Who is being tested for genital chlamydia in primary care?


OBJECTIVES:To explore current patterns of testing for genital chlamydial infection in primary care, and to identify practice characteristics influencing testing rates. METHOD:Aggregate numbers of chlamydia tests and results for each practice in Nottingham Health District were matched to practice characteristics. Age specific testing rates and diagnosed prevalence were calculated, and characteristics of the practice tested for association with chlamydia testing rates. RESULTS:Most tests (63.1%) were performed on women over the age of 25, but the proportion of positive tests was highest in 15-19 year olds (13.3%) followed by 20-24 year olds (8.2%). A higher ratio of GP principals to female practice population was associated with higher testing rates and more chlamydia isolations, but the ratio of female GP principals to patients was associated with higher testing rates only in 20-24 year olds. Diagnosed incidence was greatest in more socioeconomically deprived practice populations, and this was not explained by higher testing rates. Men were rarely tested. CONCLUSION:Current testing practice in primary care does not reflect the known epidemiology of genital chlamydia infection. Practices with lower doctor-patient ratios do less testing, and measures to enable their active participation in the envisaged screening programme will be important in reaching all at-risk groups.


Sex Transm Infect


Kufeji O,Slack R,Cassell JA,Pugh S,Hayward A




Has Abstract


2003-06-01 00:00:00












  • A pilot study of the feasibility of a vaginal washing cessation intervention among Kenyan female sex workers.

    abstract:BACKGROUND:Intravaginal practices including vaginal washing have been associated with HIV-1 acquisition. This association may be mediated by mucosal disruption, changes in vaginal flora or genital tract inflammatory responses. Reducing vaginal washing could lower women's risk of HIV-1 acquisition. METHODS:23 HIV-1 ser...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章


    authors: Masese L,McClelland RS,Gitau R,Wanje G,Shafi J,Kashonga F,Ndinya-Achola JO,Lester R,Richardson BA,Kurth A

    更新日期:2013-05-01 00:00:00

  • Sexual and HIV risk behaviour in central and eastern European migrants in London.

    abstract:BACKGROUND:Accession of 10 Central and Eastern European (CEE) countries to the E.U. resulted in the largest migratory influx in peacetime British history. No information exists on the sexual behaviour of CEE migrants within the U.K. The aim of this study was to assess the sexual lifestyles and health service needs of t...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章


    authors: Burns FM,Evans AR,Mercer CH,Parutis V,Gerry CJ,Mole RC,French RS,Imrie J,Hart GJ

    更新日期:2011-06-01 00:00:00

  • High burden of chlamydia and gonorrhoea in pharyngeal, rectal and urethral sites among Thai transgender women: implications for anatomical site selection for the screening of STI.

    abstract:OBJECTIVE:Comprehensive data on Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) infections to guide screening services among transgender women (TGW) are limited. We studied the burden of CT/NG infections in pharyngeal, rectal and urethral sites of Thai TGW and determined missed CT/NG diagnoses if selected sit...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章


    authors: Hiransuthikul A,Janamnuaysook R,Sungsing T,Jantarapakde J,Trachunthong D,Mills S,Vannakit R,Phanuphak P,Phanuphak N

    更新日期:2019-11-01 00:00:00

  • Reliance on condoms for contraceptive protection among HIV care and treatment clients: a mixed methods study on contraceptive choice and motivation within a generalised epidemic.

    abstract:OBJECTIVES:To (i) describe the contraceptive practices of HIV care and treatment (HCTx) clients in Manzini, Swaziland, including their unmet needs for family planning (FP), and compare these with population-level estimates; and (ii) qualitatively explore the causal factors influencing contraceptive choice and use. MET...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章


    authors: Church K,Wringe A,Fakudze P,Kikuvi J,Nhlabatsi Z,Masuku R,Initiative Integra.,Mayhew SH

    更新日期:2014-08-01 00:00:00

  • Herpes simplex virus type 2 serological testing and psychosocial harm: a systematic review.

    abstract:BACKGROUND:Serological testing for herpes simplex virus (HSV) type 2 in persons without a history of genital herpes is not recommended, partly because of concerns that an HSV-2 diagnosis would lead to negative psychosocial sequelae. This review aimed to examine the evidence regarding the psychosocial effects of HSV-2 s...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,评审


    authors: Ross K,Johnston C,Wald A

    更新日期:2011-12-01 00:00:00

  • Challenges and emerging opportunities for the HIV prevention, treatment and care cascade in men who have sex with men in Asia Pacific.

    abstract::In Asia Pacific, most countries have expanded HIV treatment guidelines to include all those with HIV infection and adopted antiretroviral treatment for prevention (TFP) as a blanket strategy for HIV control. Although the overall epidemic development associated with this focus is positive, the HIV epidemic in men who h...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,评审


    authors: van Griensven F,Guadamuz TE,de Lind van Wijngaarden JW,Phanuphak N,Solomon SS,Lo YR

