{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T03:37:52Z","timestamp":1772163472148,"version":"3.50.1"},"reference-count":27,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2013,11,13]]},"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>In the Netherlands, sexually transmitted infection (STI) care is provided by general practitioners (GPs) as well as by specialised STI centres. Consultations at the STI centres are monitored extensively, but data from the general practice are limited. This study aimed to examine STI consultations in the general practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective observational patient survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>General practices within the nationally representative Dutch Sentinel GP network (n=125\u2005000 patient population), 2008\u20132011.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome measures<\/jats:title>\n                    <jats:p>GPs were asked to fill out a questionnaire at each STI consultation addressing demographics, sexual behaviour and laboratory test results. Patient population, testing practices and test positivity are reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Patients attending a consultation concerning an STI\/HIV-related issue.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 1 in 250 patients\/year consulted their GP for STI\/HIV-related problems. Consultations were concentrated among young heterosexuals of Dutch origin. Laboratory testing was requested for 83.3% of consultations. Overall consult positivity was 33.4%, highest for chlamydia (14.7%), condylomata (8.7%) and herpes (6.4%). 32 of 706 positive patients (4.5%) were diagnosed with multiple infections. Main high-risk groups were patients who were &lt;25\u2005years old (for chlamydia), &gt;25\u2005years old (syphilis), men who have sex with men (MSM; for gonorrhoea\/syphilis\/HIV) or having symptoms (for any STI). Adherence to guideline-recommendations to test for multiple STI among high-risk groups varied from 15% to 75%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study found that characteristics of patients who consulted a GP for STIs were comparable to those of patients attending STI centres regarding age and ethnicity; however, consultations of high-risk groups like MSM and (clients of) commercial sex workers were reported less by the general practice. Where the STI centres routinely test all patients for chlamydia\/syphilis\/HIV\/gonorrhoea, GPs tested more selectively, even more restricted than advised by GP guidelines. Test positivity was, therefore, higher in general practice, although it is unknown how many STIs are missed (particularly among high-risk groups). Opportunities for a more proactive role in STI\/HIV testing at general practices in line with current guidelines should be explored.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2013-003687","type":"journal-article","created":{"date-parts":[[2013,12,31]],"date-time":"2013-12-31T20:13:17Z","timestamp":1388520797000},"page":"e003687","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":26,"title":["Consultations for sexually transmitted infections in the general practice in the Netherlands: an opportunity to improve STI\/HIV testing"],"prefix":"10.1136","volume":"3","author":[{"given":"Suzan C M","family":"Trienekens","sequence":"first","affiliation":[{"name":"Epidemiology and Surveillance Unit, National Institute for Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingrid V F","family":"van den Broek","sequence":"additional","affiliation":[{"name":"Epidemiology and Surveillance Unit, National Institute for Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e9 A","family":"Donker","sequence":"additional","affiliation":[{"name":"Epidemiology and Surveillance Unit, National Institute for Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan E A M","family":"van Bergen","sequence":"additional","affiliation":[{"name":"Epidemiology and Surveillance Unit, National Institute for Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, The Netherlands"},{"name":"STI AIDS Netherlands, Amsterdam, The Netherlands"},{"name":"Faculty of Medicine, Academic Medical Center, Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marianne A B","family":"van der Sande","sequence":"additional","affiliation":[{"name":"Epidemiology and Surveillance Unit, National Institute for Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, The Netherlands"},{"name":"Julius Center, University of Utrecht, Utrecht, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,12,30]]},"reference":[{"key":"2025121422111944000_3.12.e003687.1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-10-89"},{"key":"2025121422111944000_3.12.e003687.2","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1186\/1471-2296-12-72","article-title":"Usefulness of primary care electronic networks to assess the incidence of chlamydia, diagnosed by general practitioners","volume":"12","author":"Suijkerbuijk","year":"2011","journal-title":"BMC Fam Pract"},{"key":"2025121422111944000_3.12.e003687.3","doi-asserted-by":"publisher","DOI":"10.1258\/095646207781024883"},{"key":"2025121422111944000_3.12.e003687.4","first-page":"636","article-title":"Standard of the National Society for General Practice: the STI consultation [NHG-Standaard: Het soa-consult].","volume":"47","author":"van Bergen","year":"2004","journal-title":"Huisarts en Wetenschap"},{"key":"2025121422111944000_3.12.e003687.5","unstructured":"STI guideline for general practitioners online (NHG standaard). http:\/\/nhg.artsennet.nl\/kenniscentrum\/k_richtlijnen\/knhgstandaarden\/NHGStandaard\/M82_std.htm (accessed Nov 2012)."},{"key":"2025121422111944000_3.12.e003687.6","unstructured":"Training and continuing education on STI consultations for general practitioners. http:\/\/www.soaaids-professionals.nl\/training_scholing\/online_consult (accessed Nov 2012)."},{"key":"2025121422111944000_3.12.e003687.7","unstructured":"Trienekens SCM Vriend HJ Koedijk FDH . 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Rutgers Nisso Group 2010. http:\/\/www.rutgerswpf.nl\/article\/onderzoekspublicatie-seksuele-gezondheid-nederland-2009 (accessed Oct 2012)."},{"key":"2025121422111944000_3.12.e003687.11","unstructured":"Centraal Bureau voor de Statistiek. Bevolking; kerncijfers. http:\/\/statline.cbs.nl\/StatWeb\/publication\/?VW=T&DM=SLNL&PA= 37296ned&D1=a&D2=0,10,20,30,40,50,60,(l-1),l&HD=130605-0924&HDR=G1&STB=T (accessed Nov 2012)."},{"key":"2025121422111944000_3.12.e003687.12","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1017\/S0950268811001336","article-title":"Comparing two definitions of ethnicity for identifying young persons at risk for chlamydia","volume":"140","author":"Haasnoot","year":"2012","journal-title":"Epidemiol Infect"},{"key":"2025121422111944000_3.12.e003687.13","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2012-001834"},{"key":"2025121422111944000_3.12.e003687.14","unstructured":"De Graaf H Kruijer H van Acker J . 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