{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T05:24:29Z","timestamp":1782797069782,"version":"3.54.5"},"reference-count":39,"publisher":"CSIRO Publishing","issue":"6","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":3234,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,11,28]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Extremely high rates of diagnosis of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) have been recorded in remote communities across northern and central Australia. Re-testing at 3 months, after treatment administered, of CT or NG is recommended to detect repeat infections and prevent morbidity and ongoing transmission. Methods: Baseline CT and NG laboratory data (2009\u20132010) from 65 remote health services participating in a cluster randomised trial was used to calculate the proportion of individuals re-tested after an initial CT or NG diagnosis at &amp;lt;2 months (not recommended), 2\u20134 months (recommended) and 5\u201312 months and the proportion with repeat positivity on re-test. To assess if there were difference in re-testing and repeat positivity by age group and sex, t-tests were used. Results: There was a total of 2054 people diagnosed with CT and\/or NG in the study period; 14.9% were re-tested at 2\u20134 months, 26.9% at 5\u201312 months, a total of 41.8% overall. Re-testing was higher in females than in males in both the 2\u20134-month (16.9% v. 11.5%, P &amp;lt; 0.01) and 5\u201312-month (28.9% v. 23.5%, P = 0.01) periods. Women aged 25\u201329 years had a significantly higher level of re-testing 5\u201312 months post-diagnosis than females aged 16\u201319 years (39.8% v. 25.4%, P &amp;lt; 0.01). There was a total of 858 people re-tested at 2\u201312 months and repeat positivity was 26.7%. There was higher repeat NG positivity than repeat CT positivity (28.8% v. 18.1%, P &amp;lt; 0.01). Conclusions: Just under half the individuals diagnosed with CT or NG were re-tested at 2\u201312 months post-diagnosis; however, only 15% were re-tested in the recommended time period of 2\u20134 months. The higher NG repeat positivity compared with CT is important, as repeat NG infections have been associated with higher risk of pelvic inflammatory disease-related hospitalisation. Findings have implications for clinical practice in remote community settings and will inform ongoing sexual health quality improvement programs in remote community clinics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh16025","type":"journal-article","created":{"date-parts":[[2018,10,15]],"date-time":"2018-10-15T23:22:11Z","timestamp":1539645731000},"page":"568-574","source":"Crossref","is-referenced-by-count":10,"title":["High chlamydia and gonorrhoea repeat positivity in remote Aboriginal communities 2009\u20132011: longitudinal analysis of testing for re-infection at 3 months suggests the need for more frequent screening"],"prefix":"10.1071","volume":"13","author":[{"given":"Linda","family":"Garton","sequence":"first","affiliation":[{"name":"ACentre for Disease Control, Department of Health, PO Box 40596, Casuarina, NT 0811, Australia."},{"name":"BKirby Institute, University of New South Wales (UNSW), Sydney, NSW 2052, Australia."},{"name":"HCorresponding author. Email: linda.garton@nt.gov.au"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amalie","family":"Dyda","sequence":"additional","affiliation":[{"name":"BKirby Institute, University of New South Wales (UNSW), Sydney, NSW 2052, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Guy","sequence":"additional","affiliation":[{"name":"BKirby Institute, University of New South Wales (UNSW), Sydney, NSW 2052, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bronwyn","family":"Silver","sequence":"additional","affiliation":[{"name":"CMenzies School of Health Research, PO Box 41096, Casuarina, Darwin, NT 0811, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Skye","family":"McGregor","sequence":"additional","affiliation":[{"name":"BKirby Institute, University of New South Wales (UNSW), Sydney, NSW 2052, 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