Community control of Chlamydia trachomatis.

Important note: Information in this article was accurate in 2000. The state of the art may have changed since the publication date.

Community control of Chlamydia trachomatis.

Int J STD AIDS. 2000 Apr;11(4):248-9. Unique Identifier : AIDSLINE MED/20233042
Rogstad KE; Kinghorn GR; Horton M; Department of Genitourinary Medicine, Royal Hallamshire Hospital,; Sheffield, UK.

Abstract: In order to determine the amount of Chlamydia trachomatis that is diagnosed outside genitourinary medicine (GUM) clinics in a large university city, a review of all positive chlamydial infections diagnosed on specimens received from hospitals (non-GUM) and community sources in 1996 was performed. It was also ascertained whether these patients subsequently attended at GUM. Eight hundred and nine cases of C. trachomatis were diagnosed during the study period. Three hundred and ninety-seven (49%) were initially diagnosed outside GUM of which 264 (66.5%) were referred, giving an overall involvement of GUM in 667 (83.6%) of all cases. The proportion of cases referred varied according to service: Family Planning Clinics 94.5%, Obstetrics and Gynaecology 73%, General Practice 52.5%. Referral rates also showed within service variation, with University Health Services referring 19% vs 73% (P < 0.001). High levels of referral to GUM of patients diagnosed with C. trachomatis are achievable, but referrals show inter- and intra-service variations. Efforts should be made to improve referral rates from those services with the lowest rates. In conclusion: (1) The proportion of cases of C. trachomatis diagnosed in the community who are referred to a GUM clinic, varies according to service type. (2) Referral rates vary within services and (3) Distance of services from a GUM clinic does not appear to influence referral rates.

Keywords: JOURNAL ARTICLE *Chlamydia trachomatis Chlamydia Infections/*DIAGNOSIS/PREVENTION & CONTROL Community Health Services/*STATISTICS & NUMER DATA Human

000930
A0091506

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