Azariah Sunita, McKernon Stephen, Werder Suzanne
Auckland Sexual Health Service, Building 7, Greenlane Clinical Centre, Auckland District Health Board, Greenlane West, PB 92024, Auckland, New Zealand.
J Prim Health Care. 2013 Jun 1;5(2):141-5.
The Auckland chlamydia pilot project was one of three funded by the Ministry of Health to trial implementation of the 2008 Chlamydia Management Guidelines. Chlamydia is the most commonly notified sexually transmitted infection in New Zealand.
To increase opportunistic testing in under-25-year-olds and to improve documentation of partner notification in primary care.
A four-month pilot was initiated in Total Healthcare Otara using a nurse-led approach. Laboratory testing data was analysed to assess whether the pilot had any impact on chlamydia testing volumes in the target age-group. Data entered in the practice management system was used to assess follow-up and management of chlamydia cases.
During the pilot there was a 300% increase in the number of chlamydia tests in the target age group from 812 to 2410 and the number of male tests increased by nearly 500%. Twenty-four percent of people tested were positive for chlamydia, with no significant difference in prevalence by ethnicity. The pilot resulted in better documentation of patient follow-up in the patient management system.
There was a large increase in chlamydia testing during the pilot with a high prevalence found in the population tested. Chlamydia remains an important health problem in New Zealand. The cost benefit of increased chlamydia screening at a population level has yet to be established.
奥克兰衣原体试点项目是由卫生部资助的三个项目之一，用于试行2008年衣原体管理指南。衣原体是新西兰报告最多的性传播感染疾病。
增加对25岁以下人群的机会性检测，并改善初级保健中伴侣通知的记录。
在奥塔拉综合医疗中心采用护士主导的方法启动了为期四个月的试点项目。对实验室检测数据进行分析，以评估该试点项目是否对目标年龄组的衣原体检测量产生了影响。利用实践管理系统中输入的数据来评估衣原体病例的随访和管理情况。
在试点期间，目标年龄组的衣原体检测数量从812例增加到2410例，增长了300%，男性检测数量增加了近500%。接受检测的人群中有24%的衣原体检测呈阳性，不同种族的患病率没有显著差异。该试点项目使患者管理系统中患者随访的记录情况得到了改善。
试点期间衣原体检测大幅增加，在接受检测的人群中患病率很高。衣原体在新西兰仍然是一个重要的健康问题。在人群层面增加衣原体筛查的成本效益尚未确定。
