Heal Clare, Cheffins Tracy, Larkins Sarah, Buhrer-Skinner Monika, Spillman Margaret
General Practice and Rural Medicine, School of Medicine and Dentistry, James Cook University, Mackay, Queensland.
Aust Fam Physician. 2012 Jul;41(7):519-21.
Most diagnoses of genital Chlamydia trachomatis infection in Queensland are made by general practitioners. This study aimed to describe GP knowledge of recommended guidelines for chlamydia management and ascertain GPs' preferred model for contact tracing.
A questionnaire completed by 35 GPs in northern Queensland in January 2011.
Although the majority of GPs reported treating uncomplicated chlamydia infection correctly with azithromycin, very few (26%) used empirical treatment. Most reported testing for re-infection within 6 weeks of initial positive results, earlier than recommended. The GPs preferred the notifiable disease register to refer the patient directly to a specialist contact tracer.
General practitioners in this regional location - and probably elsewhere - would benefit from education around the timing of re-testing. Public health units and sexual health services should consider ways of providing a contact tracing service for patients with positive chlamydia results in general practice.
昆士兰州大多数生殖器沙眼衣原体感染的诊断由全科医生做出。本研究旨在描述全科医生对衣原体管理推荐指南的了解情况，并确定全科医生首选的接触者追踪模式。
2011年1月，昆士兰州北部的35名全科医生填写了一份调查问卷。
尽管大多数全科医生报告使用阿奇霉素正确治疗无并发症的衣原体感染，但很少有人（26%）采用经验性治疗。大多数人报告在初次检测结果呈阳性后的6周内进行再感染检测，早于推荐时间。全科医生更倾向于通过法定传染病登记册将患者直接转介给专门的接触者追踪人员。
该地区以及其他地方的全科医生都将从关于重新检测时间的教育中受益。公共卫生部门和性健康服务机构应考虑为全科医疗中衣原体检测呈阳性的患者提供接触者追踪服务的方法。
