Test to treatment intervals within the Liverpool UK Chlamydia
F. Gill, S. Lavelle, G. Adams
Liverpool and South Sefton
Chlamydia Screening Programme, Liverpool, UK
is the most common sexually transmitted infection in the under 25’s. Infection
rates have been rising steadily since the mid 1990’s. The Liverpool Chlamydia
Screening Programme has been acclaimed as one of the most successful in the
country. Testing is available at 49 sites in the community, and treatment and
partner notification at 11 of these sites. Since its establishment in 2004, it
has managed over 20,000 tests, of which 12% are positive, with over a 95 %
Objective To evaluate whether current test to treatment
intervals within the Screening Programme are acceptable. To examine reasons for
any delay in treatment, and suggest ways of minimising them.
Method Audit of
treatment intervals for opportunistically screened Chlamydia positive clients
from 1st July 2005 to 31st December 2005. For those clients not treated within 3
weeks, a detailed review of all actions and communications was carried out.
Results: A total of 568 clients tested positive. Of these, 394 (69%) were
treated within 2 weeks of testing; and a further 94 (17%) within 3 weeks.
Eventually 98% definitely received treatment.
Conclusion Overall treatment
intervals within the Programme are acceptable. Community based management, and
versatility of treatment sites and times, contribute towards successful
treatment intervals. The main reasons for delays were client based. To improve
treatment intervals, the importance of attending for treatment following a
positive result should be reinforced. Correct client contact details must be
procured. Although mobile phones greatly ease communication, numbers need to be
accurate. Using texting and voice mail messages, if acceptable, enhance speed of
action, but back-up addresses are still necessary in case the phone is