ArticleSexually transmitted infections2007
What can be gained from comprehensive disaggregate surveillance? The Avon Surveillance System for Sexually Transmitted Infections.
Article in Sexually transmitted infections, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Cross-sectional study to evaluateSexually transmitted infections · 2018Article
- Patterns of chlamydia testing in different settings and implications for wider STI diagnosis and care: a probability sample survey of the British population.Sexually transmitted infections · 2017Article
- The added value of chlamydia screening between 2008-2010 in reaching young people in addition to chlamydia testing in regular care; an observational study.BMC infectious diseases · 2014Observational
- Analysis of laboratory testing results collected in an enhanced chlamydia surveillance system in Australia, 2008-2010.BMC infectious diseases · 2014Article
- Not so different after all? Comparing patients attending general practice-based locally enhanced services for sexual health with patients attending genitourinary medicine.International journal of STD & AIDS · 2013Article
- Testing for sexually transmitted infections in general practice: cross-sectional study.BMC public health · 2010Article
- Use of a primary care database to determine trends in genital chlamydia testing, diagnostic episodes and management in UK general practice, 1990-2004.Sexually transmitted infections · 2007Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo describe a new disaggregate surveillance system covering key diagnosed sexually transmitted infections in a UK locality.
methodsThe Avon System for Surveillance of Sexually Transmitted Infections (ASSIST) collects computerised person- and episode-based information about laboratory-diagnosed sexually transmitted infections from genitourinary medicine (GUM) clinics, the Avon Brook Clinic, and the Health Protection Agency and trust laboratories in primary care trusts in Avon. The features of the system are illustrated here, by describing chlamydia-testing patterns according to the source of test, age and sex, and by mapping the distribution of chlamydia across Bristol, UK.
resultsBetween 2000 and 2004, there were 821,685 records of tests for sexually transmitted infections, with 23,542 positive results. The proportion of tests and positive results for chlamydia and gonorrhoea sent from general practice increased over time. Most chlamydia tests in both GUM and non-specialist settings were performed on women aged >25 years, but positivity rates were highest in women aged <25 years. The positivity rate remained stable between 2000 and 2004. Including data from all diagnostic settings, chlamydia rates were about twice as high as those estimated only from genitourinary clinic cases.
conclusionsThe ASSIST model could be a promising new tool for planning and measuring sexual health services in England if it can become sustainable and provide more timely data using fewer resources. Collecting denominator data and including infections diagnosed in primary care are essential for meaningful surveillance.
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