The management of Chlamydia trachomatis in genitourinary medicine clinics: a national audit in 2004

2005 ◽  
Vol 16 (7) ◽  
pp. 494-504 ◽  
Author(s):  
Rachel Challenor ◽  
Sue Pinsent ◽  
Shamala Chandramani ◽  
Nick Theobald ◽  
David Daniels
Keyword(s):  
Chlamydia Trachomatis ◽  
Index Case ◽  
Quality Care ◽  
Partner Notification ◽  
Index Patient ◽  
National Audit ◽  
Audit Period ◽  
Interview Partner ◽  
Genitourinary Medicine ◽  
The Uk

The first national audit of the management of Chlamydia trachomatis was undertaken by non-consultant career grade doctors working in genitourinary (GU) medicine clinics in the UK. During the audit period of January–March 2004, 1670 data collection forms were completed (from 830 men and 840 women with chlamydia). In all, 99% (1647) were treated appropriately; 76% (1261) were followed up, of which 12% (154) required re-treatment; 71% (1186) were managed appropriately within four weeks and 942 partners (0.56 per index case) were managed satisfactorily within four weeks of the initial partner notification interview. Partner notification outcomes were significantly more successful when the index patient was followed up ( P<0.0001). Outcome standards were not associated with age, gender or sexuality, but were significantly associated with ethnicity ( P<0.004). GU medicine clinics are delivering high-quality care and evidence-based national outcome standards are being met.

Is accelerated partner therapy a feasible and acceptable strategy for rapid partner notification in the UK?: a qualitative study of genitourinary medicine clinic attenders

2009 ◽  
Vol 20 (9) ◽  
pp. 603-606 ◽  
Author(s):  
L Sutcliffe ◽  
M G Brook ◽  
J L Chapman ◽  
J M Cassell ◽  
C S Estcourt
Keyword(s):  
Partner Notification ◽  
Clinic Visit ◽  
Relationship Type ◽  
New Approach ◽  
Medicine Clinic ◽  
Limited Effectiveness ◽  
Genitourinary Medicine ◽  
The Uk ◽  
Professional Guidance ◽  
New Strategies

Partner notification (PN) in the UK is of limited effectiveness. Expedited partner therapy improves PN outcomes but does not comply with existing UK professional guidance. We developed two new strategies, known as accelerated partner therapy (APT), based on elements of PN practice for which there is evidence of efficacy, and which conform to UK prescribing guidance. We explored the acceptability and feasibility of these models qualitatively in genitourinary medicine clinic attenders. Both strategies were viewed favourably. Preference was influenced by age, relationship type, whether participants were delivering or receiving APT and whether the sex partner was aware of the participant's clinic visit. APT provides a new approach to PN, which has strong patient support and complies with existing UK regulations. The complex factors that influence patients' choice of PN method suggest that provision of a range of PN options including APT may be central to improving the effectiveness of PN in the UK.

UK National Audit of Sexual History-taking: Case-notes audit

2009 ◽  
Vol 20 (5) ◽  
pp. 351-354 ◽  
Author(s):  
C Carne ◽  
H McClean ◽  
S Bhaduri ◽  
R Gokhale ◽  
G Sethi ◽  
...  
Keyword(s):  
Sexual History ◽  
Hepatitis B Vaccination ◽  
History Taking ◽  
National Audit ◽  
National Guidelines ◽  
Sexual Contacts ◽  
Sexual History Taking ◽  
Genitourinary Medicine ◽  
Hiv Risk Assessment ◽  
The Uk

A national audit of sexual history-taking was conducted in genitourinary medicine clinics in the UK in 2008. Data were aggregated by region and clinic, allowing practice to be compared between regions, as well as to national averages and against national Guidelines. In this paper the case-notes of 4121 patients were audited. A high proportion of the case-notes were deemed to be completely legible. In other respects there is considerable inter-regional variation in the adherence to national Guidelines. Interventions are especially required to improve documentation of practice in discussing condom use, HIV risk assessment, offer of a chaperone and assessment for hepatitis B vaccination and hepatitis C testing, and issues concerning sexual contacts.

