Effectively managing a nurse-led Chlamydia Screening Programme in England

Effectively managing a nurse-led Chlamydia Screening

Programme in England

SJ Lavelle

Liverpool and South Sefton Chlamydia Screening Programme,

Liverpool, United Kingdom

Objectives To demonstrate the model used for the

management of a chlamydia screening programme. To illustrate results achieved

within the first 18 months of screening

Methods The Chlamydia Screening Programme commenced

screening on 9th June 2004. There are currently over 50 sites (Contraceptive

Services, General Practices, Prisons, and Walk-In Centres) that are able to

offer opportunistic screening for chlamydia and gonorrhoea (using urine or

self-taken swabs) to men and women aged under 25 years of age. Following a

chlamydia positive diagnosis, clients are contacted from a central nurse-managed

Chlamydia Screening Office and an appointment is made for the client and their

partner to attend one of a range of local venues for treatment. Clients are

treated by nurses specially trained in partner notification who follow national

guidelines and are able to issue medication via Patient Group Directions (PGDs).

Clients who remain untreated following three recalls for treatment are referred

to the Screening Programme Lead for additional action, including possible home


Results A total of 16052 clients were opportunistically

screened for chlamydia between 9th June 2004 and 31st December 2005. Of these,

94% (15050) also opted to be screened for gonorrhoea on the same specimen. 12%

(1936) of clients tested were positive for chlamydia whilst 1% (173) were

positive for gonorrhoea. Treatment completion rates were 98% for chlamydia and

93% for gonorrhoea. 54% of all partners who were contactable were contacted. 60%

of those partners who were contacted were treated.

Conclusions This model of managing screening for

chlamydia is acceptable to clients, effective in treating those who test

positive and their partners. Clients are able to access non-invasive testing at

a range of venues, and may be treated in their local area by nurses.

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