Chlamydia trachomatis infection in the family planning clinical setting across New South Wales

Sexual Health ◽  
2006 ◽  
Vol 3 (1) ◽  
pp. 15 ◽  
Author(s):  
Deborah J. Bateson ◽  
Edith Weisberg ◽  
Harpreet Lota
Keyword(s):  
Family Planning ◽  
Chlamydia Trachomatis ◽  
New South ◽  
New South Wales ◽  
Oral Contraceptive Pill ◽  
Chlamydia Trachomatis Infection ◽  
The Past ◽  
South Wales ◽  
Sexually Transmissible Infections ◽  
The Family

Background: Following a small pilot study in 2003, a study was set up to determine the prevalence of genital Chlamydia trachomatis infection in young women presenting to Family Planning NSW centres across New South Wales and to evaluate the characteristics of those infected. Methods: A cross-sectional survey of 621 consecutive women aged from 16 to 24 years was carried out over a 3-month period in 2004 at five Family Planning NSW centres. Urine samples were tested for C. trachomatis using the polymerase chain reaction (PCR) method. Women with a positive result were reviewed and treated. Results: Of 925 eligible clients, 621 (67%) were recruited to the study. Chlamydia trachomatis was detected in 35 of the 621 recruits (5.6%, 95% CI 3.8–7.4). The prevalence at the Hunter centre was significantly higher than the combined prevalence at the other four participating centres (9.7% compared with 3.9%; P = 0.008). Two characteristics were identified as independent predictors of infection in this study: ‘reporting a recent change of partner in the past three months’ (crude odds ratio (OR) 3.33, 95% CI 1.67–6.64) and ‘reporting three or more partners in the past year’ (crude OR 3.69, 95% CI 1.83–7.46). Reported condom use, a history of one or more sexually transmissible infections and current combined oral contraceptive pill use were not associated with infection in this study. Conclusions: The prevalence of C. trachomatis infection is sufficiently high to support targeted testing of 16–24-year-old women in the Family Planning NSW setting and informs the development of a national screening strategy.

Prevalence of Chlamydia trachomatis infection among 'high risk' young people in New South Wales

Sexual Health ◽  
2006 ◽  
Vol 3 (4) ◽  
pp. 253 ◽  
Author(s):  
Melissa Kang ◽  
Arlie Rochford ◽  
Victoria Johnston ◽  
Julie Jackson ◽  
Ellie Freedman ◽  
...  
Keyword(s):  
High Risk ◽  
Chlamydia Trachomatis ◽  
Young People ◽  
New South ◽  
New South Wales ◽  
Contact Tracing ◽  
Sexually Active ◽  
Chlamydia Trachomatis Infection ◽  
South Wales ◽  
Sexually Transmissible Infections

International research on homeless adolescents has found that incidence and prevalence of sexually transmissible infections is relatively high. This study reports on a chlamydia prevalence survey conducted among high-risk young people (14–25 years) in New South Wales. The participants were recruited from youth health centres, which target homeless and high-risk youth. Of 333 clients (42.6% male), 84.1% were sexually active and mean number of sexual partners over the preceding 3 months was 1.4. Among sexually active participants, 24.6% claimed to use condoms always and 25% never. Sixteen of 274 available urine samples tested positive for Chlamydia trachomatis infection. Further research is warranted to better define high-risk groups and clarify the nature of associations between various factors impacting on sexual health. Most importantly, research is now called for into effective strategies for engaging and attracting young people to screening, treatment and contact tracing.

Changes in testing methods for genital Chlamydia trachomatis in New South Wales, Australia, 1999 to 2002

Sexual Health ◽  
2005 ◽  
Vol 2 (4) ◽  
pp. 251 ◽  
Author(s):  
Marcus Y. Chen ◽  
Basil Donovan
Keyword(s):  
Chlamydia Trachomatis ◽  
Relative Frequency ◽  
New South ◽  
New South Wales ◽  
Health Department ◽  
Laboratory Method ◽  
Testing Methods ◽  
Chlamydia Trachomatis Infection ◽  
South Wales ◽  
Rapid Shift

