Increasing chlamydia testing in general practice is achievable: an update from the Australian Chlamydia Control Effectiveness Pilot (ACCEPt)

Increasing chlamydia testing in general practice is achievable: an update from the Australian Chlamydia Control Effectiveness Pilot (ACCEPt)

2015-06-01 00:00:00

Methods: From July 2010-December 2011, we enrolled 787 GPs in 150 clinics (response rate >90%) in 54 towns. Chlamydia testing rates (the proportion who consult a GP and have a test during 12 months) and re-testing rates (proportion who are re-tested within 12 (┬▒3) months following a negative or within 3 months following a positive test) were calculated.

Results: We analysed a total of 23,976 tests in intervention and 17,363 in control clinics. Prior to commencing the trial in 2010, chlamydia testing rates were 10.2% in intervention clinics and 8.4% in control clinics. In 2012, testing rates were highest in clinics with 18+ months intervention time at 26.8% in women, 15.1% in men and 22.5% overall, compared with a testing rate of 10.3% in control clinics (relative risk=2.1; 95%CI: 2.0, 2.2). In 2012, chlamydia test positivity was 7.6% in intervention clinics and 8.7% in control clinics (p<0.01). Re-testing following a positive diagnosis was similar between intervention and control clinics (36.4% versus 33.9%; p=0.17). Re-testing after a negative test was higher in intervention clinics, but only slightly (20.5% versus 19.1%l (p<0.01).

Conclusions: Testing rates are increasing in intervention clinics while remaining relatively constant in control clinics showing that a multifaceted intervention in general practice can increase chlamydia testing rates over time. Further efforts are needed to increase re-testing after a positive and a negative test.

Speakers: Anna Wood
Areas of Interest / Categories: Australian Society for HIV 2015
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