| アブストラクト | OBJECTIVE: To determine the extent of testing, diagnostic episodes and management of genital Chlamydia trachomatis (CT) infection in UK primary care using a large primary care database. METHODS: The incidence of CT tests, diagnostic episodes, treatments and referrals was measured for all adult patients in the General Practice Research Database between 1990 and 2004. RESULTS: Rates of CT testing in those aged 12-64 years in 2004 increased to 1439/100,000 patient years (py) in women but only 74/100,000 py in men. Testing rates were highest among 20-24-year-old women (5.5% tested in 2004), followed by 25-34-year-old women (3.7% tested in 2004). 0.5% of registered 16-24-year-old women were diagnosed as having CT infection in 2004. Three-quarters of patients with a recorded diagnosis of CT had had an appropriate prescription issued in 2004, a proportion that increased from 1990 along with a decrease in referrals to genitourinary medicine. In 2004, general practitioners treated 25.0% of all recorded diagnoses of CT in women and 5.1% of those in men. CONCLUSIONS: Testing for and diagnostic episodes of CT in primary care have increased since 1990. Testing continues disproportionately to target women aged >24 years. Extremely low rates of testing in men, together with high positivity, demonstrate a missed opportunity for diagnosis of CT and contact tracing in general practice. |
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| ジャーナル名 | Sexually transmitted infections |
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| Pubmed追加日 | 2007/3/16 |
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| 投稿者 | Hughes, Gwenda; Williams, Tim; Simms, Ian; Mercer, Catherine; Fenton, Kevin; Cassell, Jackie |
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| 組織名 | Department of HIV and STIs, Health Protection Agency Centre for Infections,;London, UK. gwenda.hughes@hpa.org.uk |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/17360731/ |
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