Sexually transmitted infections management in primary care

WestGeneric Health Relevance, Infection
Start Date: 30 Jun 2014 End Date: 30 Jun 2015

Background

Chlamydia is a common sexually transmissible infection (STI) in young men and women but often has few obvious symptoms. Because of this infection is typically diagnosed and treated late, meaning infected individuals have longer to pass on chlamydia to others and are more at risk of developing the long term consequences themselves.

The creation of the National Chlamydia Screening Programme has led to the increase of chlamydia and gonorrhoea testing, as the test detects both infections. Around 100 cases of gonorrhoea were diagnosed this way in Bristol in 2014. Many GPs don’t have the experience or the resources to manage STIs effectively, especially to trace and treat sexual partners to avoid reinfection and the continued spread in the community.

The researchers plan to offer the option of a centralised, telephone-based STI management service to GPs for all positive chlamydia and gonorrhoea tests taken in primary care. Patients will be contacted by the centralised service and given their result. They will be asked to provide telephone numbers of recent partners, who will then be contacted to ensure they are also tested and treated as appropriate. The research will examine whether these changes can be introduced successfully and whether practices and patients find this new system acceptable.

Study aims

This study aims to evaluate centralised telephone-based management of chlamydia and gonorrhoea that is diagnosed in the community. It will look at health care practitioner and patient experiences, and whether this telephone-based approach is acceptable and feasible in the treatment of index cases (the first case diagnosed in an investigation) diagnosed in primary care and the tracing and treatment of partners.

Contact 
Prof John Macleod
John.MacLeod@bristol.ac.uk