Test of cure, retesting and extragenital testing practices for Chlamydia trachomatis and Neisseria gonorrhoeae among general practitioners in different socioeconomic status areas: A retrospective cohort study, 2011-2016

For Chlamydia trachomatis (CT), a test of cure (TOC) within 3-5 weeks is not recommended. International guidelines differ in advising a Neisseria gonorrhoeae (NG) TOC. Retesting CT and NG positives within 3-12 months is recommended in international guidelines. We assessed TOC and retesting practices...

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Veröffentlicht in:	PloS one 2018-03, Vol.13 (3), p.e0194351
Hauptverfasser:	Wijers, Juliën N A P, van Liere, Geneviève A F S, Hoebe, Christian J P A, Cals, Jochen W L, Wolffs, Petra F G, Dukers-Muijrers, Nicole H T M
Format:	Artikel
Sprache:	eng
Schlagworte:	Analysis Antimicrobial agents Bacteria Biology and Life Sciences Chlamydia Chlamydia Infections - diagnosis Chlamydia Infections - drug therapy Chlamydia trachomatis Chlamydia trachomatis - isolation & purification Cohort analysis Condoms Disease control Drug resistance Early Diagnosis Environmental health Female Gays & lesbians General Practitioners Genetic aspects Gonorrhea Gonorrhea - diagnosis Gonorrhea - drug therapy Guidelines Health services Humans Infections Infectious diseases Laboratories Logistic Models Male Medical research Medical screening Medicine and Health Sciences Mens health Neisseria gonorrhoeae Neisseria gonorrhoeae - isolation & purification Netherlands Patients People and Places Practice Practice guidelines (Medicine) Practice Guidelines as Topic Practice Patterns, Physicians Public health Regression analysis Retrospective Studies Sexually transmitted diseases Social Class Socioeconomic factors Socioeconomic status Socioeconomics STD Studies Test procedures Womens health
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Zusammenfassung:	For Chlamydia trachomatis (CT), a test of cure (TOC) within 3-5 weeks is not recommended. International guidelines differ in advising a Neisseria gonorrhoeae (NG) TOC. Retesting CT and NG positives within 3-12 months is recommended in international guidelines. We assessed TOC and retesting practices including extragenital testing in general practitioner (GP) practices located in different socioeconomic status (SES) areas to inform and optimize local test practices. Laboratory data of 48 Dutch GP practices between January 2011 and July 2016 were used. Based on a patient's first positive CT or NG test, the proportion of TOC (
ISSN:	1932-6203 1932-6203
DOI:	10.1371/journal.pone.0194351