Joshi U Y, Dixon W
Department of Genito-Urinary Medicine, Hull and East Yorkshire Hospitals NHS Trust, Castle Hill Hospital, Cottingham, UK.
Int J STD AIDS. 2000 Sep;11(9):588-91. doi: 10.1258/0956462001916579.
A postal survey of general practitioners (GPs) in the East Riding of Yorkshire was undertaken to find out their views about screening for Chlamydia trachomatis infection, the reasons for their inability to screen the high-risk population, facilities available for screening in the primary care setting, treatment regimen and the views about partner notification. Although all GPs had the facilities for chlamydial testing, their views on chlamydial screening differed widely and very few offered opportunistic screening. Most of the GPs would prefer the sexual health clinics (genitourinary medicine [GUM] clinics) to undertake partner notification. Less than half of the GPs surveyed offered the ideal antimicrobial therapy against chlamydial infection, as recommended by the Central Audit Group in Genito-urinary Medicine. This survey shows the necessity to disseminate proper guidelines for the management of uncomplicated C. trachomatis infection in the community. Sexual health clinics should make adequate provision to deal with additional workload resulting from the increased referrals of partners to the clinics when the opportunistic screening is widely provided by the GPs.
对约克郡东区的全科医生进行了一项邮政调查，以了解他们对沙眼衣原体感染筛查的看法、无法对高危人群进行筛查的原因、基层医疗环境中可用的筛查设施、治疗方案以及对性伴侣通知的看法。尽管所有全科医生都有衣原体检测设施，但他们对衣原体筛查的看法差异很大，很少有人提供机会性筛查。大多数全科医生更希望性健康诊所（泌尿生殖医学诊所）进行性伴侣通知。接受调查的全科医生中，不到一半提供了中央泌尿生殖医学审计小组推荐的针对衣原体感染的理想抗菌治疗。这项调查表明，有必要在社区传播关于单纯性沙眼衣原体感染管理的适当指南。当全科医生广泛提供机会性筛查时，性健康诊所应做好充分准备，以应对因转诊更多性伴侣至诊所而增加的工作量。