Background: Over the last decade, significant advances have occurred in the area of chlamydia diagnostics. The relative frequency of different testing methods employed in the diagnosis of Chlamydia trachomatis infection in New South Wales has not been previously reported. Methods: Testing methods—both laboratory method and specimen type—employed in the diagnosis of chlamydia cases notified in New South Wales between 1999 and 2002 were collated from Health Department records. Results: During a period of increasing notifications, the proportion of men diagnosed with C. trachomatis using nucleic acid tests (NATs) increased from 36% in 1999 to 90% in 2002. Among women, the proportion diagnosed using NATs increased from 42% in 1999 to 92% in 2002. Urine samples were consistently used in the diagnosis of two-thirds of the men, and one-third of the women. Conclusion: Between 1999 and 2002, a rapid shift towards NATs for genital C. trachomatis took place in New South Wales.

Chlamydia trachomatis infection among antenatal women in remote far west New South Wales, Australia

Sexual Health ◽  
2007 ◽  
Vol 4 (2) ◽  
pp. 139 ◽  
Author(s):  
Jo-ann Lenton ◽  
Eleanor Freedman ◽  
Kristie Hoskin ◽  
Vickie Knight ◽  
Darriea Turley ◽  
...  
Keyword(s):  
Chlamydia Trachomatis ◽  
Perceived Risk ◽  
New South ◽  
New South Wales ◽  
Cross Sectional Study ◽  
Indigenous Women ◽  
Indigenous Status ◽  
Cross Sectional ◽  
Chlamydia Trachomatis Infection ◽  
South Wales

Background: A prospective, cross-sectional study was undertaken of pregnant women attending antenatal services in the remote far west of New South Wales, Australia, between October 2004 and May 2006. Of 420 eligible women, 218 (52%) participated in the study. Six women (2.7%; 95% CI: 1.0–5.9) tested positive for Chlamydia trachomatis. The prevalence among pregnant, Indigenous women (n = 44) was 9.1% (95% CI: 2.5–21.7). Infection was significantly associated with Indigenous status (P = 0.003) and self-perceived risk for chlamydia (P = 0.05). Pregnant Indigenous women in remote areas may be at higher risk for chlamydia and targeted screening of this group should be considered.

Sexual risk assessment in general practice: evidence from a New South Wales survey

Sexual Health ◽  
2007 ◽  
Vol 4 (1) ◽  
pp. 1 ◽  
Author(s):  
Asaduzzaman Khan ◽  
David Plummer ◽  
Rafat Hussain ◽  
Victor Minichiello
Keyword(s):  
Risk Assessment ◽  
Sexual Risk ◽  
New South ◽  
New South Wales ◽  
Sexual History ◽  
History Taking ◽  
South Wales ◽  
Sexually Transmissible Infections ◽  
Sexual History Taking ◽  
Sexual Histories

Background: Physicians’ inadequate involvement in sexual risk assessment has the potential to miss many asymptomatic cases. The present study was conducted to explore sexual risk assessment by physicians in clinical practice and to identify barriers in eliciting sexual histories from patients. Methods: A stratified random sample of 15% of general practitioners (GP) from New South Wales was surveyed to assess their management of sexually transmissible infections (STI). In total, 409 GP participated in the survey with a response rate of 45.4%. Results: Although nearly 70% of GP regularly elicited a sexual history from commercial sex workers whose presenting complaint was not an STI, this history taking was much lower (<10%) among GP for patients who were young or heterosexual. About 23% never took a sexual history from Indigenous patients and 19% never elicited this history from lesbian patients. Lack of time was the most commonly cited barrier in sexual history taking (55%), followed by a concern that patients might feel uncomfortable if a sexual history was taken (49%). Other constraints were presence of another person (39%) and physician’s embarrassment (15%). About 19% of GP indicated that further training in sexual history taking could improve their practice. Conclusions: The present study identifies inconsistent involvement by GP in taking sexual histories, which can result in missed opportunities for early detection of many STI. Options for overcoming barriers to taking sexual histories by GP are discussed.

What proportion of sexually transmissible infections and HIV are diagnosed in New South Wales’ public sexual health services compared with other services?

