Table 2.
Chlamydia practice - testing scenarios and specimens
| Questions relating to chlamydia practice | Overall n (%) | GP n (%) | PN n (%) | OR (95% CI) | P value |
|---|---|---|---|---|---|
|
Should chlamydia testing be offered to: 23 year old female, pap smear |
|
|
|
|
|
| No |
259 (38.6) |
240 (43.3) |
19 (16.4) |
Ref |
|
| Yes* |
411 (61.3) |
314 (56.7) |
97 (83.6) |
3.3 (1.8, 6.0) |
<0.01 |
|
18 year old woman, lower abdominal pain |
|
|
|
|
|
| No |
28 (4.2) |
27 (4.9) |
1 (0.9) |
Ref |
|
| Yes* |
642 (95.8) |
528 (95.1) |
114 (99.1) |
5.6 (.6, 50.8) |
0.12 |
|
26 year old man, truck license medical examination |
|
|
|
|
|
| No* |
466 (69.5) |
432 (77.8) |
34 (29.6) |
Ref |
|
| Yes |
204 (30.5) |
123 (22.2) |
81 (70.4) |
0.1 (0.1, 0.2) |
<0.01 |
|
24 year old woman, 16 weeks pregnant |
|
|
|
|
|
| No |
322 (48.2) |
304 (55.1) |
18 (15.6) |
Ref |
|
| Yes* |
345 (51.7) |
248 (44.9) |
97 (84.4) |
7.3 (3.6, 14.6) |
<0.01 |
|
22 year Aboriginal man, sore throat |
|
|
|
|
|
| No |
393 (58.6) |
369 (66.5) |
24 (20.8) |
Ref |
|
| Yes* |
277 (41.3) |
186 (33.5) |
91 (79.1) |
7.1 (3.9, 12.9) |
<0.01 |
|
33 year old woman in stable relationship, pill script |
|
|
|
|
|
| No* |
523 (78.2) |
459 (83.0) |
64 (55.2) |
Ref |
|
| Yes |
146 (21.8) |
94 (17.0) |
52 (44.8) |
0.3 (0.2, 0.5) |
<0.01 |
|
17 year old man, genital warts |
|
|
|
|
|
| No |
20 (3.0) |
17 (3.1) |
3 (2.6) |
Ref |
|
| Yes* |
651 (97.0) |
538 (96.9) |
113 (97.4) |
1.4 (.4, 5.4) |
0.62 |
|
34 year old man, 2 female partners in 6 months, HIV test |
|
|
|
|
|
| No |
16 (2.4) |
13 (2.4) |
3 (2.6) |
Ref |
|
| Yes* |
652 (97.6) |
540 (97.6) |
112 (97.4) |
1.0 (0.2, 5.4) |
0.98 |
|
Which specimens can be used to test for chlamydia in the following patients: | |||||
|
Heterosexual female, no genital symptoms
1
|
|
|
|
|
|
| Incorrect |
29 (4.4) |
14 (2.6) |
15 (13.3) |
Ref |
|
| Correct |
631 (95.6) |
533 (97.4) |
98 (86.7) |
0.15 (0.1, 0.4) |
<0.001 |
|
Heterosexual female, abnormal vaginal/cervical discharge
2
|
|
|
|
|
|
| Incorrect |
44 (6.6) |
19 (3.5) |
25 (22.1) |
Ref |
|
| Correct |
620 (93.4) |
532 (96.5) |
88 (77.9) |
0.13 (0.1, 0.3) |
<0.01 |
|
Heterosexual male, no genital symptoms
3
|
|
|
|
|
|
| Incorrect |
62 (9.5) |
31 (5.7) |
31 (27.7) |
Ref |
|
| Correct |
592 (90.5) |
511 (94.3) |
81 (72.3) |
0.14 (0.1, 0.3) |
<0.01 |
|
Heterosexual man, urethral discharge
4
|
|
|
|
|
|
| Incorrect |
502 (76.4) |
404 (74.3) |
98 (86.7) |
Ref |
|
| Correct |
155 (23.6) |
140 (25.7) |
15 (13.3) |
0.45 (0.2, 0.9) |
0.03 |
|
Man who has sex with men, no genital symptoms
5
|
|
|
|
|
|
| Incorrect |
203 (81.2) |
146 (78.9) |
57 (87.7) |
Ref |
|
| Correct | 47 (18.8) | 39 (21.1) | 8 (12.3) | 0.28 (0.1, 1.0) | 0.05 |
*Correct answer.
1Acceptable specimens - cervical or high vaginal or self collected vaginal swabs or urine 2Acceptable specimens - cervical or high vaginal or self collected vaginal swabs or urine 3Acceptable specimens - urine 4Accepatble specimens - urine 5Acceptable specimens - anal swab and urine.
GP, general practitioner.
PN, practice nurse.
OR, odds ratio.
CI, confidence Interval.