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May 20061 By Annmaria Taylor, May 2006 The rate of reinfection within a major City community based Chlamydia Screening Programme Liverpool: City of Culture.

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Presentation on theme: "May 20061 By Annmaria Taylor, May 2006 The rate of reinfection within a major City community based Chlamydia Screening Programme Liverpool: City of Culture."— Presentation transcript:

1 May By Annmaria Taylor, May 2006 The rate of reinfection within a major City community based Chlamydia Screening Programme Liverpool: City of Culture 2008

2 May Liverpool Chlamydia Screening Programme (CSP)  Targeted at young people (<25 years old)  Since June 2004 we have screened 22,996  78 varied screening venues  Chlamydia positives 2,833 (12%)  Proven treatment success rate is 97%  First line treatment is Azithromycin  Erythromycin where risk of pregnancy  Treatment by trained nurses

3 May Rates of diagnoses of uncomplicated genital Chlamydial infection by Sex and Age group MalesFemales Source: GUM clinics, United Kingdom:

4 May Aims & Objectives  Show the rate of reinfection of those tested over a 12 month period with those individuals followed up 6 months later.  To discover % of clients who were initially treated and became reinfected.  Identify factors which will help reduce the reinfection rate.

5 May Methodology A.Chlamydia tests during one year from September 2004 to August B.We then looked at those reinfection cases in the subsequent 6 months (i.e. Sept ’05 – Feb ’06). Data sourced from Chlamydia database and case note auditing.

6 May A. Results (1 of 2)  1,284 clients tested positive and treated.  116 (9%) returned for retesting  49 (4%) were found to be reinfected.  Of those original positive clients who were treated and retested - 42% Positive - 58% Negative

7 May A. Results (2 of 2)  Small numbers returned for re-testing (9%)  Of these 42% were positive  Most (98%) could identify a reason for reinfection

8 May B. Results for 6 month follow up A 6 month follow up on the 49 positives on retesting during initial year showed: 27: did not attend for a retest 19: retested negative 3:retested positive for a third time 49

9 May Reasons for reinfection (9/04 – 8/05) Total number of clients reinfected 49

10 May Strategies to reduce rates of reinfection  Treating all current partners promptly  Obtaining good partner notification from client Health professional to stress importance of getting this information as well as respecting confidentiality of the client.  Azithromycin as first choice even for women with a risk of pregnancy.

11 May Treatment consultation should include …  How to take medications correctly  What to do if vomiting occurs  What to do if treatment not completed correctly  Abstinence from sex - how long?  Safe sex /condom use  Advise regarding retest and further S.T.I. screening  Potential offer of 2 week follow up call  Give written advice supporting above

12 May Conclusion (1 of 2)  Chlamydia is common in our population  Low rate of re-testing may imply low risk Greater practice of safe sex; and / or Clients ambivolent to risk  Those re-tested were aware of risk

13 May Conclusion (2 of 2)  Key to reducing reinfection rate: Good partner notification Thorough treatment consultations for positive clients and partners Partners treated quickly and conveniently Effective Health Education/safe sex  Azithromycin as 1 st choice treatment  Greater client awareness of Chlamydia risks and ease of testing is a success of the programme.

14 May The rate of reinfection within a major City community based Chlamydia Screening Programme By Annmaria Taylor, May 2006 Liverpool: City of Culture 2008 Any Questions?


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