This article has been peer reviewed and accepted for publication. It is in production and has not been edited, so may differ from the final published form.
Partner notification and retesting for Chlamydia trachomatis and Neisseria gonorrhoea: a case-note review in New Zealand primary care
Aim: To determine the extent to which partner notification, follow-up and testing for reinfection are undertaken as per sexual health guidelines following diagnosis of Chlamydia trachomatis and Neisseria gonorrhoea. Methods: A retrospective review of electronic patient records for individuals diagnosed with chlamydia or gonorrhoea in eight primary care clinics in Wellington, New Zealand. At each practice, 40 clinical records were reviewed (320 in total). Outcome measures were: overall numbers (%) of cases with documented evidence of reason for testing, sexual history, treatment, advice, partner notification and follow-up. Partner notification outcomes were: n (%) with evidence of partner notification discussion, n (%) with partners advised, tested and treated. Proportions retested between six-weeks and six-months and n (%) positive on retesting were also determined. Results: Presenting features and treatment were generally well documented. Recent sexual history including number of partners was documented for half of cases reviewed (159/320). Partner notification discussion was documented for 74% (237/320) of cases, but only 24.4% (78/320) had documentation on numbers of partners notified and 17% (54/320) on numbers of partners treated. Testing for reinfection between six-weeks and six-months occurred for 24.7% (79/320) of whom 19% (15/79) re-tested positive. Conclusions: This research suggests there are gaps in important aspects of patient care following bacterial STI diagnosis in New Zealand - a factor that may be perpetuating our high rates of infection. A more systematic approach will be needed to ensure those diagnosed with an STI receive the full cycle of care in line with best practice guidelines.
HC17025 Accepted 23 January 2018
© CSIRO 2018