The highs and lows of opportunistic Chlamydia testing: uptake and detection in Waikato, New Zealand

2009 ◽  
Vol 85 (6) ◽  
pp. 452-454 ◽  
Author(s):  
J Morgan ◽  
A Bell
Keyword(s):  
New Zealand ◽  
Chlamydia Testing ◽  
Testing Uptake

scholarly journals Access to chlamydia testing needed for high-risk groups: patterns of testing and detection in an urban area of New Zealand

2012 ◽  
Vol 36 (4) ◽  
pp. 343-350 ◽  
Author(s):  
Sally B. Rose ◽  
Collette Bromhead ◽  
Beverley A. Lawton ◽  
Jane Zhang ◽  
James Stanley ◽  
...  
Keyword(s):  
New Zealand ◽  
High Risk ◽  
Urban Area ◽  
Risk Groups ◽  
Chlamydia Testing

Chlamydia testing in New Zealand

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Antoinette Righarts ◽  
Andrew R. Gray ◽  
Jane Morgan ◽  
Peter J. Saxton ◽  
Jane Alison Green ◽  
...  
Keyword(s):  
New Zealand ◽  
Chlamydia Testing

scholarly journals P472 Do chlamydia testing patterns in new zealand explain the high diagnosis rates?

2019 ◽  
Author(s):  
Antoinette Righarts ◽  
Peter Saxton ◽  
Andrew Gray ◽  
Jane Morgan ◽  
J Green ◽  
...  
Keyword(s):  
New Zealand ◽  
Chlamydia Testing ◽  
Testing Patterns

Trends of reported chlamydia infections and related complications in New Zealand, 1998 - 2008

Sexual Health ◽  
2011 ◽  
Vol 8 (3) ◽  
pp. 412 ◽  
Author(s):  
Jane Morgan ◽  
Chanukya Colonne ◽  
Anita Bell
Keyword(s):  
New Zealand ◽  
Ectopic Pregnancy ◽  
Hospital Admissions ◽  
Specific Rate ◽  
Complication Rates ◽  
Detection Rates ◽  
Admission Rates ◽  
Chlamydia Testing ◽  
Data Limitations ◽  
Targeted Testing

Aim To compare trends in chlamydia (Chlamydia trachomatis) testing and detection with trends in hospital discharge rates of chlamydia-related diseases in the upper North Island of New Zealand during 1998–2008. Methods: Analysis of trends in chlamydia testing and detection rates and age-specific hospital admission rates per 100 000 females for pelvic inflammatory disease (PID), female infertility and ectopic pregnancy, and per 100 000 males for epididymo-orchitis. Results: Regional laboratory testing volumes increased from 3732 tests per 100 000 population in 1998 to 9801 tests per 100 000 in 2008. Two of three regions had a significant increase in percent test positivity over time. The highest detection rates and greatest increase in reported cases were amongst women aged 15–24 years, at 1992 per 100 000 in 1998, to 5737 per 100 000 in 2008. For women aged 15–24 years, the rate of hospital admissions for PID and chlamydia-related pelvic infections declined during 1998–2004 but rose in 2005–08, the rate of publicly-funded infertility admissions fell and the ectopic pregnancy rate was unchanged. The age-specific rate for epididymo-orchitis admissions amongst 15–44-year-old men remained stable. Conclusion: Chlamydia testing volumes from three New Zealand regions have trebled since 1998, as have reported infection rates, although disease complication rates do not appear to have increased. Test positivity increases may reflect better targeted testing of those more at risk or a rising chlamydia incidence. The recent rise in hospital admissions for PID among women aged 15–24 is a concern; ongoing monitoring of these trends, despite data limitations, is important.

scholarly journals Large increase in opportunistic testing for chlamydia during a pilot project in a primary health organisation

2013 ◽  
Vol 5 (2) ◽  
pp. 141 ◽  
Author(s):  
Sunita Azariah ◽  
Stephen McKernon ◽  
Suzanne Werder
Keyword(s):  
New Zealand ◽  
Management System ◽  
Pilot Project ◽  
Chlamydia Screening ◽  
Age Group ◽  
Transmitted Infection ◽  
Chlamydia Testing ◽  
Primary Health ◽  
Significant Difference

