McClean H, Carne C A, Sullivan A K, Radcliffe K W, Ahmed-Jushuf I
The Royal Society of Medicine, 1 Wimpole Street, London W1G 0AE, UK.
Int J STD AIDS. 2012 Oct;23(10):748-52. doi: 10.1258/ijsa.2012.012035.
This paper reports on chlamydial partner notification (PN) performance in the 2011 BASHH national audit against the British Association for Sexual Health and HIV (BASHH) Medical Foundation for AIDS Sexual Health (MedFASH) Sexually Transmitted Infection Management Standards (STIMS). There was wide regional variation in level 3 clinic PN performance against the current standard of index case-reported chlamydial PN, with 43% (regional range 0-80%) of clinics outside London meeting the ≥0.6 contacts seen per index standard, and 85% of clinics (regional range 82-88%) in London meeting the ≥0.4 standard. For level 2 clinics, 39% (regional range 0-100%) of clinics outside London met the ≥0.6 standard, and 43% (regional range 40-50%) of clinics in London met the ≥0.4 standard. Performance for health-care worker (HCW)-verified contact attendance is also reported. New standards for each of these performance measures are proposed for all level 3 clinics: ≥0.6 contacts seen per index case based on index case report, and ≥0.4 contacts seen per index case based on HCW verification, both within four weeks of the first partner notification interview. The results are discussed with regard to the importance of adoption of standards by commissioners of services, relevance to national quality agendas, and the need for development of a national system of PN quality assurance measurement and reporting.
本文报告了2011年英国性健康与艾滋病协会(BASHH)全国审核中衣原体伴侣通知(PN)的表现,该审核对照了英国性健康与艾滋病协会医学艾滋病性健康基金会(MedFASH)性传播感染管理标准(STIMS)。在三级诊所中,按照当前指数病例报告的衣原体PN标准,PN表现存在广泛的地区差异,伦敦以外43%(地区范围0 - 80%)的诊所达到了每例指数病例至少见到0.6个接触者的标准,而伦敦85%(地区范围82 - 88%)的诊所达到了至少0.4的标准。对于二级诊所,伦敦以外39%(地区范围0 - 100%)的诊所达到了至少0.6的标准,伦敦43%(地区范围40 - 50%)的诊所达到了至少0.4的标准。还报告了医护人员(HCW)核实的接触者就诊情况。针对所有三级诊所,针对这些表现指标分别提出了新标准:基于指数病例报告,每例指数病例至少见到0.6个接触者;基于HCW核实,每例指数病例至少见到0.4个接触者,均在首次伴侣通知访谈后的四周内。文中讨论了服务专员采用标准的重要性、与国家质量议程的相关性以及建立国家PN质量保证测量和报告系统的必要性。