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Sponsored by: |
University of Bristol |
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Information provided by: | University of Bristol |
ClinicalTrials.gov Identifier: | NCT00112255 |
The purpose of this study was to compare the effectiveness of partner notification by general practice nurses with referral to a specialist clinic for people with genital chlamydia diagnosed in a community setting. We hypothesised that referral to a specialist would be more effective in ensuring treatment of the sexual partners of infected people than the simpler nurse-led strategy.
Condition | Intervention | Phase |
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Chlamydia Infections |
Behavioral: Practice nurse-led partner notification Behavioral: Referral to specialist genitourinary clinic |
Phase III |
Study Type: | Interventional |
Study Design: | Prevention, Randomized, Open Label, Placebo Control, Single Group Assignment, Efficacy Study |
Official Title: | Partner Notification for Chlamydia in Primary Care: Randomised Controlled Trial and Economic Evaluation |
Estimated Enrollment: | 214 |
Study Start Date: | March 2001 |
Estimated Study Completion Date: | December 2002 |
Partner notification (contact tracing) is essential to the control of sexually transmitted infections. Reports of new chlamydia infections have increased by 66% in the past five years. A National Chlamydia Screening Programme in England, and increasing primary care provision of sexual health care are part of the United Kingdom Government’s strategy for tackling increasing rates of sexually transmitted infections. New strategies for managing chlamydia in non-specialist settings are urgently required: genitourinary medicine clinics are failing to cope with their increasing workload; and 45% of cases detected in the chlamydia screening pilot studies were diagnosed in general practice.
Partner notification involves informing the sexual partners of someone with a sexually transmitted infection of the possibility of exposure, offering them diagnosis and treatment, and providing advice about preventing future infection. In the United Kingdom, this is usually done by specialist sexual health advisers in departments of genitourinary medicine. The effectiveness of partner notification in non-specialist settings in developed countries is not known. We conducted a randomised controlled trial to compare the effectiveness of practice nurse-led partner notification with referral to a genitourinary clinic for partner notification conducted by a specialist health adviser, and to compare the resources used by each strategy.
Comparisons: Partner notification at the time of receiving diagnosis and treatment by general practice nurses who received a one-day training course and ongoing support by telephone calls or visits from a specialist adviser in sexual health, compared with referral to a genitourinary medicine clinic for partner notification by a specialist adviser in sexual health.
Ages Eligible for Study: | 16 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
United Kingdom, Avon | |
Chlamydia Screening Studies (ClaSS) project general practices | |
Bristol, Avon, United Kingdom, BS8 2PR | |
United Kingdom, West Midlands | |
Chlamydia Screening Studies (ClaSS) project general practices | |
Birmingham, West Midlands, United Kingdom, B15 2TT |
Study Director: | Nicola Low, MFPH | Chlamydia Screening Studies (ClaSS) Project General Practices |
Study ID Numbers: | HTA_97/32/31 |
Study First Received: | May 31, 2005 |
Last Updated: | May 9, 2006 |
ClinicalTrials.gov Identifier: | NCT00112255 History of Changes |
Health Authority: | United Kingdom: National Health Service |
Chlamydia trachomatis Chlamydia infections Randomized controlled trials Contact tracing Family practice |
Genital Diseases, Female Bacterial Infections Sexually Transmitted Diseases |
Chlamydia Infections Genital Diseases, Male Gram-Negative Bacterial Infections |
Genital Diseases, Female Bacterial Infections Sexually Transmitted Diseases, Bacterial Chlamydiaceae Infections Sexually Transmitted Diseases |
Chlamydia Infections Genital Diseases, Male Infection Gram-Negative Bacterial Infections |