P3.379 Comparison in 2004 and 2011 on the Efficacy of Partner Notification For Chlamydia Trachomatis Among Young Adults in Youth Health Centres in Uppsala County, Sweden

Sylvan, Staffan; Hedlund, Jonas

doi:10.1136/sextrans-2013-051184.0832

Cited by 3 publications

(3 citation statements)

References 22 publications

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“…Centralisation per se seems to improve the quality of PN. In a study by Sylvan and coworkers, 13 from Uppsala County in Sweden, experienced PN personnel at a youth clinic achieved the P/I scores 2.3 in 2004 and 2.6 in 2011. As seen in Table 1, the P/I scores achieved by personnel not belonging to the PN team in Norrbotten County were on the same level as those obtained by experienced personnel in Uppsala County.…”

Section: Discussionmentioning

confidence: 99%

Improved partner notification for genital chlamydia can be achieved by centralisation of the duty to a specially trained team

Österlund

2014

Int J STD AIDS

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Partner notification is mandatory for Chlamydia trachomatis infections in Sweden. A significant quality improvement of partner notification for genital chlamydia was achieved by increasing the skills and reducing the number of individuals conducting partner notifications. By centralisation of the partner notification to a specially trained team of nurses, an additional 12% of genital chlamydia cases were found. Routine partner notification achieved a score of 3.3 notified partners per index case, and shows how important this activity is for detection of asymptomatic chlamydia infections in the community.

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Section: Discussionmentioning

confidence: 99%

Improved partner notification for genital chlamydia can be achieved by centralisation of the duty to a specially trained team

Österlund

2014

Int J STD AIDS

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“…The relevance of reinforcing contact tracing is demonstrated in our study by the proportion of sexual contacts found to test positive for CT infection (58.8%, 10/17). For instance, Sweden operates a partner notification system in which all recent sexual partners of an STI patient can be ordered by law to present at an STI clinic; the efficacy of this system in the identification of CT infection has been reported to have reached 81–87% in Uppsala …”

Section: Discussionmentioning

confidence: 99%

Screening for Chlamydia infection in a sexually transmitted infection clinic: a missed opportunity?

2014

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“…Although the importance in targeting high-risk persons has been discussed, the difficulty still lies in defining these groups. Patients attending STI clinics or youth health centres could be such groups [41]. An investigation in Stockholm confirmed that the incidence of chlamydia increased with the number of sexual partners [42] and that only 10% of infected individuals had had more than three partners in the past year [43].…”

Section: Discussionmentioning

confidence: 99%

Changing Epidemiology of Sexually Transmitted Infections: Call for New Strategies Against the Increase in Chlamydia Infection in Sweden

Sylvan¹

2011

TOIDJ

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This descriptive analysis of sexually transmitted infections (STIs) is based on data regulated by the Swedish Communicable Disease Act and consists of free testing and treatment, partner tracing and notification. Today, chlamydia is the only STI that affects the general population in Sweden. In the past gonorrhoea and syphilis had an appreciable effect on the general population. However, in the 1990s both of these diseases became rare. HIV has almost exclusively been restricted to three subpopulations (men who have sex with men, injecting drug users and people from HIV endemic countries). The Swedish strategy employed to reduce gonorrhoea and syphilis has been highly successful as demonstrated by a substantial decrease in the incidence of gonorrhoea and syphilis in the mid-1990s. A recent slight increase in syphilis and HIV might be due to the introduction of highly active antiviral therapy (HAART) that may have promoted promiscuous behaviour. The present chlamydia strategy, which focuses on opportunistic screening, partner tracing and condom use, has failed despite being one of the world`s most all comprehensive plans. The number of chlamydia cases more than doubled after 1998, and in 2007, the number was the highest ever recorded in Sweden. This noticeable increase in chlamydia cases has important implications and suggests that greater attention should be given to transmission dynamics, including the effects of screening programmes and acquired immunity. Complication and clearance rates after asymptomatic chlamydia infection need to be established, but the most important goal is to encourage behavioural changes in terms of fewer episodes of unprotected sexual intercourse and fewer sexual partners.

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P3.379 Comparison in 2004 and 2011 on the Efficacy of Partner Notification For Chlamydia Trachomatis Among Young Adults in Youth Health Centres in Uppsala County, Sweden

Cited by 3 publications

References 22 publications

Improved partner notification for genital chlamydia can be achieved by centralisation of the duty to a specially trained team

Improved partner notification for genital chlamydia can be achieved by centralisation of the duty to a specially trained team

Screening for Chlamydia infection in a sexually transmitted infection clinic: a missed opportunity?

Changing Epidemiology of Sexually Transmitted Infections: Call for New Strategies Against the Increase in Chlamydia Infection in Sweden

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