Addressing Gaps in the Management of Chlamydia trachomatis and Neisseria gonorrhoeae in Primary Care: Lessons Learned in a Pilot Intervention Study

Rose, Sally B.; Garrett, Susan; Hutchings, Deborah; Lund, Kim; Kennedy, Jane; Pullon, Sue

doi:10.1097/olq.0000000000001005

Cited by 5 publications

(6 citation statements)

References 27 publications

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“…The intervention to improve test of reinfection rates was part of a pilot study conducted to test the acceptability and utility of strategies designed to facilitate partner notification and follow-up (including testing for reinfection) 19. During this period, research team members met with participating clinicians (nurses and doctors) to discuss guideline recommendations about best practice STI management including testing for reinfection 5 6.…”

Section: Methodsmentioning

confidence: 99%

“…During this period, research team members met with participating clinicians (nurses and doctors) to discuss guideline recommendations about best practice STI management including testing for reinfection 5 6. Clinicians were encouraged to offer patients both verbal and written advice about reinfection risk reduction and the importance of retesting 19. Phone follow-up calls undertaken to check on treatment compliance, risk of reinfection and partner notification outcomes also gave clinicians the opportunity to remind patients about retesting.…”

Section: Methodsmentioning

confidence: 99%

“…To determine whether rates of testing for reinfection could be improved in primary care settings, our intervention incorporated clinician education about retesting, verbal and written patient information, and implementation of an SMS/text reminder system. Our study assessed retesting rates in six primary care clinics before and during participation in a pilot study designed to assess the acceptability of strategies to improve partner notification and retesting 19. Key findings from the partner notification pilot study have been reported separately19; this paper reports on retesting during the intervention compared with a historical control group.…”

Section: Introductionmentioning

confidence: 99%

“…Our study assessed retesting rates in six primary care clinics before and during participation in a pilot study designed to assess the acceptability of strategies to improve partner notification and retesting 19. Key findings from the partner notification pilot study have been reported separately19; this paper reports on retesting during the intervention compared with a historical control group.…”

Section: Introductionmentioning

confidence: 99%

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Clinician education, advice and SMS/text reminders improve test of reinfection rates following diagnosis ofChlamydia trachomatisorNeisseria gonorrhoeae: before and after study in primary care

Rose

Garrett

Hutchings

et al. 2019

BMJ Sex Reprod Health

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BackgroundEvidence-based guidelines for the management of Chlamydia trachomatis and Neisseria gonorrhoeae recommend testing for reinfection 3–6 months following treatment, but retesting rates are typically low.MethodsParticipants included six primary care clinics taking part in a pilot study of strategies designed to improve partner notification, follow-up and testing for reinfection. Rates of retesting between 6 weeks and 6 months of a positive chlamydia or gonorrhoea diagnosis were compared across two time periods: (1) a historical control period (no systematic approach to retesting) and (2) during an intervention period involving clinician education, patient advice about reinfection risk reduction and retesting, and short messaging service/text reminders sent 2–3 months post-treatment inviting return for retesting. Retesting was calculated for demographic subgroups (reported with 95% CI).ResultsOverall 25.4% (61 of 240, 95% CI 20.0 to 31.4) were retested during the control period and 47.9% (116 of 242, 95% CI 43.2 to 55.1) during the intervention period. Retesting rates increased across most demographic groups, with at least twofold increases observed for men, those aged 20–29 years old, and Māori and Pasifika ethnic groups. No significant difference was observed in repeat positivity rates for the two time periods, 18% (11 of 61) retested positive during the control and 16.4% (19 of 116) during the intervention period (p>0.05).ConclusionsClinician and patient information about retesting and a more systematic approach to follow-up resulted in significant increases in proportions tested for reinfection within 6 months. These simple strategies could readily be implemented into primary healthcare settings to address low rates of retesting for bacterial sexually transmitted infections.Trial registration numberACTRN12616000837426.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinician education, advice and SMS/text reminders improve test of reinfection rates following diagnosis ofChlamydia trachomatisorNeisseria gonorrhoeae: before and after study in primary care

Rose

Garrett

Hutchings

et al. 2019

BMJ Sex Reprod Health

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“…Compared to before the intervention, clinical documentation showed a significant improvement in documented STI management, more frequent follow up and documentation of self-reported partner notification outcome for both intervention groups (n ¼ 287). 20 Ryder et al explored the perceptions of service providers in a pilot Condom Card Scheme, where adolescents in Hawke's Bay could access free condoms from pharmacies on presenting a Condom Card. 21 Interviews with 17 service providers (nurses and pharmacy staff) found universal support of the scheme and believed that pharmacies were the right place to run such a service due to long open hours, especially during weekends and school holidays.…”

Section: Othermentioning

confidence: 99%

Health services for sexually transmitted infections: Where are we at in New Zealand? A narrative literature review

Smith

Wilby

2020

J Prim Health Care

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INTRODUCTIONSexually transmitted infection (STI) rates continue to rise in New Zealand. To effectively prevent, test and diagnose STIs in a timely manner to limit their health effects, health services must be appropriate and accessible for all. AIMThe aim of this review was to identify and collate the existing literature and identify gaps in research relating to STI health service delivery in New Zealand. METHODSA critical narrative literature review was conducted. A keyword search of PubMed (2010 to October 2020), EMBASE (2010 to October 2020) and Google Scholar (2010 to October 2020) was conducted. The electronic search was supplemented with manual screening of references from identified articles. Eligible studies reported on STI service delivery in New Zealand. Articles not meeting these criteria were excluded. Articles solely reporting on the human papillomavirus vaccine or condom use statistics or perceptions were also excluded. Data extracted included study year, authors, aim, methods and outcome results. RESULTSA total of 179 articles were identified, including 16 that met study inclusion criteria. Nine studies focused on STI testing, five on health-seeking behaviours and two had other foci. The results reflected substantial gaps in the funding and delivery of best-practice STI management across all New Zealand. DISCUSSIONNew strategies are needed to improve access to low-cost or free services for sexual health care in general and clinic-wide systems implemented to enable routine delivery of advice about STI prevention and testing by clinicians to patients.

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Data confidentiality, professional secret and contact research in sexually transmitted infections

Macaya

Hernández

Nuevo

2020

Medicina Clínica (English Edition)

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Addressing Gaps in the Management of Chlamydia trachomatis and Neisseria gonorrhoeae in Primary Care: Lessons Learned in a Pilot Intervention Study

Cited by 5 publications

References 27 publications

Clinician education, advice and SMS/text reminders improve test of reinfection rates following diagnosis ofChlamydia trachomatisorNeisseria gonorrhoeae: before and after study in primary care

Clinician education, advice and SMS/text reminders improve test of reinfection rates following diagnosis ofChlamydia trachomatisorNeisseria gonorrhoeae: before and after study in primary care

Health services for sexually transmitted infections: Where are we at in New Zealand? A narrative literature review

Data confidentiality, professional secret and contact research in sexually transmitted infections

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