    更新日期:2017-08-01 00:00:00

  • The changing epidemiology of prevalent diagnosed HIV infections in England, Wales, and Northern Ireland, 1997 to 2003.

    abstract:OBJECTIVES:To present the current epidemiology of prevalent diagnosed HIV infections in England, Wales, and Northern Ireland (E, W, & NI) and describe trends over time. METHODS:Descriptive analyses of the annual national Survey of Prevalent HIV Infections Diagnosed (SOPHID) for the period 1997 to 2003. RESULTS:In 200...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章


    authors: Rice BD,Payne LJ,Sinka K,Patel B,Evans BG,Delpech V

    更新日期:2005-06-01 00:00:00

  • Human papilloma viruses infection among adolescent females perinatally infected with HIV in Côte d'Ivoire.

    abstract:BACKGROUND:Cervical cancer prevention strategies recommend human papilloma virus (HPV) vaccination for female adolescents prior to their sexual debut. While HIV is a major risk factor for HPV infection in women of childbearing age, its prevalence among HIV-infected adolescent female is mostly unknown. This study aimed ...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章


    authors: Tchounga B,Horo A,Boni S,Tanon A,Folquet MA,Garrigue I,Leroy V,Dabis F,Ekouevi D,Jaquet A

    更新日期:2020-07-13 00:00:00

  • Time trends of syphilis and HSV-2 co-infection among men who have sex with men in the German HIV-1 seroconverter cohort from 1996-2007.

    abstract:OBJECTIVES:Numbers of newly diagnosed HIV infections among men who have sex with men (MSM) in Germany increased after the year 2000. We sought to explore trends in STI co-infections around the time of HIV seroconversion in patients from the German HIV-1 seroconverter cohort from 1996-2007. METHODS:MSM from the cohort ...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,多中心研究


    authors: Spielmann N,Münstermann D,Hagedorn HJ,an der Heiden M,Houareau C,Gunsenheimer-Bartmeyer B,Kücherer C,Keeren K,Hamouda O,Marcus U,German HIV-1 Seroconverter Study Group.

    更新日期:2010-10-01 00:00:00

  • SMS reminders improve re-screening in women and heterosexual men with chlamydia infection at Sydney Sexual Health Centre: a before-and-after study.

    abstract:BACKGROUND:In 2009, Sydney Sexual Health Centre implemented a short message service (SMS) reminder system to improve re-screening after chlamydia infection. SMS reminders were sent at 3 months recommending the patient make an appointment for a re-screen. METHODS:Using a before-and-after study, the authors compared the...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章


    authors: Guy R,Wand H,Knight V,Kenigsberg A,Read P,McNulty AM

    更新日期:2013-02-01 00:00:00

  • How long-distance truck drivers and villagers in rural southeastern Tanzania think about heterosexual anal sex: a qualitative study.

    abstract:OBJECTIVE:To explore ideas of truck drivers and villagers from rural Tanzania about heterosexual anal sex (HAS) and the associated health risks. METHODS:Qualitative study using 8 in-depth interviews (IDIs) and 2 focus group discussions (FGDs) with truck drivers and 16 IDIs and 4 FGDs with villagers from the Morogoro r...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章


    authors: Mtenga S,Shamba D,Wamoyi J,Kakoko D,Haafkens J,Mongi A,Kapiga S,Geubbels E

    更新日期:2015-12-01 00:00:00

  • High levels of unprotected anal intercourse and never testing for HIV among men who have sex with men in Nigeria: evidence from a cross-sectional survey for the need for innovative approaches to HIV prevention.

    abstract:OBJECTIVES:To describe sexual risk behaviour, correlates of unprotected anal intercourse (UAI) and never testing for HIV and its implications for HIV prevention interventions among men who have sex with men (MSM) in Nigeria and other similar contexts. METHODS:A cross-sectional survey was administered to 712 MSM in Abu...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,多中心研究


    authors: Vu L,Andrinopoulos K,Tun W,Adebajo S

    更新日期:2013-12-01 00:00:00

  • Symptomatic HPV-related neovaginal lesions in transgender women: case series and review of literature.

    abstract:OBJECTIVE:Worldwide, transgender women are an at-risk population for contracting sexually transmitted infections. Little information exists on symptoms and characteristics of neovaginal human papillomavirus (HPV) infections and associated diseases. We describe a case series of transgender women with symptomatic HPV-rel...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章


    authors: van der Sluis WB,Buncamper ME,Bouman MB,Neefjes-Borst EA,Heideman DAM,Steenbergen RDM,Mullender MG

    更新日期:2016-11-01 00:00:00

  • Screening for syphilis during pregnancy in Nigeria: a practice that must continue.

