensland. Method Nine general practices participated in a prospective audit over a 3 month period, which recorded the reason for chlamydia testing and if a follow up visit for test results was recommended. Results A total of 521 patients had chlamydia testing recorded, with females comprising over three-quarters of patients (77%). Asymptomatic presentations accounted for 50% of referrals for testing; of these, less than half had a recommendation for follow up of test results recorded (41%). Patients with a known positive case contact were most often recommended for follow up (59%). Discussion Half of those undergoing chlamydia testing were asymptomatic, with a third screened at the time of Pap testing. This suggests that general practitioners are appropriately initiating chlamydia screening with Pap tests. There is potential to increase rates of opportunistic testing for asymptomatic women.

Item ID: 24149
Item Type: Article (Refereed Research - C1)
Keywords: chlamydia, infections/diagnosis, general practice
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ISSN: 0300-8495
Date Deposited: 05 Dec 2012 05:29
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1108 Medical Microbiology > 110801 Medical Bacteriology @ 33%
11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110309 Infectious Diseases @ 33%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111712 Health Promotion @ 34%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920109 Infectious Diseases @ 50%
92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920114 Reproductive System and Disorders @ 50%
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