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.

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.

Syphilis the great pretender: when is cancer not cancer?

2018 ◽  
Vol 94 (3) ◽  
pp. 192-193 ◽  
Author(s):  
Neesha Rockwood ◽  
Nneka Nwokolo
Keyword(s):  
Multidisciplinary Care ◽  
Differential Diagnoses ◽  
Complex Case ◽  
Lung Nodules ◽  
Optimal Management ◽  
Medicine Clinic ◽  
Clinical Presentations ◽  
Genitourinary Medicine ◽  
Sex With Men ◽  
The Uk

The number of cases of syphilis continues to rise in the UK, USA and elsewhere and may present to a variety of clinical specialties. We report a complex case of early acquired disseminated syphilis causing an ulceronodular rash (lues maligna), orchitis, osteitis and lung nodules in an immunocompetent man who has sex with men who presented to the genitourinary medicine clinic. Syphilis should be considered in the differential diagnoses of multiple clinical presentations and optimal management should involve multidisciplinary care.

Monitoring the marine environment for small round structured viruses (SRSVS): a new approach to combating the transmission of these viruses by molluscan shellfish

1998 ◽  
Vol 38 (12) ◽  
pp. 51-56 ◽  
Author(s):  
K. Henshilwood ◽  
J. Green ◽  
D. N. Lees
Keyword(s):  
Enteric Virus ◽  
Winter Period ◽  
Rt Pcr ◽  
Cloning And Sequencing ◽  
New Approach ◽  
Human Enteric Virus ◽  
Different Strains ◽  
The Uk ◽  
Public Health Protection

This study investigates human enteric virus contamination of a shellfish harvesting area. Samples were analysed over a 14-month period for Small Round Structured Viruses (SRSVs) using a previously developed nested RT-PCR. A clear seasonal difference was observed with the largest numbers of positive samples obtained during the winter period (October to March). This data concurs with the known winter association of gastroenteric illness due to oyster consumption in the UK and also with the majority of the outbreaks associated with shellfish harvested from this area during the study period. RT-PCR positive amplicons were further characterised by cloning and sequencing. Sequence analysis of the positive samples identified eleven SRSV strains, of both Genogroup I and Genogroup II, occurring throughout the study period. Many shellfish samples contained a mixture of strains with a few samples containing up to three different strains with both Genogroups represented. The observed common occurrence of strain mixtures may have implications for the role of shellfish as a vector for dissemination of SRSV strains. These results show that nested RT-PCR can identify SRSV contamination in shellfish harvesting areas. Virus monitoring of shellfish harvesting areas by specialist laboratories using RT-PCR is a possible approach to combating the transmission of SRSVs by molluscan shellfish and could potentially offer significantly enhanced levels of public health protection.

scholarly journals Using Telemedicine to Pre-Screen Sports Medicine Patients in the Ambulatory Setting Reduces Wait Times and Maximizes Provider-Patient Interaction

2019 ◽  
Vol 7 (7_suppl5) ◽  
pp. 2325967119S0041
Author(s):  
Alfred Atanda ◽  
Kathryn Leyden ◽  
Medical Student
Keyword(s):  
Patient Satisfaction ◽  
Knee Pain ◽  
Sports Medicine ◽  
Clinic Visit ◽  
Background Information ◽  
Full Time ◽  
Visit Time ◽  
Medicine Clinic ◽  
Exam Room ◽  
Room Time

