PMID- 12081168
OWN - NLM
STAT- MEDLINE
DCOM- 20020718
LR  - 20191210
IS  - 1368-4973 (Print)
IS  - 1472-3263 (Electronic)
IS  - 1368-4973 (Linking)
VI  - 78
IP  - 2
DP  - 2002 Apr
TI  - Outreach health adviser in a community clinic screening programme improves 
      management of genital chlamydia infection.
PG  - 101-5
AB  - OBJECTIVE: To assess the effectiveness of an outreach health adviser on 
      treatment, partner notification and outcome for clients diagnosed with genital 
      chlamydia (CT) infection at a community young people's clinic. METHODS: From 
      August 1999 to March 2000, a genitourinary medicine (GUM) based health adviser 
      helped to develop testing and undertook outreach management of clients aged under 
      26 years diagnosed with CT infection. In addition to facilitating referral to 
      GUM, she gave antibiotic treatment based on a GUM derived patient group direction 
      to those not wishing to travel to the GUM clinic. She also advised them on 
      contact tracing and the need for a compliance check (CC). RESULTS: Chlamydia 
      positive tests with ligase chain reaction (LCR), on first void urine, were 
      obtained for 62 (12.9%) of 481 female clients, one (5%) of 20 male clients, and 
      nine (53%) of 17 male contacts of female positive cases. All 72 testing positive 
      received their result and were treated. Two urine samples positive for CT showed 
      positive LCR tests for gonorrhoea. Proportions of named contacts seen (67%) and 
      reattendances for compliance checks (60%) were similar to those for women seen in 
      GUM services. CONCLUSIONS: Health adviser input with the ability to treat can be 
      effective in reducing the growth of identified but untreated genital chlamydia 
      infection consequent upon community based screening. Such a strategy appears 
      comparable with, and can add to, GUM based treatment of infection. It helps to 
      address the need for alternative management strategies in the light of the 
      national sexual health strategy.
FAU - Jones, K
AU  - Jones K
AD  - PACE, Abacus Centres for Contraception and Reproductive Health, Liverpool, UK. 
      kjjonah@yahoo.co.uk
FAU - Webb, A
AU  - Webb A
FAU - Mallinson, H
AU  - Mallinson H
FAU - Birley, H
AU  - Birley H
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PL  - England
TA  - Sex Transm Infect
JT  - Sexually transmitted infections
JID - 9805554
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Ambulatory Care Facilities/*organization & administration
MH  - Chlamydia Infections/*diagnosis/drug therapy
MH  - Community-Institutional Relations/*standards
MH  - Contact Tracing/methods
MH  - England
MH  - Female
MH  - Genital Diseases, Female/*diagnosis/drug therapy
MH  - Genital Diseases, Male/*diagnosis/drug therapy
MH  - Humans
MH  - Male
MH  - Mass Screening/organization & administration
MH  - Medical Audit
MH  - Outcome Assessment, Health Care
MH  - Patient Acceptance of Health Care/statistics & numerical data
MH  - Pilot Projects
MH  - Program Evaluation
MH  - Venereology/*organization & administration
PMC - PMC1744423
EDAT- 2002/06/26 10:00
MHDA- 2002/07/19 10:01
PMCR- 2005/04/01
CRDT- 2002/06/26 10:00
PHST- 2002/06/26 10:00 [pubmed]
PHST- 2002/07/19 10:01 [medline]
PHST- 2002/06/26 10:00 [entrez]
PHST- 2005/04/01 00:00 [pmc-release]
AID - 10.1136/sti.78.2.101 [doi]
PST - ppublish
SO  - Sex Transm Infect. 2002 Apr;78(2):101-5. doi: 10.1136/sti.78.2.101.