Is telephone follow-up as good as traditional clinic follow-up in achieving the proposed national outcome standards for chlamydia management?

Apoola, Ade; Boothby, Meg; Radcliffe, K W

doi:10.1258/095646204774195218

Cited by 9 publications

(11 citation statements)

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“…Indeed, this appears to be confirmed by previous studies, which showed that partner contact and treatment were more effective among younger patients. 17 However, another study reported that older patients were more inclined to inform their sexual partners. 18 In our study, other reasons may include the difficulty to communicate with foreign patients due a lack of understanding of French.…”

Section: Discussionmentioning

confidence: 99%

Tracing partners of patients with syphilis infection remains challenging: experience of Geneva Hospital

et al. 2017

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Syphilis has been reinstated on the list of notifiable diseases in Switzerland since 2006 and the active management of sexual partners is encouraged to avoid reinfection. However, contact tracing has yielded unsatisfactory results and the incidence of syphilis remains important, especially in high-risk populations. The aim of this study was to compare the proportions of notified sexual partners of patients diagnosed with syphilis by the laboratories of Geneva University Hospitals (HUG) with those diagnosed in private laboratories (non-HUG) and to assess the risk factors for no notification to sexual partners. All syphilis cases notified to the Office of the Surgeon General in Geneva (Switzerland) between 1 January 2011 and 31 December 2013 were analysed. The proportions of partner notification (PN) between HUG and non-HUG laboratories were compared by Chi square test and the main risk factors for no notification to sexual partners were assessed by binomial log-linear regression. Among a total of 720 notifications reported, 244 cases were diagnosed with contagious syphilis stages and 263 with non-contagious stages (i.e. successfully treated patients with or late latent cases). Overall, PN was higher among contagious than non-contagious cases (58.4% versus 31.0%; p = 0.030) and it was significantly higher in the non-HUG compared to the HUG group (75.9% versus 50.0%, respectively; p < 0.001). Risk factors independently associated with no notification to sexual partners were the place of diagnosis (risk ratio [RR] 1.66; 95% confidence interval [CI] 1.21-2.27 for HUG versus non-HUG, respectively), age >45 years (RR 1.36; 95% CI: 1.05-1.76) and if the patient had received treatment for syphilis (RR 1.91; 95% CI: 1.38-2.66). Our results illustrate the difficulty of contact tracing in syphilis infection and the necessity to improve this crucial part of sexually transmitted infection management.

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Section: Discussionmentioning

confidence: 99%

Tracing partners of patients with syphilis infection remains challenging: experience of Geneva Hospital

et al. 2017

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“…Improving the effectiveness of existing systems does not necessarily require the introduction of complex ICT (e.g. use of telephone follow-up for chlamydia 24 ). Older technologies such as the telephone also remain the most popular choice for booking a clinic appointment and suggest that the introduction of new ICT should incorporate the views of patient and community groups and be performed in parallel with a more general review of patient pathways and clinic systems.…”

Section: Discussionmentioning

confidence: 99%

Optimizing information technology to improve sexual health-care delivery: public and patient preferences

Ross¹,

Copas

Stephenson

et al. 2007

Int J STD AIDS

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Information and communication technology (ICT) has the potential to improve the quality of care and efficiency in sexual health clinics, but its introduction requires input not only from health-care professionals and ICT specialists but also from service users and potential future users. In this study, views on ICT in relation to the delivery of sexual health services were assessed using a structured interview in two groups -a community sample of young people and a clinic sample of existing patients. In all, 542 community interviewees and 202 clinic patients participated. About 75% of respondents had access to the Internet and overall 60% reported that the self-collection of a sexual history on an electronic form was acceptable. Black Caribbean individuals had significantly less access to the Internet and a lower acceptance of electronic data collection. For booking an appointment, the majority of patients reported the telephone (community sample 93%, clinic sample 96%) or attending in person (community sample 77%, clinic sample 54%) to be acceptable, with a smaller proportion choosing email (community sample 10%, clinic sample 27%) or the Internet (community sample 7%, clinic sample 11%). Electronic booking was significantly less acceptable to Black Caribbean respondents. Although new technologies offer the opportunity to improve the quality of sexual health services, patient preferences and differences between groups in access to technology also need to be considered when services are reconfigured.

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“…The follow-up interview can be performed by phone or other means of communication or in person 68,69 (III, B). Patients who remain symptomatic, who have not completed their medication or who have had unprotected sexual intercourse with an untreated partner should be asked to return to the clinic and re-treated with appropriate contact tracing (IV, C).…”

Section: Follow-up For Patients With Ngumentioning

confidence: 99%

“…Follow-up after 2-3 weeks is important in order to assess compliance with therapy, ensure resolution of symptoms and to assess the risk of re-infection from an untreated partner, particularly in chlamydia-positive patients. The follow-up interview can be performed by phone or other means of communication or in person 68,69 (III, B). Patients who remain symptomatic, who have not completed their medication or who have had unprotected sexual intercourse with an untreated partner should be asked to return to the clinic and re-treated with appropriate contact tracing (IV, C).…”

Section: Follow-up For Patients With Ngumentioning

confidence: 99%

2009 European Guideline on the Management of Male Non-gonococcal Urethritis

Shahmanesh¹,

Moi²,

Lassau

et al. 2009

Int J STD AIDS

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Is telephone follow-up as good as traditional clinic follow-up in achieving the proposed national outcome standards for chlamydia management?

Cited by 9 publications

References 0 publications

Tracing partners of patients with syphilis infection remains challenging: experience of Geneva Hospital

Tracing partners of patients with syphilis infection remains challenging: experience of Geneva Hospital

Optimizing information technology to improve sexual health-care delivery: public and patient preferences

2009 European Guideline on the Management of Male Non-gonococcal Urethritis

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