Chlamydia testing may need to be more intensive

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Chlamydia testing may need to be more intensive

In a Radio Australia podcast, Prof Jane Hocking reported her clinical trial of intensive chlamydia screening of 16 to 29-year-olds in primary care.1 

Both arms showed a reduction in chlamydia prevalence but the intervention group also showed a significant reduction in hospital admissions for PID (numbers needed to screen to prevent one admission 740 over 3 years). 2 The control group may have been contaminated by awareness of intervention group activities.

The intensive practices had incentive payments for GPs/nurses to screen with 3-monthly feedback and an education package for GPs and nurses including strategies for discussing and offering chlamydia testing, for managing infection, clinical criteria for PID and epididymitis, a computer alert, developing reminder systems to test negative patients at 12 months or test positive patients at 3 months.

References:

  1. Questions raised over chlamydia testing policy. ABC RN Health Report (2018) Click here
  2. Population effectiveness of opportunistic chlamydia testing in primary care in Australia: a cluster-randomised controlled trial. Lancet (2018) Click here

Gems are chosen by the Goodfellow director Dr. Bruce Arroll to be either practice changing or practice maintaining. The information is educational and not clinical advice.

 
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As published in NZ Doctor 30/01/2019