Sonnex C, Williams O
Department of Genitourinary Medicine, Addenbrooke's NHS Trust Hospital, Cambridge, UK.
Int J STD AIDS. 1998 Oct;9(10):600-3. doi: 10.1258/0956462981921198.
Between 1993 and 1997, clinicians from 9 departments of genitourinary medicine (GUM) and one department of sexual health in East Anglia met to audit the process of contact tracing in chlamydial infection. After defining the target group, standards were set for discussion of the diagnosis with the index patient, appropriate treatment of the condition and documented notification of partners. Data were collected for all patients with confirmed chlamydial infection during the periods January to March 1995 and 1996. Considering the combined data for both years, overall 97% of patients were informed of the diagnosis and 100% received appropriate treatment. Notification of partners was addressed at the initial consultation in 99% of cases and again at follow-up in 87%. Where contacts were traceable, there was confirmation that assessment had occurred in 65%, and the index cases reported that 66% had undergone assessment. The achievements and also the problems associated with this audit are discussed.
1993年至1997年间，东盎格鲁地区9个泌尿生殖医学（GUM）科室和1个性健康科室的临床医生齐聚一堂，对衣原体感染的接触者追踪过程进行审核。确定目标群体后，制定了与索引患者讨论诊断、对病情进行适当治疗以及记录性伴侣通报情况的标准。收集了1995年1月至3月以及1996年期间所有确诊衣原体感染患者的数据。综合两年的数据来看，总体上97%的患者被告知诊断结果，100%的患者接受了适当治疗。99%的病例在初次咨询时就涉及了性伴侣通报问题，87%的病例在随访时再次提及。在可追踪到接触者的情况下，有65%确认进行了评估，索引病例报告称66%的接触者已接受评估。本文讨论了此次审核所取得的成果以及相关问题。
