Introduction of screening guidelines for men who have sex with men at an STD clinic, the Melbourne Sexual Health Centre, Australia. Sexual health. [Sex Health] Journal article | | Title | Introduction of screening guidelines for men who have sex with men at an STD clinic, the Melbourne Sexual Health Centre, Australia. | | Author(s) | Lister NA, Smith A, Fairley CK | | Institution | Department of Public Health, The University of Melbourne, VIC 3010, Australia. | | Source | Sex Health 2005; 2(4):241-4. | | MeSH | Adult
Chlamydia Infections
Chlamydia trachomatis
Gonorrhea
Guideline Adherence
Homosexuality, Male
Humans
Male
Mass Screening
Medical Audit
Middle Aged
Neisseria gonorrhoeae
Research Support, Non-U.S. Gov't
Risk-Taking
Sex Education
Victoria
| | Abstract | BACKGROUND: A recent audit indicated that a substantial proportion of men who have sex with men (MSM) were not screened for rectal gonorrhoea and chlamydia at the Melbourne Sexual Health Clinic, Melbourne, Australia. In response, screening guidelines for MSM were introduced at the clinic using a computer reminder. The aim of this study was to evaluate the impact of the guidelines and alert on screening MSM for gonorrhoea and chlamydia.
METHODS: The medical records of MSM were reviewed for gonorrhoea and chlamydia screening by site (pharyngeal, urethral and rectal), four months before the implementation of the guidelines and alert (July to October 2002), and one year thereafter (beginning November 2002).
RESULTS: After the introduction of the guidelines there was a significant increase in rectal chlamydia testing (55% to 67%, P < 0.001), and significant reduction in pharyngeal chlamydia and gonorrhoea testing (65% to 28%, P < 0.001, and 83% to 76%, P = 0.015 respectively). The proportion of tests that were positive by any site did not change (7% to 7%).
CONCLUSIONS: The introduction of a computer reminder for new guidelines was temporally associated with screening that conformed more closely to clinical guidelines. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 16402672 |
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