Morbidity and Disease Prevalence in Male and Female Sexual Contacts of Patients with Genital Chlamydial Infection

Matondo, P; Johnson, I. R.; Sivapalan, S

doi:10.1177/095646249500600516

Cited by 7 publications

(2 citation statements)

References 3 publications

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“…The case finding ratio of 0.2 and the STD prevalence of 42% in partners were relatively low compared with previous studies, mainly based on data from the 1980s; the case finding ratio varied between 0.3 and 0.8 5 ). 8 As the prevalence of gonorrhoea and chlamydia has decreased in the Netherlands over time, 35 36 lower case finding ratios might be found at present compared with previous decades.…”

Section: Discussionmentioning

confidence: 63%

Patient referral outcome in gonorrhoea and chlamydial infections.

et al. 1998

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Objective: To describe the outcome of patient referral at the STD clinic of the University Hospital Rotterdam. To study characteristics of heterosexual index patients and partnerships related to referral outcome. Methods: In 1994, patients with gonorrhoea and chlamydia were referred to public health nurses for interview and patient referral. Referral outcome was classified as "verified" if partners attended the STD clinic and as "believed" if partners were said to have attended elsewhere. Results: Of 454 patients, 250 (55%) participated in the study. The outcome of patient referral for the 502 eligible partners was 103 (20.5%) verified referrals, 102 (20%) believed referrals, and 297 (59%) with unknown follow up. Of the 103 partners examined, 43 had an STD of which 63% reported no symptoms. The contact finding ratio was higher for chlamydia patients and heterosexual men. Also, referral was more eVective for index patients with recent sexual contact, with follow up visits to the public health nurse, for men who were not commercial sex worker (CSW) clients, and, to a lesser degree, for Dutch patients and patients who sometimes used condoms. For steady partners, referral was improved if the last sexual contact was more recent. Casual partners visited the clinic more often if sexual contact occurred more than once, if the last contact was more recent, if they were older, and if they were Dutch. Conclusions: Patient referral was more eVective for certain groups, such as chlamydia patients and steady partners, but was inadequate for others, including CSW and their clients, other "one night stands", young partners, and ethnic minorities. (Sex Transm Inf 1998;74:323-330)

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Section: Discussionmentioning

confidence: 63%

Patient referral outcome in gonorrhoea and chlamydial infections.

et al. 1998

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“…The group did note that the high prevalence of chlamydia among traced male contacts of positive women suggested that contact tracing would be an eYcient strategy to identify infected males in the population. 18 These new initiatives have been made possible by the introduction of more sensitive DNA amplification tests which can be used on urine and vaginal swab specimens, thus avoiding the need for speculum examination. 19 However, in the absence of estimates of chlamydia prevalence in men, the potential impact at the population level of wider screening is diYcult to assess.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Chlamydia trachomatis in young men in north west London

Pierpoint

Thomas²,

Judd³

et al. 2000

Sexually Transmitted Infections

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Background: Chlamydia trachomatis is the most common, treatable, bacterial sexually transmitted infection in England and Wales. Among men, chlamydial infection is an important cause of non-gonococcal urethritis, epididymitis, and proctitis. The case for wider screening among women has been accepted by an expert advisory group. In the absence of estimates of the prevalence of infection in men, its potential impact at the population level is diYcult to assess. Objective: To estimate the prevalence of Chlamydia trachomatis in young men in clinic and community based samples in north west London. Method: Cross sectional survey in healthcare centres and general practices in north west London. 1002 males aged 18-35 years, living in north west London, were recruited by staV in occupational health departments, general practices, student health services, and a "well man" clinic and by postal recruitment in four GP practices. The men were tested for C trachomatis using the ligase chain reaction assay on urine samples. The main outcome measure was prevalence of C trachomatis infection in men aged 18-35 years. Results: The overall response rate was 51%. Prevalence of confirmed infection was 1.9% (95% CI: 1.14% to 2.96%) in all men. Best estimated minimum prevalence of infection was 1% (95% CI: 0.58% to 1.50%). Estimated prevalence was highest among men aged over 30 years. Conclusions:The estimated prevalence among men is commensurate with that described for female populations in London. The results suggest that recruitment of men to screening programmes would be diYcult. However, a higher proportion of chlamydial infection may be detected in men than in women by existing approaches to control through genitourinary medicine clinic based case finding and contact tracing. Screening of young women and the contact tracing of the male partners of positive females may be an eYcient approach to improving chlamydia control. (Sex Transm Inf 2000;76:273-276)

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Screening of men for sexually transmitted infection and partner notification

Robinson

1998

Human Fertility

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Morbidity and Disease Prevalence in Male and Female Sexual Contacts of Patients with Genital Chlamydial Infection

Cited by 7 publications

References 3 publications

Patient referral outcome in gonorrhoea and chlamydial infections.

Patient referral outcome in gonorrhoea and chlamydial infections.

Prevalence of Chlamydia trachomatis in young men in north west London

Screening of men for sexually transmitted infection and partner notification

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