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BMJ. 2006 Jan 7;332(7532):14-9. Epub 2005 Dec 15.

Partner notification of chlamydia infection in primary care: randomised controlled trial and analysis of resource use.

Author information

  • 1Department of Social Medicine, University of Bristol, Bristol BS8 2PR. low@ispm.unibe.ch

Abstract

OBJECTIVE:

To evaluate the effectiveness of a practice nurse led strategy to improve the notification and treatment of partners of people with chlamydia infection.

DESIGN:

Randomised controlled trial.

SETTING:

27 general practices in the Bristol and Birmingham areas.

PARTICIPANTS:

140 men and women with chlamydia (index cases) diagnosed by screening of a home collected urine sample or vulval swab specimen.

INTERVENTIONS:

Partner notification at the general practice immediately after diagnosis by trained practice nurses, with telephone follow up by a health adviser; or referral to a specialist health adviser at a genitourinary medicine clinic.

MAIN OUTCOME MEASURES:

Primary outcome was the proportion of index cases with at least one treated sexual partner. Specified secondary outcomes included the number of sexual contacts elicited during a sexual history, positive test result for chlamydia six weeks after treatment, and the cost of each strategy in 2003 sterling prices.

RESULTS:

65.3% (47/72) of participants receiving practice nurse led partner notification had at least one partner treated compared with 52.9% (39/68) of those referred to a genitourinary medicine clinic (risk difference 12.4%, 95% confidence interval -1.8% to 26.5%). Of 68 participants referred to the clinic, 21 (31%) did not attend. The costs per index case were 32.55 pounds sterling for the practice nurse led strategy and 32.62 pounds sterling for the specialist referral strategy.

CONCLUSION:

Practice based partner notification by trained nurses with telephone follow up by health advisers is at least as effective as referral to a specialist health adviser at a genitourinary medicine clinic, and costs the same. Trial registration Clinical trials: NCT00112255.

PMID:
16356945
[PubMed - indexed for MEDLINE]
PMCID:
PMC1325126
Free PMC Article
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