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International Journal of STD & AIDS

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Int J STD AIDS 2009;20:184-187
doi:10.1258/ijsa.2008.008321
© 2009 Royal Society of Medicine Press

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Original research articles

Chlamydia trachomatis infection: the efficacy and safety of a fast-track referral and treatment system

M Sethupathi MRCOG DipGUM  and A Blackwell MRCP FRCP

Department of GUM/HIV, Singleton Hospital, Swansea SA2 8QA, UK

Correspondence to: Dr M Sethupathi Email: meena181{at}doctors.org.uk

We introduced a Nurse/Health Advisor-led fast-track service for treating patients diagnosed with chlamydia outside a genitourinary medicine setting and contacts of chlamydia/non-specific urethritis/cervicitis wherever diagnosed. Asymptomatic patients were treated without initial testing and asked to return for full screening at four to six weeks. We assessed the efficacy and safety of the system and need for follow-up after treatment. Case-notes of 226 patients (121 men and 105 women) were analysed, of whom 140 attended follow-up. With the exception of one case of gonorrhoea, no other serious sexually transmitted infection was detected. Twenty-seven (19.2%) patients were re-treated for either chlamydia (six patients, 4.4%) or non-specific genital infection or because of having unprotected intercourse with untreated or partially treated partners. We conclude that in our relatively low-risk population, our fast-track service is safe and effective. Test of cure for chlamydia seems essential because of the high percentage of patients requiring re-treatment.

Key Words: chlamydia • test of cure • fast-track service • persistent chlamydia • chlamydia treatment


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