{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T10:34:51Z","timestamp":1763807691632,"version":"build-2065373602"},"reference-count":26,"publisher":"CSIRO Publishing","issue":"2","license":[{"start":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T00:00:00Z","timestamp":1754524800000},"content-version":"vor","delay-in-days":535,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Australian Department of Health"},{"DOI":"10.13039\/100008561","name":"Burnet Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008561","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT1042907, GNT1172873, GNT1194322"],"award-info":[{"award-number":["GNT1042907, GNT1172873, GNT1194322"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chlamydia remains the most notified bacterial sexually transmissible infection in Australia with guidelines recommending testing for re-infection at 3\u00a0months post treatment. This paper aimed to determine chlamydia retesting and repeat positivity rates within 2\u20134\u00a0months among young women in Australia, and to evaluate what factors increase or decrease the likelihood of retesting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Chlamydia retesting rates among 16\u201329-year-old women were analysed from Australian Collaboration for Coordinated Enhanced Sentinel Surveillance of sexually transmissible infection and bloodborne virus (ACCESS) sentinel surveillance data (n\u00a0=\u00a062 sites). Among women with at least one positive test between 1 January 2018 and 31 August 2022, retesting counts and proportions within 2\u20134\u00a0months were calculated. Logistic regression was performed to assess factors associated with retesting within 2\u20134\u00a0months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 8758 women who were positive before 31 August 2022 to allow time for follow up, 1423 (16.2%) were retested within 2\u20134\u00a0months, of whom 179 (12.6%) tested positive. The odds of retesting within 2\u20134\u00a0months were 25% lower if tested in a coronavirus disease 2019 (COVID-9) pandemic year (2020\u20132022) (aOR\u00a0=\u00a00.75; 95% CI 0.59\u20130.95). Among 9140 women with a positive test before 30 November 2022, 397 (4.3%) were retested too early (within 7\u00a0days to 1\u00a0month) and 81 (20.4%) of those were positive.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Chlamydia retesting rates remain low with around a sixth of women retested within 2\u20134\u00a0months in line with guidelines. Re-infection is common with around one in eight retesting positive. An increase in retesting is required to reduce the risk of reproductive complications and onward transmission.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh23178","type":"journal-article","created":{"date-parts":[[2024,2,19]],"date-time":"2024-02-19T01:38:42Z","timestamp":1708306722000},"source":"Crossref","is-referenced-by-count":1,"title":["Chlamydia retesting remains low among young women in Australia: an observational study using sentinel surveillance data, 2018\u20132022"],"prefix":"10.1071","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2296-7787","authenticated-orcid":true,"given":"Stephanie C.","family":"Munari","sequence":"first","affiliation":[{"name":"ADisease Elimination Program, Burnet Institute, Melbourne, Vic., Australia."},{"name":"BMelbourne School of Population and Global Health, University of Melbourne, Melbourne, Vic., Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna L.","family":"Wilkinson","sequence":"additional","affiliation":[{"name":"ADisease Elimination Program, Burnet Institute, Melbourne, Vic., Australia."},{"name":"BMelbourne School of Population and Global Health, University of Melbourne, Melbourne, Vic., Australia."},{"name":"CSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Vic., Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Asselin","sequence":"additional","affiliation":[{"name":"ADisease Elimination Program, Burnet Institute, Melbourne, Vic., Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louise","family":"Owen","sequence":"additional","affiliation":[{"name":"DStatewide Sexual Health Service, Tas and UTAS School of Medicine, Hobart, Tas., Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phillip","family":"Read","sequence":"additional","affiliation":[{"name":"ESouth Eastern Sydney Local Health District, Sydney, NSW, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Finlayson","sequence":"additional","affiliation":[{"name":"FTaylor Square Private Clinic, Sydney, NSW, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9325-1647","authenticated-orcid":true,"given":"Sarah","family":"Martin","sequence":"additional","affiliation":[{"name":"GCanberra Sexual Health Centre, Canberra, ACT, Australia."},{"name":"HAustralian National University, School of Medicine and Psychology, Canberra, ACT, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlotte","family":"Bell","sequence":"additional","affiliation":[{"name":"ICommunicable Disease Control Branch, Department of Health South Australia, Adelaide, SA, Australia."},{"name":"JAdelaide Sexual Health Centre and Royal Adelaide Hospital, Adelaide, SA, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine C.","family":"O\u2019Connor","sequence":"additional","affiliation":[{"name":"KThe Kirby Institute, Faculty of Medicine and Health, UNSW Sydney, Sydney, NSW, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2151-2622","authenticated-orcid":true,"given":"Allison","family":"Carter","sequence":"additional","affiliation":[{"name":"KThe Kirby Institute, Faculty of Medicine and Health, UNSW Sydney, Sydney, NSW, Australia."},{"name":"LAustralian Human Rights Institute, UNSW Sydney, Sydney, NSW, Australia."},{"name":"MFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Guy","sequence":"additional","affiliation":[{"name":"KThe Kirby Institute, Faculty of Medicine and Health, UNSW Sydney, Sydney, NSW, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3174-1242","authenticated-orcid":true,"given":"Anna","family":"McNulty","sequence":"additional","affiliation":[{"name":"NSydney Sexual Health Centre, Sydney, NSW, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0402-0506","authenticated-orcid":true,"given":"Rick","family":"Varma","sequence":"additional","affiliation":[{"name":"NSydney Sexual Health Centre, Sydney, NSW, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1766-0657","authenticated-orcid":true,"given":"Eric P. 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