Objectives: Gathering of background information during a clinic visit can be time-consuming. Some medical specialties have workflows that pre-screen patients ahead of time to minimize delays. Having background information ahead of time may decrease delays and ensure that the visit is focused on physical examination, diagnosis, and treatment. We have used telemedicine to treat established patients to reduce cost and resource utilization, while maintaining high levels of patient satisfaction. It is conceivable that telemedicine could also be used to pre-screen new patients prior to their in-person clinic visit. The goal of the current study was to evaluate whether utilizing telemedicine to pre-screen new patients to our sports medicine clinic would reduce time in the exam room waiting and being seen, and overall clinic times. Methods: From June 2018 through August 2018, we utilized videoconferencing telemedicine to pre-screen all new patients to a pediatric sports medicine clinic with a chief diagnosis of knee pain. Visits were performed by full-time telemedicine pediatricians who were provided appropriate training and an intake form describing which questions should be asked. All visits utilized the American Well software platform (Boston, USA) and were performed on the patient’s personal device. During the subsequent in-person visit, the overall timing of the visit was recorded including: time checked in, time waiting in waiting room, time waiting in exam room, time spent with provider, and time-checked out, were all recorded. Similar time points were recorded for matched control patients that did not undergo telemedicine pre-screening and were seen in the traditional manner. Inclusion criteria included: being brand new to the practice and unilateral knee pain. Results: There were eight pre-screened patients and ten control patients in this cohort. Compared to controls, pre-screened patients spent less time in the exam room (19 min vs. 31 min), higher percentage of the exam room time with the provider (58% vs. 34%), higher percentage of the overall visit time with the provider (29% vs. 19.5%), and less time for the overall visit (39 min vs. 52 min). Conclusion: Pre-screening patients to obtain background information can decrease exam room waiting time and overall visit time and maximize time during the visit spent with the provider. In addition, it could potentially be used to increase throughput through the clinic and improve patient satisfaction scores.

scholarly journals Pilot study of use of the BioStar Optical ImmunoAssay GC point-of-care test for diagnosing gonorrhoea in men attending a genitourinary medicine clinic

2014 ◽  
Vol 63 (8) ◽  
pp. 1111-1112 ◽  
Author(s):  
Amanda Samarawickrama ◽  
Emily Cheserem ◽  
Michelle Graver ◽  
Jim Wade ◽  
Sarah Alexander ◽  
...  
Keyword(s):  
Pilot Study ◽  
Point Of Care ◽  
Medicine Clinic ◽  
Point Of Care Test ◽  
Genitourinary Medicine

Prevalence, causes and outcome of vulval pain in a genitourinary medicine clinic population

1998 ◽  
Vol 9 (2) ◽  
pp. 88-91 ◽  
Author(s):  
M L Denbow ◽  
M A Byrne
Keyword(s):  
Genital Herpes ◽  
Vulvar Vestibulitis ◽  
Female Patients ◽  
Vulvar Vestibulitis Syndrome ◽  
Medicine Clinic ◽  
Detailed Assessment ◽  
Genitourinary Medicine ◽  
Clinic Population

Summary: A detailed assessment was completed on 150 consecutive new female patients attending a walk-in genitourinary medicine clinic, in order to elicit the features of vulval pain. Twenty patients (13.3%) experienced vulval pain, and of these, 15 (75%) had an infective cause demonstrated. Candidiasis was demonstrated in more than half (55%) of them and one-fifth had genital herpes. Of the 5 patients in whom no infection was present, 2 were diagnosed with the vulvar vestibulitis syndrome (VVS) following their referral to the dedicated vulval clinic.

Suppliers in the privatised UK wastewater market and their possible moves towards integrated solutions

Water Policy ◽  
2006 ◽  
Vol 8 (6) ◽  
pp. 559-572 ◽  
Author(s):  
Charlotta Windahl
Keyword(s):  
Value Chain ◽  
Support Services ◽  
System Integration ◽  
Business Models ◽  
Spare Parts ◽  
New Business ◽  
Water Companies ◽  
The Uk ◽  
New Business Models ◽  
New Strategies

An increasing number of companies in the capital goods industry are turning towards new strategies where the focus is to add value for customers by providing integrated solutions (combining products and services), instead of selling components, spare parts and support services. These new strategies represent moves in the value chain and create a need for new business models as well as new competencies. In this paper, the fairly new concept of integrated solutions is explored in the context of a privatised industry. The findings are based on empirical case studies carried out at two companies supplying products and services to the UK wastewater industry. In the UK, both water companies and their suppliers are influenced by economic and environmental regulations, an increased focus on cost, and outsourcing. On one hand, the two manufacturers have increased their competence with respect to system integration and operational services – competencies for supplying integrated solutions. On the other hand, a fragmented and vertically structured market with a multitude of different actors increases the distance between the water companies and the manufacturers. In addition, the division of the industry into a capital and operational side complicates the coordination between new sales and services.

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