Factors affecting time to treatment following diagnosis of genital Chlamydia trachomatis infection in Scottish genitourinary medicine clinics.
Early treatment of genital Chlamydia trachomatis can reduce complications and transmission. Guidelines have proposed standards for how soon people should be treated following a test. Data from an audit of Scottish genitourinary (GU) medicine clinics was analysed to identify factors associated with a short interval to treatment of chlamydia. A sample of 538 cases of chlamydia diagnosed at 12 Scottish GU medicine clinics between 1 April 2005 and 30 June 2005 was studied. Variables assessed included: age, sex, sexuality, whether a contact, symptoms, whether microscopy was performed, time to lab result and how the result was given. Earlier treatment was associated with: being a contact, having symptoms, being male, performing microscopy (male patients only) and giving the result at a follow-up appointment. Most of these variables (sex, symptoms, etc.) are without the influence of clinic policies and the ones which can be influenced (microscopy and follow-up appointments) are becoming less common. Time to treatment of genital chlamydia might therefore increase in the future.
Fernando
I
I
Department of Genitourinary Medicine, Royal Infirmary of Edinburgh, Edinburgh, UK. imali.fernando@luht.scot.nhs.uk
Oroz
C
C
Steedman
N
N
Baguley
S
S
D000554:Ambulatory Care Facilities; D002690:Chlamydia Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D002692:Chlamydia trachomatis / Q000302:isolation & purification; D005260:Female; D052776:Female Urogenital Diseases; D005831:Genital Diseases, Female / Q000175:diagnosis / Q000188:drug therapy; D005832:Genital Diseases, Male / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D008297:Male; D052801:Male Urogenital Diseases; D008485:Medical Audit; D008853:Microscopy; D012606:Scotland; D013997:Time Factors