    abstract:OBJECTIVE:To determine the seroprevalence rate of syphilis among pregnant women attending the antenatal clinics of a teaching and a state specialist hospital in Nigeria, in order to ascertain whether maternal screening should be incorporated into routine antenatal care of our hospitals. METHODS:A screening for syphili...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章


    authors: Taiwo SS,Adesiji YO,Adekanle DA

    更新日期:2007-08-01 00:00:00

  • The association between gang involvement and sexual behaviours among detained adolescent males.

    abstract:OBJECTIVE:Data were collected from 270 detained male adolescents (aged 14-18 years) to determine the association between ever having been in a gang and a range of sexual behaviours such as sexual activity, male condom use, sex with multiple partners, and drug use during sex. METHODS:Participants answered survey questi...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章


    authors: Voisin DR,Salazar LF,Crosby R,DiClemente RJ,Yarber WL,Staples-Horne M

    更新日期:2004-12-01 00:00:00

  • Lack of evidence for the involvement of rectal and oral trichomonads in the aetiology of vaginal trichomoniasis in Ghana.

    abstract:OBJECTIVE:To investigate the possible involvement of human trichomonads (Pentatrichomonas hominis and Trichomonas tenax) other than Trichomonas vaginalis in the aetiology of vaginal trichomoniasis. METHODS:Vaginal swabs taken from women attending antenatal clinics were tested for Trichomonas vaginalis by traditional a...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章


    authors: Adu-Sarkodie Y,Opoku BK,Crucitti T,Weiss HA,Mabey D

    更新日期:2007-04-01 00:00:00

  • Using strain typing to characterise a fluoroquinolone-resistant Neisseria gonorrhoeae transmission network in southern California.

    abstract:OBJECTIVE:We investigated the initial outbreak of fluoroquinolone-resistant Neisseria gonorrhoeae (QRNG) in southern California with analysis of transmission using strain typing. METHODS:Surveillance for QRNG was conducted between 2000 and 2002 in southern California, including epidemiology and strain typing by a comb...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,多中心研究


    authors: Morris SR,Knapp JS,Moore DF,Trees DL,Wang SA,Bolan G,Bauer HM

    更新日期:2008-08-01 00:00:00

  • Validation of COBAS Taqman CT for the detection of Chlamydia trachomatis in vulvo-vaginal swabs.

    abstract:BACKGROUND:Vulvo-vaginal swabs (VVSs) are not validated for use by the manufacturers of two widely used nucleic acid amplification tests (NAAT) for the detection of Chlamydia trachomatis. However, there is evidence that this type of swab is suitable for diagnosis. OBJECTIVE:To validate the Cobas Taqman CT assay for th...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,多中心研究


    authors: Skidmore S,Kaye M,Bayliss D,Devendra S

    更新日期:2008-08-01 00:00:00

  • Which azithromycin regimen should be used for treating Mycoplasma genitalium? A meta-analysis.

    abstract:BACKGROUND:There is increasing evidence that azithromycin 1 g is driving the emergence of macrolide resistance in Mycoplasma genitalium worldwide. We undertook a meta-analysis of M. genitalium treatment studies using azithromycin 1 g single dose and azithromycin 500 mg on day 1 then 250 mg daily for 4 days (5-day regim...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,meta分析,评审


    authors: Horner P,Ingle SM,Garrett F,Blee K,Kong F,Muir P,Moi H

    更新日期:2018-02-01 00:00:00

  • HSV-2 seroincidence among Mexican college students: the delay of sexual debut is not enough to avoid risky sexual behaviours and virus transmission.

    abstract:OBJECTIVES:Early sexual debut is a behaviour that has been associated with acquiring sexually transmitted infections. Higher schooling may delay sexual debut, thus the university population is categorised with low-risk sexual behaviours. The rate ratio of herpes simplex virus type 2 (HSV-2) seroincidence according to d...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章


    authors: Sánchez-Alemán MA,Uribe-Salas FJ,Lazcano-Ponce EC,García-Cisneros S,Eguiza-Fano S,Conde-Glez CJ

    更新日期:2010-12-01 00:00:00

  • HSV-2 incidence by sex over four age periods to age 38 in a birth cohort.

    abstract:OBJECTIVES:To examine herpes simplex virus type 2 (HSV-2) incidence over four periods to age 38 in a birth cohort, and to compare risks for men and women, taking into account sexual behaviour. METHODS:At ages 21, 26, 32 and 38, participants in the Dunedin Multidisciplinary Health and Development Study were invited to ...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章


    authors: Dickson N,Righarts A,van Roode T,Paul C,Taylor J,Cunningham AL

    更新日期:2014-05-01 00:00:00

  • Assessment of rectal Chlamydia trachomatis viable load in women by viability-PCR.

