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Table 2 Chlamydia practice - testing scenarios and specimens

From: The chlamydia knowledge, awareness and testing practices of Australian general practitioners and practice nurses: survey findings from the Australian Chlamydia Control Effectiveness Pilot (ACCEPt)

Questions relating to chlamydia practice

Overall n (%)

GP n (%)

PN n (%)

OR (95% CI)

P value

Should chlamydia testing be offered to: 23 year old female, pap smear

     

No

259 (38.6)

240 (43.3)

19 (16.4)

Ref

 

Yes*

411 (61.3)

314 (56.7)

97 (83.6)

3.3 (1.8, 6.0)

<0.01

18 year old woman, lower abdominal pain

     

No

28 (4.2)

27 (4.9)

1 (0.9)

Ref

 

Yes*

642 (95.8)

528 (95.1)

114 (99.1)

5.6 (.6, 50.8)

0.12

26 year old man, truck license medical examination

     

No*

466 (69.5)

432 (77.8)

34 (29.6)

Ref

 

Yes

204 (30.5)

123 (22.2)

81 (70.4)

0.1 (0.1, 0.2)

<0.01

24 year old woman, 16 weeks pregnant

     

No

322 (48.2)

304 (55.1)

18 (15.6)

Ref

 

Yes*

345 (51.7)

248 (44.9)

97 (84.4)

7.3 (3.6, 14.6)

<0.01

22 year Aboriginal man, sore throat

     

No

393 (58.6)

369 (66.5)

24 (20.8)

Ref

 

Yes*

277 (41.3)

186 (33.5)

91 (79.1)

7.1 (3.9, 12.9)

<0.01

33 year old woman in stable relationship, pill script

     

No*

523 (78.2)

459 (83.0)

64 (55.2)

Ref

 

Yes

146 (21.8)

94 (17.0)

52 (44.8)

0.3 (0.2, 0.5)

<0.01

17 year old man, genital warts

     

No

20 (3.0)

17 (3.1)

3 (2.6)

Ref

 

Yes*

651 (97.0)

538 (96.9)

113 (97.4)

1.4 (.4, 5.4)

0.62

34 year old man, 2 female partners in 6 months, HIV test

     

No

16 (2.4)

13 (2.4)

3 (2.6)

Ref

 

Yes*

652 (97.6)

540 (97.6)

112 (97.4)

1.0 (0.2, 5.4)

0.98

Which specimens can be used to test for chlamydia in the following patients:

Heterosexual female, no genital symptoms 1

     

Incorrect

29 (4.4)

14 (2.6)

15 (13.3)

Ref

 

Correct

631 (95.6)

533 (97.4)

98 (86.7)

0.15 (0.1, 0.4)

<0.001

Heterosexual female, abnormal vaginal/cervical discharge 2

     

Incorrect

44 (6.6)

19 (3.5)

25 (22.1)

Ref

 

Correct

620 (93.4)

532 (96.5)

88 (77.9)

0.13 (0.1, 0.3)

<0.01

Heterosexual male, no genital symptoms 3

     

Incorrect

62 (9.5)

31 (5.7)

31 (27.7)

Ref

 

Correct

592 (90.5)

511 (94.3)

81 (72.3)

0.14 (0.1, 0.3)

<0.01

Heterosexual man, urethral discharge 4

     

Incorrect

502 (76.4)

404 (74.3)

98 (86.7)

Ref

 

Correct

155 (23.6)

140 (25.7)

15 (13.3)

0.45 (0.2, 0.9)

0.03

Man who has sex with men, no genital symptoms 5

     

Incorrect

203 (81.2)

146 (78.9)

57 (87.7)

Ref

 

Correct

47 (18.8)

39 (21.1)

8 (12.3)

0.28 (0.1, 1.0)

0.05

  1. *Correct answer.
  2. 1Acceptable specimens - cervical or high vaginal or self collected vaginal swabs or urine 2Acceptable specimens - cervical or high vaginal or self collected vaginal swabs or urine 3Acceptable specimens - urine 4Accepatble specimens - urine 5Acceptable specimens - anal swab and urine.
  3. GP, general practitioner.
  4. PN, practice nurse.
  5. OR, odds ratio.
  6. CI, confidence Interval.