|
Written guidelines or recommendations about chlamydia diagnosis and case management
|
UK National Guideline for the Management of Genital Tract Infection with Chlamydia trachomatis (2006)
|
Estonian Union against Sexually Transmitted Infections (EUSTI), 2011
|
2010: Health authority recommendations on laboratory diagnostic procedure only
|
The Board of County Medical Officers 2010
|
| |
British Association for Sexual Health and HIV (BASHH), 2006
| | | |
| |
National Chlamydia Screening Programme Core Guidance 6th Edition 2012
| | | |
|
Guidelines recommend testing for asymptomatic people
|
Yes
|
Yes
|
Yes
|
Yes
|
| | | |
Since 2003: recommendations for screening at- risk women aged 15–25 [32]
| |
|
Repeat test recommended for patients with a positive chlamydia test
|
Repeat test of positives 3 months after diagnosis
|
Repeat test of positives 3 months after diagnosis
|
No
|
Test for cure
|
|
Additional testing for other STIs or HIV recommended for those with positive chlamydia test
|
Yes
|
Yes
|
Yes
|
Yes
|
| |
Including HIV
|
Including HIV
| | |
|
Partner notification recommended
|
Yes (patient and provider referral)
|
Yes (patient referral)
|
Yes (patient referral)
|
Yes (patient and provider referral)
|
|
Written guidelines or recommendations about chlamydia diagnosis and case management specifically for GPs
|
Yes, contained within National Chlamydia Screening Programme Core Guidance 6th Edition 2012 and BASHH 2006
|
No
|
No
|
Yes, Recommendations from the Board of County Medical officers, 2010
|
| |
Royal College of General Practitioners 2013 Sexually Transmitted Infections in primary care guidelines
| | | |
|
National chlamydia screening program
|
Yes
|
No
|
No
|
No
|
|
National surveillance data for chlamydia routinely reported
|
Yes
|
Yes
|
No (Not routinely, but intermittently)
|
Yes
|
|
Chlamydia cases reported by
|
Laboratories
|
Settings in which they are diagnosed (= physicians)
|
Surveillance network of volunteer (not compulsory, not reimbursed) laboratories that report detection rates of chlamydia (ReNaChla)
|
Settings in which they are diagnosed (= physicians)
|
|
Settings providing chlamydia testing (GUM = genitourinary medicine clinic; STI = sexually transmitted infections clinics; GYN = gynecology clinics)
|
GUM, sexual and reproductive health services, GPs, pharmacies, termination of pregnancy providers, internet based services, other (including targeted youth services)
|
Youth Health Centres; GYN; STI; internet based self-sampling;
|
GP; STI, GYN; Family planning clinic; Internal medicine specialist
|
GP; STI, GYN; ER; internet based self-sampling; Family planning clinic; Youth Health Centres
|
|
Main site for chlamydia testing
|
Men/women - GUM, primary care settings including GP
|
Women - GYN;
|
Youth - free and
|
Women: Family planning
|
| | |
Men – STI clinic
|
anonymous family
|
or GP Men: STI clinic or GP
|
| | |
Youth – Youth health centres
|
planning clinics
|
Youth - Youth surgeries
|
|
Breakdown of chlamydia cases by setting for diagnosis or treatment (top 3)
|
STI/GUM 29%
|
STI 20%
|
Presumed to originate
|
STI 25%
|
| |
GP 18%
|
GP 6%
|
mainly from Youth Health
|
GP 10%
|
| |
Family planning 15%
|
Youth Health Centres 30%
|
Centres and STI, Family
|
Youth Health Centres 40%
|
| |
Other 33%
|
GYN 30%
|
planning clinics
| |
