Family Med Medical News about chlamydia; men; opportunistic screening

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Opportunistic screening for chlamydia in young men
Australian Family Physician, 09/04/09

Hince D et al. – The authors found little relationship between reported sexual behaviour and chlamydia infection in young men. It may be appropriate to offer screening to all at risk individuals.

Methods

Sexually active men (aged 15–29 years) attending 10 general practices in Perth, Western Australia, were tested for chlamydia and completed a self report questionnaire concerning sexual practices and symptoms.

Results

Prevalence of chlamydia was 3.7% (95% CI: 2–6%, n=14/383).
High rates of risky sexual practices were observed in both chlamydia positive and negative participants.
The association between chlamydia status and risky sexual practices however, was not statistically significant.
Treatment and notification of positive cases were usually undertaken, but GPs did not always check that patients had contacted sexual partners.

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