    abstract:OBJECTIVES:In recent years, studies have demonstrated frequent rectal Chlamydia trachomatis (CT) detection in women, irrespective of reported anal sex or rectal symptoms. However, the clinical relevance and public health implication of rectal CT detection in women remain under debate. Therefore, evaluating CT viability...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章


    authors: Janssen KJH,Wolffs P,Lucchesi M,Dukers-Muijrers NHTM,Hoebe CJPA

    更新日期:2020-03-01 00:00:00

  • Risky sexual behaviour in context: qualitative results from an investigation into risk factors for seroconversion among gay men who test for HIV.

    abstract:OBJECTIVES:The INSIGHT case-control study confirmed that HIV serodiscordant unprotected anal intercourse (SdUAI) remains the primary risk factor for HIV infection in gay men in England. This paper uses qualitative follow-up data to examine the contexts of SdUAI and other risk factors among the case-control study partic...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,多中心研究


    authors: Elam G,Macdonald N,Hickson FC,Imrie J,Power R,McGarrigle CA,Fenton KA,Gilbart VL,Ward H,Evans BG,INSIGHT Collaborative Research Team.

    更新日期:2008-11-01 00:00:00

  • HIV non-occupational postexposure prophylaxis (nPEP) usage among five key populations in China.

    abstract:OBJECTIVES:To examine the feasibility of non-occupational postexposure prophylaxis (nPEP) as a national strategy for HIV prevention in China, we investigated nPEP usage and related sociodemographic and behavioural factors among five key populations at high risk of contracting HIV. METHODS:We conducted a cross-sectiona...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章


    authors: Li H,Wei R,Piqueiras E,Chow EPF,Jiao K,Lewis T,Ma W

    更新日期:2021-01-04 00:00:00

  • Trichomonas vaginalis infection among women receiving gynaecological care at an Alabama HIV Clinic.

    abstract:OBJECTIVE:Trichomoniasis vaginalis is a risk factor for the acquisition and transmission of HIV. The objective of this study was to determine the prevalence of T vaginalis (using culture) among HIV-infected women receiving gynaecological care at an university HIV clinic in Alabama in addition to predictors of infection...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章


    authors: Muzny CA,Rivers CA,Austin EL,Schwebke JR

    更新日期:2013-09-01 00:00:00

  • Rapid accurate point-of-care tests combining diagnostics and antimicrobial resistance prediction for Neisseria gonorrhoeae and Mycoplasma genitalium.

    abstract::In addition to inadequate access to early diagnosis and treatment with antimicrobial agents for patients and sexual contacts, management and control of STIs is significantly challenged by emergence and spread of antimicrobial resistance (AMR), particularly for STIs such as Neisseria gonorrhoeae and Mycoplasma genitali...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章


    authors: Sadiq ST,Mazzaferri F,Unemo M

    更新日期:2017-12-01 00:00:00

  • Increase of sexually transmitted infections, but not HIV, among young homosexual men in Amsterdam: are STIs still reliable markers for HIV transmission?

    abstract:OBJECTIVES:The incidence of HIV and STIs increased among men who have sex with men (MSM) visiting our STI clinic in Amsterdam. Interestingly, HIV increased mainly among older (> or =35 years) MSM, whereas infection rates of rectal gonorrhoea increased mainly in younger men. To explore this discrepancy we compared trend...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章


    authors: van der Bij AK,Stolte IG,Coutinho RA,Dukers NH

    更新日期:2005-02-01 00:00:00

  • Assisting medical students to conduct empathic conversations with patients from a sexual medicine clinic.

    abstract:OBJECTIVE:To describe an exercise, the structure and content of which assists medical students to conduct potentially embarrassing conversations concerning sexual health which require expression of empathy, to integrate previous learning, to identify their further learning needs, and to develop and test strategies to m...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章


    authors: Henderson P,Johnson MH

    更新日期:2002-08-01 00:00:00

  • Two heads are better than one: the association between condom decision-making and condom use errors and problems.

    abstract:OBJECTIVES:This exploratory study compared the frequency of condom use errors and problems between men reporting that condom use for penile-vaginal sex was a mutual decision compared with men making the decision unilaterally. METHODS:Nearly 2000 people completed a web-based questionnaire. A sub-sample of 660 men repor...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章


    authors: Crosby R,Milhausen R,Sanders SA,Graham CA,Yarber WL

    更新日期:2008-06-01 00:00:00

  • Donovanosis.

    abstract::Donovanosis, a chronic cause of genital ulceration, has recently been the subject of renewed interest after a long period of relative obscurity. The causative organism, Calymmatobacterium granulomatis, has been cultured for the first time in many years and a polymerase chain reaction diagnostic using a colorimetric de...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,评审


    authors: O'Farrell N

    更新日期:2002-12-01 00:00:00