{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T22:50:45Z","timestamp":1761519045545},"reference-count":10,"publisher":"BMJ","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sex Transm Infect"],"accepted":{"date-parts":[[2012,7,19]]},"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Re-screening after an initial positive test is a highly effective strategy to identify new<jats:italic>Chlamydia trachomatis<\/jats:italic>positive cases. Here, we evaluate adherence to international re-screening guidelines and the re-screening positive rates among sexual healthcare providers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Passive retrospective cohort data were obtained from our STI clinic (South Limburg, Netherlands) and from the public laboratory that performs the majority of<jats:italic>C trachomatis<\/jats:italic>tests (September 2006\u2013September 2010) conducted in the eastern South Limburg area. We assessed trends in re-screening after 3\u201312\u2005months among young (16\u201325-year-old) and older women and men and evaluated differences between providers using multivariate regression analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The positive rates in<jats:italic>C trachomatis<\/jats:italic>screening varied from 2\u20139% depending on the type of provider. At the STI clinic, subsequent re-screening was performed in 33% (382\/1144) of patients, and 19% of re-screening cases were positive (74\/382). Similar rates were observed for gynaecologists (re-screening 30%, 54\/178; re-screening positive rate 15%, 8\/51); re-screening rates were lower for general practitioners (23%, 144\/625, p&lt;0.01), but the positive rate in re-screening was similar (17%, 25\/144). At the STI clinic, the re-screening rate was higher for older females (p&lt;0.01) and older males (p&lt;0.01) than for young females. The re-screening rate for young male patients increased over time (p=0.04). General practitioners re-screened young women more often than young (p&lt;0.01) and older (p&lt;0.01) men.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Positive rates were high for all care providers when re-screening patients. However, re-screening practices are suboptimal and differ between providers, arguing for improved adherence to current<jats:italic>C trachomatis<\/jats:italic>control guidelines.<\/jats:p><\/jats:sec>","DOI":"10.1136\/sextrans-2011-050467","type":"journal-article","created":{"date-parts":[[2012,9,2]],"date-time":"2012-09-02T00:39:41Z","timestamp":1346546381000},"page":"25-27","source":"Crossref","is-referenced-by-count":17,"title":["Re-screening<i>Chlamydia trachomatis<\/i>positive subjects: a comparison of practices between an STI clinic, general practitioners and gynaecologists"],"prefix":"10.1136","volume":"89","author":[{"given":"Nicole H T M","family":"Dukers-Muijrers","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Genevieve A F S","family":"van Liere","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian J P A","family":"Hoebe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,9,1]]},"reference":[{"key":"2024051321031332000_89.1.25.1","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2006.022053"},{"key":"2024051321031332000_89.1.25.2","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1086\/648734","article-title":"Repeated Chlamydia trachomatis genital infections in adolescent women","volume":"201","author":"Batteiger","year":"2011","journal-title":"J Infect Dis"},{"key":"2024051321031332000_89.1.25.3","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2006.024059"},{"key":"2024051321031332000_89.1.25.4","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3181a2a933"},{"key":"2024051321031332000_89.1.25.5","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1097\/00007435-200202000-00001","article-title":"Incidence and repeat infection rates of Chlamydia trachomatis among male and female patients in an STD clinic: implications for screening and rescreening","volume":"29","author":"Rietmeijer","year":"2002","journal-title":"Sex Transm Dis"},{"key":"2024051321031332000_89.1.25.6","doi-asserted-by":"publisher","DOI":"10.1086\/652395"},{"key":"2024051321031332000_89.1.25.7","doi-asserted-by":"publisher","DOI":"10.1097\/01.olq.0000175416.15905.db"},{"key":"2024051321031332000_89.1.25.8","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.06225-11"},{"key":"2024051321031332000_89.1.25.9","first-page":"45","article-title":"STD Treatment Guidelines","volume":"59","author":"Centers for Disease Control and Prevention (CDC)","year":"2010","journal-title":"MMWR Recomm Rep"},{"key":"2024051321031332000_89.1.25.10","doi-asserted-by":"publisher","DOI":"10.1258\/ijsa.2010.010302"}],"container-title":["Sexually Transmitted Infections"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/sextrans-2011-050467","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T04:40:06Z","timestamp":1715661606000},"score":1,"resource":{"primary":{"URL":"https:\/\/sti.bmj.com\/lookup\/doi\/10.1136\/sextrans-2011-050467"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,9,1]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2013,1,21]]},"published-print":{"date-parts":[[2013,2]]}},"alternative-id":["10.1136\/sextrans-2011-050467"],"URL":"https:\/\/doi.org\/10.1136\/sextrans-2011-050467","relation":{},"ISSN":["1368-4973","1472-3263"],"issn-type":[{"value":"1368-4973","type":"print"},{"value":"1472-3263","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,9,1]]}}}