Sexual Health ◽  
2013 ◽  
Vol 10 (2) ◽  
pp. 119 ◽  
Author(s):  
Chris Bourne ◽  
Debbie Allen ◽  
Katherine Brown ◽  
Stephen C. Davies ◽  
Anna McNulty ◽  
...  
Keyword(s):  
Health Services ◽  
Sexual Health ◽  
New South ◽  
New South Wales ◽  
Large Contribution ◽  
Geographical Variations ◽  
South Wales ◽  
Sexually Transmissible Infections ◽  
Geographical Regions ◽  
High Risk Populations

Background: In New South Wales (NSW), publicly funded sexual health services (PFSHSs) target the populations at greatest risk for important sexually transmissible infections (STIs) and so may make a large contribution to the diagnosis of notifiable STIs. We aimed to determine the proportions of STIs diagnosed in PFSHSs and notified to the NSW Ministry of Health in 2009, and describe geographical variations. Methods: The number of notifiable STIs (infectious syphilis, gonorrhoea, HIV and chlamydia) diagnosed in 2009 was obtained for each Area Health Service (AHS) and each PFSHS. The proportion of diagnoses made by PFSHSs was calculated at the state and AHS level according to five geographical regions: inner and outer metropolitan, regional, rural and remote. Results: The overall proportions of diagnoses made by NSW PFSHSs were syphilis, 25%; gonorrhoea, 25%; HIV, 21%; and chlamydia, 14%. Within each zone, the proportions of these STIs were (respectively): (i) inner metropolitan: 32%, 26%, 21% and 13%; (ii) outer metropolitan: 41%, 24%, 43% and 9%; (iii) regional: 62%, 15%, 23% and 10%; (iv) rural: 8%, 29%, <5% and 20%; and (v) remote: <5%, 43%, <5% and 29%. There was considerable variation in proportions of STIs between and within AHSs (<5–100%). Conclusions: NSW PFSHSs contribute a large proportion of diagnoses for syphilis, gonorrhoea and HIV, but less so for chlamydia. Across AHSs and zones, there was considerable variation in the proportions. These data support the role of PFSHS in identifying and managing important STIs in high-risk populations.

57. GENOTYPING OF UROGENITAL CHLAMYDIA TRACHOMATIS IN REGIONAL NEW SOUTH WALES, AUSTRALIA

Sexual Health ◽  
2007 ◽  
Vol 4 (4) ◽  
pp. 306
Author(s):  
D. Mossman ◽  
C. Ooi ◽  
M. Loewenthal ◽  
M. Boyle
Keyword(s):  
Chlamydia Trachomatis ◽  
Older Patients ◽  
New South ◽  
Genotypic Variation ◽  
New South Wales ◽  
Genotype Frequency ◽  
Sexual Networks ◽  
Genotype Analysis ◽  
South Wales ◽  
Significant Difference

Background: Chlamydia Trachomatis is one of the most common sexually transmitted infections in Australia and world wide. This study was undertaken to map the frequency of Chlamydia genotypes in regional New South Wales (NSW), Australia, to explore the potential utility of genotype analysis in defining local sexual networks, and to investigate whether patterns of genotype frequency are correlated with demographic factors, including age and gender. Methods: We studied 204 urine samples infected with Chlamydia trachomatis, as determined by PCR analysis using the COBAS Amplicor system. Samples were collected from wide geographic area of regional New South Wales (Hunter, New England, Northern Rivers, South Eastern New South Wales). Sequencing and genotyping were performed after nested PCR of the omp1 gene. Results: Genotype E was found in 42.6% of infections, with genotypes F (23.5%) and G (16.7%) other common causes of infection. Mixed infection occurred in only 3 cases. There was no significant difference in genotype frequency based on gender or geographic location. There was a significant difference in gender frequency based on patient age, with older patients significantly more likely to demonstrate infection with genotype G (mean age (years) 23.7+/-7.29 sd, E: 21.7 +/-5.7 sd; G: 28.9; sd 10.18; p�=�0.022). Conclusions: There was no significant difference in genotype frequency in the various regions of New South Wales, suggesting genotype analysis is of limited use in defining sexual networks in regional NSW. The finding of a higher frequency of genotype G in older patients raises the possibility that genotypic variation may be driven by immune responses to genotypes that occur more frequently at a younger age. These results may have implications for the future design of a chlamydial vaccine.

