GP's management of genital Chlamydia: a survey of reported practice |
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Authors: | Stokes T; Bhaduri S; Schober P; Shukla R |
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Institution: | Department of General Practice and Primary Health Care, University of Leicester, Leicester General Hospital, UK. |
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Abstract: | BACKGROUND: Genital chlamydial infection is the commonest curable sexually
transmitted disease in the industrialized world. Little is known about how
GPs manage this condition. OBJECTIVES: We aimed to determine current
knowledge concerning genital chlamydia among GPs and to establish how
patients with this infection are managed in primary care. METHODS: A
confidential self-administered postal questionnaire survey was sent to all
494 GPs in one English health district (Leicestershire). RESULTS: Completed
questionnaires were returned by 290 GPs (a response rate of 59%). A much
higher proportion of GPs had tested and/or treated female patients for
chlamydia 70%, 95% confidence interval (CI) 64-75%] as opposed to male
patients (20%, CI 15-25%). Female patients (70%, CI 64-75%) were also more
likely to be managed in general practice than male patients (56%, CI
50-62%). A majority of GPs (66%, CI 60-72%) routinely used an appropriate
method of testing for chlamydia although a high vaginal swab, an
inappropriate method of testing, was used by a fifth of GPs (19%, CI
15-24%). A large number of different treatment regimes were used by GPs.
The majority of GPs (85%, CI 79-89%) prescribed an appropriate antibiotic
although few GPs (19%, CI 14-25%) specified a chlamydia treatment regime in
accordance with accepted international guidelines with respect to drug,
dosage and duration of therapy. CONCLUSIONS: Female patients with known or
suspected genital chlamydial infection are commonly managed in UK general
practice. There is scope to improve the management of this infection in
general practice.
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