Prevention of recurrent pelvic infection by contact tracing: a commonsense approach

Robinson, Angela; Greenhouse, Peter

doi:10.1111/j.1471-0528.1996.tb09901.x

Cited by 9 publications

(4 citation statements)

References 18 publications

(33 reference statements)

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“…8 9 11 The effect of these policies on the incidence of sequelae such as ectopic pregnancy and infertility are less clear. Trends in the occurrence of ectopic pregnancy are thought to lag behind those of chlamydial infection by several years, 4 5 but this association has not been examined in a population based study.…”

Section: Introductionmentioning

confidence: 99%

Screening for chlamydial infections and the risk of ectopic pregnancy in a county in Sweden: ecological analysis

Egger

Low

Smith

et al. 1998

BMJ

176

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Objectives: To analyse trends in rates of genital chlamydial infection and ectopic pregnancy between 1985 and 1995 in a county in Sweden. Setting: Uppsala county where screening for chlamydial infection, treatment, and contact tracing has been widespread and where ectopic pregnancies are recorded. Methods: Rates of chlamydial infections and ectopic pregnancy between 1985 and 1995 were calculated for women aged 20-39 years. Poisson and linear regression were used to examine the association between the risk of ectopic pregnancy and the current rates of chlamydial infection and rates of chlamydial infection from up to 5 years earlier. Main outcome measures:Rates of chlamydial infection per 100 examinations, rates of ectopic pregnancy per 1000 pregnancies, rate ratios and 95% confidence intervals for an increase in chlamydial infections of 5 new cases per 100 examinations. Results: 103 870 cervical samples from women aged 15-39 years were analysed; 5648 (5.4%) were positive for chlamydia. 51 630 pregnancies were analysed; 930 (1.8%) were ectopic. Both rates declined over time. For women aged 20-24 years there was a strong correlation between the rate of ectopic pregnancy and the rate of chlamydial infection in the same year (r = 0.93, P < 0.001); among older women correlations were stronger with rates of chlamydial infection occurring 1 or 2 years earlier. In Poisson regression ectopic pregnancy was most strongly associated with the current rate of chlamydial infection among women aged 20-24 (rate ratio 1.85, 95% confidence interval 1.44 to 2.38), with the rate of infection 1 year earlier among 25-29 year olds (rate ratio 1.72, 1.33 to 2.22) and 30-34 year olds (rate ratio 2.27, 1.53 to 3.37); and with the rate 2 years earlier among 35 to 39 year olds (rate ratio 2.58, 1.45 to 4.60). Conclusions: Declining rates of genital chlamydial infections have probably led to a fall in the rate of ectopic pregnancies. The timing of the decline in the rate of ectopic pregnancies varies with age. Among young women falling rates of chlamydial infection have been accompanied by an immediate reduction in the rate of ectopic pregnancy.

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Section: Introductionmentioning

confidence: 99%

Screening for chlamydial infections and the risk of ectopic pregnancy in a county in Sweden: ecological analysis

Egger

Low

Smith

et al. 1998

BMJ

176

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“…Contacts who are aware of their exposure are legally bound to present for testing 12 . Declining rates of chlamydial infection among women since the 1980s have been accompanied by a reduction in pelvic infectious diseases (PID) incidence of 40% over 10 years, and a reduced risk of ectopic pregnancy 13,14 . It is, however, impossible to determine what contribution contact tracing made to this decline, as other measures were simultaneously implemented in Sweden, including increased screening, education and other initiatives.…”

mentioning

confidence: 99%

General practitioners’ knowledge and attitudes to contact tracing for genital Chlamydia trachomatis infection in North Queensland

Heal

Muller

2008

Australian and New Zealand Journal of Public Health

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Introduction: Most diagnoses of genital chlamydia infection in Queensland are made by general practitioners (GPs). This study aimed to assess GP attitudes to and knowledge of contact tracing in rural North Queensland. Method: A single page questionnaire mailed to a database of 65 GPs in May 2007 Results: Nearly all respondents (42/43, 97.7%) ‘always’ or ‘mostly’ told patients to advise their contacts to seek medical treatment. More than half (24/44, 54.5%) felt that contact tracing was ‘sometimes’ or ‘never’ the responsibility of GPs. Around half of respondents (19/39, 48.7%) thought that the local public health unit staff were conducting contact tracing, which is not actually the case. Conclusion: There is lack of clarity surrounding the respective roles and responsibilities of sexual health units, public health units and GPs regarding contact tracing for chlamydia infection. Implications: GPs would benefit from education clarifying current contact tracing procedures, methods and resources.

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“…8 Acute RUQ pain usually resolves on initial antibiotic therapy but mild discomfort may persist. Adhesiolysis is rarely indicated.…”

Section: Perihepatitismentioning

confidence: 99%

Non-genital manifestations of Chlamydia trachomatis

Baguley

Greenhouse

2003

Clinical Medicine

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Prevention of recurrent pelvic infection by contact tracing: a commonsense approach

Cited by 9 publications

References 18 publications

Screening for chlamydial infections and the risk of ectopic pregnancy in a county in Sweden: ecological analysis

Screening for chlamydial infections and the risk of ectopic pregnancy in a county in Sweden: ecological analysis

General practitioners’ knowledge and attitudes to contact tracing for genital Chlamydia trachomatis infection in North Queensland

Non-genital manifestations of Chlamydia trachomatis

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