BASHH 2018 UK national audit of HIV partner notification

2021 ◽  
pp. 095646242199028
Author(s):  
Lauren Bull ◽  
Vanessa Apea ◽  
Helen Wiggins ◽  
Sophia Davies ◽  
Cara Saxon ◽  
...  
Keyword(s):  
Sexual Health ◽  
Hiv Infection ◽  
Index Case ◽  
Partner Notification ◽  
British Association ◽  
Effective Strategy ◽  
National Audit ◽  
Highly Effective ◽  
Undiagnosed Hiv

HIV partner notification (PN) is a highly effective strategy to identify people living with undiagnosed HIV infection. This national audit of HIV PN is against the 2015 British Association of Sexual Health and HIV (BASHH)/British HIV Association (BHIVA)/Society of Sexual Health Advisers (SHAA)/National AIDS Trust (NAT) HIV PN standards, developed in response to the 2013 BASHH/BHIVA national HIV PN audit. We report significant improvements in the number of contacts tested per index case, likely due, in part, to clearer definitions as well as better ascertainment and reporting. There remains scope for improvement with informing and testing contactable contacts. Recommendations from this audit include further refinement of definitions and development of a national proforma for HIV PN.

Screening for genital chlamydia infection: DNA amplification techniques should be the test of choice

2003 ◽  
Vol 14 (11) ◽  
pp. 723-726 ◽  
Author(s):  
V Harindra ◽  
G Underhill ◽  
J M Tobin
Keyword(s):  
Chlamydia Trachomatis ◽  
False Negative ◽  
Dna Amplification ◽  
Chlamydia Infection ◽  
Chlamydia Screening ◽  
Molecular Testing ◽  
Chain Reaction ◽  
Men And Women ◽  
Genitourinary Medicine ◽  
The Uk

Our objective was to compare the sensitivities for the detection of Chlamydia trachomatis, of the ligase chain reaction (LCR) on first voided urine (FVU) specimens and enzyme immunoassay (EIA) on pooled endocervical/endourethral swabs from women and endourethral swabs from men. Men and women taking part in the UK chlamydia screening pilot were tested for chlamydia using LCR on a FVU. Patients attending genitourinary medicine clinics also had cervical and/or urethral swabs taken for chlamydia testing by EIA. In women, EIA on pooled swabs detected 575 of the 785 chlamydia positives and in men, EIA detected 209 of 351 positives. The sensitivity of EIA was 73% and 60% in women and men respectively. By using the EIA test, therefore, 27-40% of patients infected with chlamydia will be given a false negative result. We propose that it is unethical to use non-molecular testing in the future.

Experience in applying the effectiveness audit methodology in order to save budget funds for the purchase of medicines in the UK

2020 ◽  
pp. 82-87
Author(s):  
S. S. Budarin ◽  
N. V. Yurgel
Keyword(s):  
United Kingdom ◽  
Health System ◽  
National Health ◽  
Sharp Increase ◽  
National Health System ◽  
Pharmaceutical Market ◽  
National Audit ◽  
Drug Pricing ◽  
The United Kingdom ◽  
The Uk

The article examines the experience of the national audit office of the United Kingdom in conducting an audit of the effectiveness of budget funds aimed at providing medicines to English citizens. The reasons for the sharp increase in budget expenditures for providing the population with reproduced medicines in 2017—2018 are described in detail.The article analyzes the shortcomings of the system of regulation of drug pricing procedures and the resulting risks to the budget of the national health system in United Kingdom.It is concluded that the effectiveness audit has allowed us to identify not only the reasons for significant overspending of the NHS budget to provide the population with medicines, but also to assess the actions of organizations authorized by the UK Government to address issues of regulation of the pharmaceutical market.

scholarly journals The “Spirit of New Orleans”: Translating a model of intervention with maltreated children and their families for the Glasgow context

2010 ◽  
Vol 15 (4) ◽  
pp. 497-509 ◽  
Author(s):  
Helen Minnis ◽  
Graham Bryce ◽  
Louise Phin ◽  
Phil Wilson
Keyword(s):  
New Orleans ◽  
Mental Health Problems ◽  
Quality Care ◽  
Poor Quality ◽  
Vulnerable Children ◽  
Maltreated Children ◽  
Innovative System ◽  
The Uk ◽  
Children In Care ◽  
Poor Quality Care

Children in care have higher rates of mental health problems than the general population and placement instability contributes to this. Children are both most vulnerable to the effects of poor quality care and most responsive to treatment in the early weeks and months of life yet, in the UK, permanency decisions are generally not in place until around the age of four. We aimed to understand the components of an innovative system for assessing and intervening with maltreated children and their families developed in New Orleans and to consider how it might be implemented in Glasgow, UK. During and after a visit to New Orleans by a team of Glasgow practitioners, eight key interviews and meetings with New Orleans and Glasgow staff were audio-recorded. Qualitative analysis of verbatim transcripts identified key themes. Themes highlighted shared aspects of the context and attitudes of the two teams, identified gaps in the Glasgow service and steps that would be needed to implement a version of the New Orleans model in Glasgow. Our discussions with the New Orleans team have highlighted concrete steps we can take, in Glasgow, to make better decision-making for vulnerable children a reality.

Sign in / Sign up

Export Citation Format

Share Document