Who tests whom? A comprehensive overview of<i>Chlamydia trachomatis</i>test practices in a Dutch region among different STI care providers for urogenital, anorectal and oropharyngeal sites in young people: a cross-sectional study

Heijer, Casper D. J. den; Liere, Geneviève A F S van; Hoebe, Christian J. P. A.; Bergen, Jan E. A. M. van; Cals, Jochen; Stals, Frans; Dukers-Muijrers, Nicole H T M

doi:10.1136/sextrans-2015-052065

Cited by 24 publications

(32 citation statements)

References 27 publications

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“…Since patients with single positive extra-genital samples were almost exclusively males, our data support the recommendation that MSM need to be tested at multiple anatomical locations (van Liere et al, 2014;den Heijer et al, 2015).…”

Section: Discussionsupporting

confidence: 69%

“…argued in other papers (den Heijer et al, 2015) and similarly to our context, it appears difficult to reach at-risk younger subjects for different reasons (i.e. not feeling at risk, being unaware of the possible implications of CT infections, refusing testing etc.…”

Section: Discussionmentioning

confidence: 98%

“…Similarly to other studies conducted in different countries, the majority of CT tests (68.4 %) were performed in women (Kufeji et al, 2003;Hughes et al, 2007;Dimech et al, 2014;den Heijer et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…The availability of high-quality tests for CT detection in extra-genital specimens as well as strategies to encourage extra-genital CT testing in MSM and high-risk women outside the STI clinic are therefore critical components of healthcare (den Heijer et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…Besides urogenital localizations, it is well known that this microorganism can be found at extra-genital sites, such as pharyngeal and rectal mucosa, according to the sexual repertoires of the couples (van Liere et al, 2013(van Liere et al, , 2014den Heijer et al, 2015;Allan-Blitz et al, 2016). Extra-genital CT infections are often asymptomatic or characterized by nonspecific symptoms, acting as an important reservoir for further transmission and potentially leading to sequelae both in men having sex with men (MSM) and in women (van Liere et al, 2013(van Liere et al, , 2014Peters et al, 2014;Patton et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

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Chlamydia trachomatis infection prevalence and serovar distribution in a high-density urban area in the north of Italy

Foschi

Nardini

Banzola

et al. 2016

Journal of Medical Microbiology

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The aim of this study was to assess Chlamydia trachomatis (CT) infection prevalence and serovar distribution in a high-density urban area in the north of Italy, by comparing different groups of subjects divided on the basis of the type of care provider they referred to (STI Clinic, gynaecologists or general practitioners). From January 2011 to May 2014, all the specimens submitted to the Microbiology Laboratory of St Orsola Hospital in Bologna for CT detection were tested by PCR assay. For positive specimens, molecular genotyping based on RFLP analysis was performed. Total prevalence of CT infection was 8.1 %, with significant differences between subgroups (P<0.01) but stable during the study period. The STI Clinic was mainly responsible for CT diagnosis, whereas the lowest infection prevalence was detected in gynaecological clinics, despite the high number of tests performed. Extra-genital samples were almost exclusively collected from males at the STI Clinic. Interestingly, 13.3 % of patients providing extra-genital specimens were positive for CT on rectal and/or pharyngeal swabs, and 4.4 % of cases would have been missed if extra-genital sites had not been tested. The most common serovar was E, and serovar distribution was influenced by gender (P<0.01), age (P<0.01), care provider (P=0.01) and anatomical site (P<0.01). The L2 serovar was detected only in extragenital samples from males at the STI Clinic. Knowledge about care providers' contributions in CT testing and diagnosis is essential for infection control. CT typing is crucial for appropriate management of specific infections, such as lymphogranuloma venereum in extra-genital samples of high-risk populations.

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Section: Discussionsupporting

confidence: 69%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Chlamydia trachomatis infection prevalence and serovar distribution in a high-density urban area in the north of Italy

Foschi

Nardini

Banzola

et al. 2016

Journal of Medical Microbiology

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Rectale chlamydia bij vrouwen onbekend en onbehandeld

Dekker

2018

Huisarts Wet

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Sexuell übertragbare Infektionen bei Frauen in der hausärztlichen Praxis – eine qualitative Interviewstudie mit Hausärzt:innen in Berlin

Meurer,

Heintze,

Schuster

2024

Z Allg Med

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Zusammenfassung Hintergrund Sexuell übertragbare Infektionen (STI) sind in bis zu 90 % asymptomatisch, werden bei Frauen später erkannt und können zu schweren Komplikationen führen. Im deutschen Gesundheitssystem gibt es für Beratungsanlässe zu sexueller Gesundheit keine klar zuständigen Ansprechpartner:innen. So werden Patient:innen auch an Hausärzt:innen (HÄ) verwiesen, die sich bei diesem Thema jedoch häufig unsicher fühlen. Ziel der Arbeit In diesem Artikel werden konkrete hausärztliche Herangehensweisen in der STI-Versorgung bei Frauen beschrieben und diskutiert. Methoden Die Daten wurden mit teilstandardisierten Leitfadeninterviews mit Fallbeispielen zwischen Oktober 2020 und September 2021 erhoben und mit qualitativer Inhaltsanalyse ausgewertet. Auf Grundlage eines theoretischen Sampling-Ansatzes wurden 13 HÄ ohne infektiologischen Schwerpunkt und 6 HÄ in infektiologischen Schwerpunktpraxen (HÄiS) eingeschlossen. Ergebnisse Hausärzt:innen beschreiben, die Versorgung von Ratsuchenden finde eher in der Gynäkologie statt. Die Sexualanamnese würde selten erhoben und der Fokus liege eher bei Diagnostik und Behandlung von Harnwegsinfekten. Einzelne HÄ bieten dagegen Urin-PCR-Tests oder vaginale Selbstabstriche und Therapie für alle STI außer HIV an. Bestehende Abrechnungsmöglichkeiten und Angebote des Gesundheitsamts werden selten genutzt, asymptomatische Patient:innen müssen die Kosten für STI-Tests häufig selbst übernehmen. Diskussion Obwohl sich viele Patient:innen eine hausärztliche STI-Versorgung wünschen, wird dies in Deutschland derzeit unzureichend abgedeckt. Sexualanamnese und diagnostische Möglichkeiten sollten zukünftig in der Aus- und Fortbildung von HÄ eine größere Rolle spielen. Eine Screeningstrategie, klare Zuständigkeiten und Überweisungspfade könnten Patient:innen und HÄ deutlich entlasten.

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Who tests whom? A comprehensive overview ofChlamydia trachomatistest practices in a Dutch region among different STI care providers for urogenital, anorectal and oropharyngeal sites in young people: a cross-sectional study

Abstract: STI clinics performed most CT tests in men, whereas GPs performed most CT tests in women. GPs and STI clinics accounted for the majority of positives. Extragenital CT testing is rarely performed outside the STI clinic and needs to be promoted, especially in men who have sex with men.

Cited by 24 publications

References 27 publications

Chlamydia trachomatis infection prevalence and serovar distribution in a high-density urban area in the north of Italy

Chlamydia trachomatis infection prevalence and serovar distribution in a high-density urban area in the north of Italy

Rectale chlamydia bij vrouwen onbekend en onbehandeld

Sexuell übertragbare Infektionen bei Frauen in der hausärztlichen Praxis – eine qualitative Interviewstudie mit Hausärzt:innen in Berlin

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