INTRODUCTION: The Auckland chlamydia pilot project was one of three funded by the Ministry of Health to trial implementation of the 2008 Chlamydia Management Guidelines. Chlamydia is the most commonly notified sexually transmitted infection in New Zealand. AIM: To increase opportunistic testing in under-25-year-olds and to improve documentation of partner notification in primary care. METHODS: A four-month pilot was initiated in Total Healthcare Otara using a nurse-led approach. Laboratory testing data was analysed to assess whether the pilot had any impact on chlamydia testing volumes in the target age-group. Data entered in the practice management system was used to assess follow-up and management of chlamydia cases. RESULTS: During the pilot there was a 300% increase in the number of chlamydia tests in the target age-group from 812 to 2410 and the number of male tests increased by nearly 500%. Twenty-four percent of people tested were positive for chlamydia, with no significant difference in prevalence by ethnicity. The pilot resulted in better documentation of patient follow-up in the patient management system. DISCUSSION: There was a large increase in chlamydia testing during the pilot with a high prevalence found in the population tested. Chlamydia remains an important health problem in New Zealand. The cost benefit of increased chlamydia screening at a population level has yet to be established. KEYWORDS: Chlamydia; notification, partner; pilot project; prevalence; primary health care

scholarly journals Does a clinical guideline change chlamydia testing? Report from the Waikato Chlamydia Project

2012 ◽  
Vol 4 (1) ◽  
pp. 45 ◽  
Author(s):  
Jane Morgan ◽  
Andre Donnell ◽  
Anita Bell
Keyword(s):  
Health Care ◽  
New Zealand ◽  
Sexual Health ◽  
Care Delivery ◽  
Guideline Implementation ◽  
Contact Tracing ◽  
Health Board ◽  
Local Data ◽  
District Health ◽  
Chlamydia Testing

BACKGROUND AND CONTEXT: Waikato District Health Board was one of three districts chosen to implement a national chlamydia management guideline, with the aim of optimising testing and treatment. Previous New Zealand studies suggest any test increases associated with such an intervention may be short-lived. ASSESSMENT OF PROBLEM: District-wide chlamydia test volumes were compared for three periods, before (June–Nov 2008), during (June–Nov 2009) and after (June–Nov 2010) guideline implementation by age, gender and ethnicity. Crude estimates of population test uptake were calculated. Azithromycin pharmacy claim volumes were assessed as a measure of treatment. RESULTS: Chlamydia test uptake for women was already high, with 23% of 15- to 24-year-old women tested during the period from June to November 2008. Although tests from under-25-year-olds increased during implementation in 2009, the change was not significant and was not sustained in 2010, p=0.06. Similarly, there were no significant sustained changes by gender or ethnicity following implementation. STRATEGIES FOR IMPROVEMENT: This includes a continued emphasis on optimal chlamydia case finding and treatment by focusing on those at greater risk of infection. Efforts to improve partner notification should be instigated which may in turn better engage men around sexual health. LESSONS: Local data should be used to identify local issues. There is a need to determine whether <25 years is the optimal age threshold for targeted chlamydia testing in New Zealand and to ensure appropriate resources, training and support are in place for primary care nurses who play a pivotal role in sexual health care delivery. Keywords: Chlamydia trachomatis; mass screening; practice guidelines; primary health care; contact tracing

Magellanic Cloud Eclipsing Binaries: Primary Distance Indicators

1999 ◽  
Vol 190 ◽  
pp. 563-566
Author(s):  
J. D. Pritchard ◽  
W. Tobin ◽  
J. V. Clausen ◽  
E. F. Guinan ◽  
E. L. Fitzpatrick ◽  
...  
Keyword(s):  
New Zealand ◽  
Magellanic Cloud ◽  
Eclipsing Binaries ◽  
Fundamental Parameters ◽  
Distance Indicators

Our collaboration involves groups in Denmark, the U.S.A. Spain and of course New Zealand. Combining ground-based and satellite (IUEandHST) observations we aim to determine accurate and precise stellar fundamental parameters for the components of Magellanic Cloud Eclipsing Binaries as well as the distances to these systems and hence the parent galaxies themselves. This poster presents our latest progress.

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