Article Figures & Data
Figures
- Figure 1. Responses to the question ‘Are you aware of any of the following sources of information on sexually transmitted infections and do you find them useful?’
GUM = genito-urinary medicine. STI = sexually transmitted infection.
Tables
- Table 1. Responder answers to the question ‘Do you feel confident treating the following STIs? Or would you prefer to seek advice or refer for treatment?’ (n = 119)
Type of STIs I am confident treating, % (n) I would ask for advice, % (n) I would refer to the GUM clinic, % (n) Other (give details below), % (n) Response total, n Chlamydia 83 (105) 3 (4) 11 (14) 2 (3) 126 Genital gonorrhoea 25 (32) 22 (28) 49 (63) 4 (5) 128 Extragenital gonorrhoea 4 (5) 24 (30) 69 (86) 2 (3) 124 Trichomonas vaginalis 64 (81) 14 (17) 21 (26) 2 (2) 126 Genital warts 22 (28) 9 (11) 66 (83) 3 (4) 126 Genital herpes 66 (82) 11 (14) 21 (26) 2 (2) 124 Syphilis 4 (5) 21 (27) 73 (92) 2 (2) 126 Proportions may not add up to 100 due to rounding of numbers
GUM = genito-urinary medicine. STI = sexually transmitted infection.
What are the usual indicators for gonococcus testing in your practice? n (%) Patient requests the test 95 (80) Part of chlamydia screening 89 (75) High-risk patient 85 (71) Symptomatic, genital symptoms 108 (91) Symptomatic, extragenital symptoms 42 (35) Other, please specify 7 (6) - Table 3. Responder answers to the question ‘What sample types do you routinely take for gonococcus testing?’ (n = 119)
Sample type Specimen for MC&S for gonorrhoea, % (n) Specimen for NAATs for gonorrhoea, % (n) Samples not routinely taken for gonorrhoea, % (n) Responses total, n Urethral swab 22 (28) 14 (18) 63 (79) 125 High vaginal swab 42% (53) 20 (25) 38 (47) 125 Self-taken vulvovaginal swab 23 (28) 35 (43) 42 (51) 122 Endocervical swab 38 (47) 36 (44) 26 (32) 123 Throat swab 9 (11) 8 (10) 82 (98) 119 Rectal swab 10 (12) 11 (13) 79 (95) 120 First pass urine 18 (22) 35 (43) 47 (57) 122 Proportions may not add up to 100 due to rounding of numbers. NAAT = nucleic acid amplification test. MC&S = microscopy, culture and sensitivity
- Table 4. Results regarding access to clinical advice, management of patients with gonococcal positive NAATs, and referral pathway for GUM
When seeking advice on STI, who would you contact? n (%) GUM 104 (87) Primary care colleague 30 (25) Primary care facilitator 1 (1) Ask a colleague 17 (14) BNF 39 (33) Phone microbiologist 33 (28) Other, please specify 4 (3) Total responses, n 119 What form of real time clinical advice on sexual health/STI would you find most helpful? Online electronic messaging service to lab consultants e.g. kinesis, email 45 (42) Advice embedded within electronic requesting (e.g. sample or test choice), or reporting (e.g. antibiotic choice) systems 88 (83) Information leaflet on the management of gonorrhoea 31 (29) Clinical advice by telephone on a positive result/confirmation 66 (62) Other, please specify 7 (7) Total responses, n 106 With reference to the management of patients with suspected gonorrhoea (ie, they have positive molecular NAAT test) do you … ? Refer all patients 83 (81) Refer only complicated cases of infection to a GUM clinic 16 (16) Treat all patients at surgery 4 (4) Total responses, n 103 BNF = British National Formulary. GUM = genito-urinary medicine. HIV= human immunodeficiency virus. NAAT = nucleic acid amplification test. STI = sexually transmitted infection.
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The management of sexually transmitted infections: a scoping survey in primary care
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