England | Estonia | France | Sweden | |
---|---|---|---|---|
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 |