Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 74 - 81 |
| Number of pages | 8 |
| Journal | Sexual Health |
| Volume | 10 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 2013 |
Cite this
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Chlamydia testing and retesting patterns at family planning clinics in Australia. / Bowring, Anna L; Goller, Jane L; Gouillou, Maelenn; Harvey, Caroline; Bateson, Deborah; McNamee, Kathleen Margaret; Read, Christine; Boyle, Douglas; Jordan, Lynne; Wardle, Robyn; Stephens, Anne; Donovan, Basil; Guy, Rebecca; Hellard, Margaret Elena.
In: Sexual Health, Vol. 10, No. 1, 2013, p. 74 - 81.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - Chlamydia testing and retesting patterns at family planning clinics in Australia
AU - Bowring, Anna L
AU - Goller, Jane L
AU - Gouillou, Maelenn
AU - Harvey, Caroline
AU - Bateson, Deborah
AU - McNamee, Kathleen Margaret
AU - Read, Christine
AU - Boyle, Douglas
AU - Jordan, Lynne
AU - Wardle, Robyn
AU - Stephens, Anne
AU - Donovan, Basil
AU - Guy, Rebecca
AU - Hellard, Margaret Elena
PY - 2013
Y1 - 2013
N2 - Introduction National guidelines recommend opportunistic chlamydia screening of sexually active 16- to 29-year-olds and encourage retesting 3-12 months after a diagnosed chlamydia (Chlamydia trachomatis) infection. We assessed chlamydia testing patterns at five Australian family planning clinics (FPCs). Methods: Using routine clinic data from 16- to 29-year-olds, we calculated chlamydia testing and positivity rates in 2008-2009. Reattendance, retesting and positivity rates at retesting within 1.5-4 and 1.5-12 months of a positive result were calculated. Results: Over 2 years, 13?690 individuals aged 16-29 years attended five FPCs (93 female). In 2008, 3159 females (41.4 ,) and 263 males (57.0 ) were tested for chlamydia; positivity was 8 and 19 , respectively. In 2009, 3178 females (39.6 ) and 295 males (57.2 ) were tested; positivity was 8 and 23 , respectively. Of 7637 females attending in 2008, 38 also attended in 2009, of which 20 were tested both years. Within 1.5-4 months of a positive test, 83 (31.1 ) females reattended; the retesting rate was 13 and 12 retested positive. Within 1.5-12 months of a positive test, 96 (57.5 ) females reattended; the retesting rate was 36 and 13 retested positive. Conclusions: Approximately 40 of young people attending FPCs were tested for chlamydia but a smaller proportion were tested annually or were retested following chlamydia infection. High positivity rates emphasise that FPCs see a high-risk population. To maximise testing opportunities, clinical prompts, patient reminder systems and non-clinic testing strategies may be needed
AB - Introduction National guidelines recommend opportunistic chlamydia screening of sexually active 16- to 29-year-olds and encourage retesting 3-12 months after a diagnosed chlamydia (Chlamydia trachomatis) infection. We assessed chlamydia testing patterns at five Australian family planning clinics (FPCs). Methods: Using routine clinic data from 16- to 29-year-olds, we calculated chlamydia testing and positivity rates in 2008-2009. Reattendance, retesting and positivity rates at retesting within 1.5-4 and 1.5-12 months of a positive result were calculated. Results: Over 2 years, 13?690 individuals aged 16-29 years attended five FPCs (93 female). In 2008, 3159 females (41.4 ,) and 263 males (57.0 ) were tested for chlamydia; positivity was 8 and 19 , respectively. In 2009, 3178 females (39.6 ) and 295 males (57.2 ) were tested; positivity was 8 and 23 , respectively. Of 7637 females attending in 2008, 38 also attended in 2009, of which 20 were tested both years. Within 1.5-4 months of a positive test, 83 (31.1 ) females reattended; the retesting rate was 13 and 12 retested positive. Within 1.5-12 months of a positive test, 96 (57.5 ) females reattended; the retesting rate was 36 and 13 retested positive. Conclusions: Approximately 40 of young people attending FPCs were tested for chlamydia but a smaller proportion were tested annually or were retested following chlamydia infection. High positivity rates emphasise that FPCs see a high-risk population. To maximise testing opportunities, clinical prompts, patient reminder systems and non-clinic testing strategies may be needed
UR - http://www.ncbi.nlm.nih.gov/pubmed/23256944
U2 - 10.1071/SH11187
DO - 10.1071/SH11187
M3 - Article
VL - 10
SP - 74
EP - 81
JO - Sexual Health
JF - Sexual Health
SN - 1448-5028
IS - 1
ER -