Abstract:
BACKGROUND:Chlamydia notifications are increasing in Australia, and the use of a computer alert prompting general practitioners to test young women is a potential way to increase opportunistic chlamydia testing. The aim of this trial was to determine the effectiveness of a computer alert in general practice on chlamydia testing in young women. METHODS:In 2006, clinics (n = 68) in Melbourne, Australia were cluster randomized into 2 groups: the intervention group received a computerized alert advising the general practitioner to discuss chlamydia testing with their patient which popped up when the medical record of a 16- to 24-year-old woman was opened; the control group received no alert. The outcome was whether or not that patient received a chlamydia test at the level of a single consultation with an eligible patient. A mixed effects logistic regression model adjusting for clustering was used to assess the impact of the alert on the proportion of women tested for chlamydia during the trial period. RESULTS:Testing increased from 8.3% (95% confidence interval (CI): 6.8, 9.8) to 12.2% (95% CI: 9.1, 15.3) (P < 0.01) in the intervention group, and from 8.8% (95% CI: 6.8, 10.7) to 10.6% (95% CI: 8.5, 12.7) (P < 0.01) in the control group. Overall, the intervention group had a 27% (OR = 1.3; 95% CI: 1.1, 1.4) greater increase in testing. CONCLUSION:The results of this study suggest that alerts alone may not be sufficient to get chlamydia testing levels up sufficiently high enough to have an impact on the burden of chlamydia in the population but that they could be included as part of a more complex intervention.
journal_name
Sex Transm Disjournal_title
Sexually transmitted diseasesauthors
Walker J,Fairley CK,Walker SM,Gurrin LC,Gunn JM,Pirotta MV,Carter R,Hocking JSdoi
10.1097/OLQ.0b013e3181cfcb4csubject
Has Abstractpub_date
2010-07-01 00:00:00pages
445-50issue
7eissn
0148-5717issn
1537-4521journal_volume
37pub_type
杂志文章,随机对照试验abstract:BACKGROUND:Up to 50% of women with nonoptimal vaginal microbial community state type (CST) have bacterial vaginosis (BV). Little is known about what distinguishes women with and without BV diagnosis within nonoptimal CST. We identified features of women and their male sex partners associated with BV among women with no...
journal_title:Sexually transmitted diseases
pub_type: 杂志文章
doi:10.1097/OLQ.0000000000001259
更新日期:2020-12-01 00:00:00
abstract::Most Australian men who have sex with men who underwent rapid testing for syphilis using the Determine Syphilis TP immunoassay indicated a preference for rapid testing over conventional serology. Most also indicated that they would test for syphilis more frequently if rapid syphilis testing was available in a clinic s...
journal_title:Sexually transmitted diseases
pub_type: 杂志文章
doi:10.1097/olq.0b013e3181d707de
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abstract:BACKGROUND:Among persons with a sexually transmitted disease (STD), the proportion who are also infected with HIV is a major factor influencing the public health impact of that STD on HIV transmission. GOAL:To assess HIV infection in persons with syphilis in the United States. STUDY DESIGN:A systematic literature rev...
journal_title:Sexually transmitted diseases
pub_type: 杂志文章,评审
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更新日期:2000-01-01 00:00:00
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章
doi:10.1097/00007435-200303000-00009
更新日期:2003-03-01 00:00:00
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章
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journal_title:Sexually transmitted diseases
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journal_title:Sexually transmitted diseases
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doi:10.1097/OLQ.0000000000000036
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章
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更新日期:1986-07-01 00:00:00
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章,多中心研究
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更新日期:2005-03-01 00:00:00
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journal_title:Sexually transmitted diseases
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doi:
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章,评审
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章,随机对照试验
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journal_title:Sexually transmitted diseases
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journal_title:Sexually transmitted diseases
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更新日期:2003-05-01 00:00:00
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