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09:11
A Human Fallopian Tube Model for Investigation of C. trachomatis Infections
Published on: August 11, 2012
Genital Chlamydia trachomatis infection - a study on testing in general practice.
Margaret Spillman1, Tracy Cheffins, Monika Buhrer-Skinner
1North Queensland Practice Based Research Network, School of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia. margaret.spillman@jcu.edu.au
Australian Family Physician
|December 5, 2012
Summary
Chlamydia testing in Australian general practice often misses asymptomatic young people. Opportunistic screening, particularly during Pap tests, shows potential for increased detection of genital Chlamydia trachomatis infections.
Area of Science:
- Public Health
- Epidemiology
- General Practice
Background:
- Genital Chlamydia trachomatis infection is a significant public health concern in Australia.
- Despite rising testing rates, screening of asymptomatic young adults (16-29 years) remains suboptimal.
- Barriers to chlamydia testing within general practice settings have been previously identified.
Purpose of the Study:
- To investigate chlamydia management practices in general practice in northern Queensland.
- To understand the patterns of chlamydia testing, including patient demographics and reasons for testing.
Main Methods:
- A prospective audit was conducted over three months in nine general practices.
- Data collected included the reason for chlamydia testing and whether follow-up for test results was recommended.
Main Results:
- 521 patients underwent chlamydia testing; 77% were female.
- Asymptomatic individuals comprised 50% of those tested.
- Follow-up recommendations were recorded for 41% of asymptomatic cases, and 59% of cases with known positive contacts.
Conclusions:
- General practitioners are utilizing Pap tests for opportunistic chlamydia screening in women.
- There is a clear opportunity to enhance opportunistic chlamydia testing rates among asymptomatic women.
- Improved follow-up strategies are needed, especially for asymptomatic individuals.
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