ArticleSexually transmitted infections2007
Use of a primary care database to determine trends in genital chlamydia testing, diagnostic episodes and management in UK general practice, 1990-2004.
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 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Primary care integration of sexual and reproductive health services for chlamydia testing across WHO-Europe: a systematic review.BMJ open · 2019Pooled it
- Improving our understanding of the disproportionate incidence of STIs in heterosexual-identifying people of black Caribbean heritage: findings from a longitudinal study of sexual health clinic attendees in England.Sexually transmitted infections · 2022Article
- Long-term consequences of sexually transmitted infections on men's sexual function: A systematic review.Arab journal of urology · 2021Review
- 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
- Filling in the gaps: estimating numbers of chlamydia tests and diagnoses by age group and sex before and during the implementation of the English National Screening Programme, 2000 to 2012.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2017Article
- Prescription of Antibiotics to Treat Gonorrhoea in General Practice in Flanders 2009-2013: A Registry-Based Retrospective Cohort Study.Journal of sexually transmitted diseases · 2017Article
- Article
- Where do young men want to access STI screening? A stratified random probability sample survey of young men in Great Britain.Sexually transmitted infections · 2012Article
- Usefulness of primary care electronic networks to assess the incidence of chlamydia, diagnosed by general practitioners.BMC family practice · 2011Article
- Testing for sexually transmitted infections in general practice: cross-sectional study.BMC public health · 2010Article
- Management of first-episode pelvic inflammatory disease in primary care: results from a large UK primary care database.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Article
- How much do delayed healthcare seeking, delayed care provision, and diversion from primary care contribute to the transmission of STIs?Sexually transmitted infections · 2007Article
- Focus on Chlamydia.Sexually transmitted infections · 2007Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the extent of testing, diagnostic episodes and management of genital Chlamydia trachomatis (CT) infection in UK primary care using a large primary care database.
methodsThe incidence of CT tests, diagnostic episodes, treatments and referrals was measured for all adult patients in the General Practice Research Database between 1990 and 2004.
resultsRates of CT testing in those aged 12-64 years in 2004 increased to 1439/100,000 patient years (py) in women but only 74/100,000 py in men. Testing rates were highest among 20-24-year-old women (5.5% tested in 2004), followed by 25-34-year-old women (3.7% tested in 2004). 0.5% of registered 16-24-year-old women were diagnosed as having CT infection in 2004. Three-quarters of patients with a recorded diagnosis of CT had had an appropriate prescription issued in 2004, a proportion that increased from 1990 along with a decrease in referrals to genitourinary medicine. In 2004, general practitioners treated 25.0% of all recorded diagnoses of CT in women and 5.1% of those in men.
conclusionsTesting for and diagnostic episodes of CT in primary care have increased since 1990. Testing continues disproportionately to target women aged >24 years. Extremely low rates of testing in men, together with high positivity, demonstrate a missed opportunity for diagnosis of CT and contact tracing in general practice.
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