Use of bioclimatic analysis to direct survey effort for the long-footed potoroo (Potorous longipes), a rare forest-dwelling rat-kangaroo

2002 ◽  
Vol 29 (2) ◽  
pp. 193 ◽  
Author(s):  
A. W. Claridge
Keyword(s):  
Environmental Variables ◽  
New Records ◽  
New South ◽  
New South Wales ◽  
Geographic Range ◽  
Suitable Habitat ◽  
The Past ◽  
South Wales ◽  
North Eastern ◽  
Survey Effort

The long-footed potoroo (Potorous longipes) is one of the rarest and most elusive forest-dwelling mammals in Australia. Survey effort for the species over the past decade or so in south-eastern New South Wales has been driven, primarily, by predictions derived from climatic analyses using BIOCLIM. These predictions were based on known locality records of the long-footed potoroo from adjacent East Gippsland, Victoria. While they have proven useful in confirming the occurrence of the species in New South Wales, recent fortuitous records of the species from north-eastern Victoria fall well outside of the range predicted earlier by BIOCLIM. Using these new records a revised predicted range is calculated, enlarging considerably the potential geographic extent of climatically suitable habitat for the species. The results presented here highlight the limitations of BIOCLIM when given locality records of a species from only a portion of its true geographic range. I argue that less emphasis might be based on this approach to direct survey effort for the species in the future. Instead, a range of other environmental variables might be used in combination with BIOCLIM-derived outputs when selecting survey sites. In this way a more representative picture of the distribution of the species may be obtained.

New Australian Thanocleridae, with notes on the biogeography of the subtribe Isoclerina Kolibác (Coleoptera : Cleroidea)

1998 ◽  
Vol 12 (6) ◽  
pp. 951 ◽  
Author(s):  
Jiýí Kolibác
Keyword(s):  
New Species ◽  
North America ◽  
New South ◽  
New South Wales ◽  
Distribution Patterns ◽  
Ancestral Area ◽  
South Wales ◽  
Australian Continent ◽  
The Family

Four new species of the family Thanerocleridae are described from Australia (Queensland, New South Wales): Isoclerus (Isoclerus) rumcajs, I. (I.) manka, I. (I.) cipisek and I. (I.) gerstmeieri. These species are the first records of the family’s autochthonous members from the Australian continent. The subgenus Isoclerus (Lyctosoma) Lewis is synonymised with Isoclerus (Isoclerus) Lewis. Hypotheses concerning the biogeography of subtribe Isoclerina Kolibáÿč in which the newly described species belong, are proposed. The ancestral area of Isoclerina may be in Africa or somewhere in the region of Europe, Greenland and the eastern part of North America – in either case, in the Lower to Middle Cretaceous era. Also, pan-biogeographic hypotheses are formulated for the distribution patterns of species of the subgenus Isoclerus.

A revision of the Heatherellidae (Parasitiformes: Mesostigmata) with a new genus and two new species from Australasia

Zootaxa ◽  
2018 ◽  
Vol 4434 (3) ◽  
pp. 441
Author(s):  
OWEN D. SEEMAN ◽  
MARIA MINOR ◽  
MICHELLE R. BAKER ◽  
DAVID EVANS WALTER
Keyword(s):  
New Species ◽  
New Zealand ◽  
Sexual Dimorphism ◽  
New Genus ◽  
New South ◽  
New South Wales ◽  
The North ◽  
South Wales ◽  
The Family ◽  
Two New Species

The discovery of a new genus of Heatherellidae in New Zealand has led us to revise this enigmatic family and its constituent genera. Aheatherella n. gen., based on A. mira n. sp. from the North Island of New Zealand, lacks some of the derived character states that link the Australian Heatherella, most notably the lack of sexual dimorphism in the dorsal shields and in the presence of peritremes in adult Aheatherella. Heatherella osleri n. sp. is described from New South Wales, extending the distribution of this genus beyond Queensland. New collection records of H. callimaulos and a key to the genera and species of the family are provided. We propose that the Heatherellidae—previously placed in its own cohort outside the Gamasina—are best considered a superfamily of gamasine mites within the subcohort Epicriiae. 

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