{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T20:57:04Z","timestamp":1763499424538,"version":"3.45.0"},"reference-count":27,"publisher":"CSIRO Publishing","issue":"2","license":[{"start":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T00:00:00Z","timestamp":1747785600000},"content-version":"vor","delay-in-days":2582,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,6,28]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION<\/jats:title>\n                    <jats:p>Bacterial sexually transmitted infections (STIs) contribute to a significant burden of ill-health despite being easy to diagnose and treat. STI management guidelines provide clinicians with evidence-based guidance on best-practice case management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>AIM<\/jats:title>\n                    <jats:p>To determine the extent of adherence to STI management guidelines for partner notification, follow up and testing for reinfection following diagnosis of Chlamydia trachomatis and Neisseria gonorrhoeae.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Retrospective review of electronic patient records for individuals diagnosed with chlamydia or gonorrhoea in eight primary care clinics in Wellington, New Zealand. At each clinic, 40 clinical records were reviewed (320 in total). Outcome measures were: overall numbers (%) of cases with documented evidence of reason for testing, sexual history, treatment, advice, partner notification and follow up. Partner notification outcomes were: n (%) with evidence of partner notification discussion and n (%) with partners advised, tested and treated. Proportions retested between 6 weeks and 6 months and n (%) positive on retesting were also determined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Presenting features and treatment were generally well documented. Recent sexual history including number of partners was documented for half of cases reviewed (159\/320). Partner notification discussion was documented for 74% (237\/320) of cases, but only 24.4% (78\/320) had documentation on numbers of partners notified and 17% (54\/320) on numbers of partners treated. Testing for reinfection between 6 weeks and 6 months occurred for 24.7% (79\/320), of whom 19% (15\/79) re-tested positive.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>This research suggests there are gaps in important aspects of patient care following bacterial STI diagnosis \u2013 a factor that may be perpetuating our high rates of infection. A more systematic approach will be needed to ensure people diagnosed with an STI receive the full cycle of care in line with best practice guidelines.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/hc17025","type":"journal-article","created":{"date-parts":[[2018,9,16]],"date-time":"2018-09-16T20:25:11Z","timestamp":1537129511000},"page":"132-139","source":"Crossref","is-referenced-by-count":8,"title":["Partner notification and retesting for Chlamydia trachomatis and Neisseria gonorrhoeae: a case-note review in New Zealand primary care"],"prefix":"10.1071","volume":"10","author":[{"given":"Sally B.","family":"Rose","sequence":"first","affiliation":[{"name":"ADepartment of Primary Health Care and General Practice, University of Otago, Wellington South, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan M.","family":"Garrett","sequence":"additional","affiliation":[{"name":"ADepartment of Primary Health Care and General Practice, University of Otago, Wellington South, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Kennedy","sequence":"additional","affiliation":[{"name":"BWellington Sexual Health Service, Te Aro, Wellington, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kim","family":"Lund","sequence":"additional","affiliation":[{"name":"BWellington Sexual Health Service, Te Aro, Wellington, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah","family":"Hutchings","sequence":"additional","affiliation":[{"name":"BWellington Sexual Health Service, Te Aro, Wellington, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Boyle","sequence":"additional","affiliation":[{"name":"BWellington Sexual Health Service, Te Aro, Wellington, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan R. H.","family":"Pullon","sequence":"additional","affiliation":[{"name":"ADepartment of Primary Health Care and General Practice, University of Otago, Wellington South, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2018,4,26]]},"reference":[{"unstructured":"Ministry of Health. Sexual and reproductive health. A resource book for New Zealand health care organisations. Wellington, New Zealand: Ministry of Health; 2003 [cited 2017 March 1]. Available from: https:\/\/www.health.govt.nz\/system\/files\/documents\/publications\/sexualreprohealthresource.pdf","key":"2025111814115330900_R1"},{"issue":"12","key":"2025111814115330900_R2","first-page":"370","article-title":"CDC Grand Rounds: Chlamydia prevention: Challenges and strategies for reducing disease burden and sequelae.","volume":"60","author":"Centers for Disease Control and Prevention (CDC)","year":"2011","journal-title":"MMWR Morb Mortal Wkly Rep."},{"key":"2025111814115330900_R3","doi-asserted-by":"publisher","first-page":"1771","DOI":"10.1016\/0002-9378(91)90559-A","article-title":"Genital chlamydial infections: Epidemiology and reproductive sequelae.","volume":"164","author":"Cates","year":"1991","journal-title":"Am J Obstet Gynecol."},{"issue":"11","key":"2025111814115330900_R4","doi-asserted-by":"publisher","first-page":"1004","DOI":"10.1097\/OLQ.0b013e31822b0bed","article-title":"A prospective study of the psychosocial impact of a positive Chlamydia trachomatis laboratory test.","volume":"38","author":"Gottlieb","year":"","journal-title":"Sex Transm Dis. 2011;"},{"unstructured":"New Zealand Sexual Health Society. NZSHS STI Management Guidelines for use in primary care 2017. NZSHS; 2017 [cited 2017 November 11]. Available from: http:\/\/nzshs.org\/guidelines","key":"2025111814115330900_R5"},{"unstructured":"Ministry of Health. Chlamydia management guidelines. Wellington, New Zealand: Ministry of Health; 2008 [cited 2017 February 22]. Available from: http:\/\/www.moh.govt.nz\/notebook\/nbbooks.nsf\/0\/edfd568777f16125cc2574b600749353\/$FILE\/chlamydia-management-guidelines.pdf","key":"2025111814115330900_R6"},{"issue":"6","key":"2025111814115330900_R7","doi-asserted-by":"publisher","first-page":"314","DOI":"10.1016\/j.mpmed.2014.03.013","article-title":"Partner notification.","volume":"42","author":"Ward","year":"2014","journal-title":"Medicine."},{"issue":"1","key":"2025111814115330900_R8","doi-asserted-by":"publisher","first-page":"526","DOI":"10.1186\/s12879-017-2635-y","article-title":"Retesting and repeat positivity following diagnosis of Chlamydia trachomatis and Neisseria gonorrhoea in New Zealand: a retrospective cohort study.","volume":"17","author":"Rose","year":"2017","journal-title":"BMC Infect Dis."},{"issue":"5","key":"2025111814115330900_R9","doi-asserted-by":"publisher","first-page":"330","DOI":"10.1136\/sextrans-2011-050422","article-title":"Missed opportunities - low levels of chlamydia retesting at Australian general practices, 2008\u20132009.","volume":"88","author":"Bowring","year":"2012","journal-title":"Sex Transm Infect."},{"unstructured":"California Department of Public Health (CDPH). Sexually Transmitted Diseases (STD) Control Branch. Best practices for the prevention and early detection of repeat chlamydial and gonococcal infections: effective partner treatment and patient retesting strategies for implementation in California health care settings. CDPH; updated 2016 [cited 2017 November 24]. Available from: https:\/\/www.cdph.ca.gov\/Programs\/CID\/DCDC\/CDPH%20Document%20Library\/Best_Practices_for_Preventing_RepeatCT_Inf.pdf","key":"2025111814115330900_R10"},{"issue":"1","key":"2025111814115330900_R11","doi-asserted-by":"publisher","first-page":"425","DOI":"10.1186\/1471-2458-8-425","article-title":"What needs to change to increase chlamydia screening in general practice in Australia? 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