The management of Chlamydia trachomatis: combined community and hospital study.

Results Of the 3989 chlamydia tests requested (2237 GP, 537 FPC, and 115 hospital), 154 were positive (85 GP, 31 FPC, 38 hospital) giving prevalence rates in those tested of 3.6%, 5.8%, and 3.4% respectively. Data were available for analysis on 127 patients: 68 GP (64 F, 4M), 21 FPC (21F), and 38 hospital (33F, 5M) (see table 1). A doctor was more likely to give a positive result than another member of staV in a GP setting than FPC (p<0.05) or hospital (p<0.03). Many patients were not informed of their positive result and this was more likely in hospital (p<0.01) than GP settings with a trend for FPCs (p=0.085). Hospital patients were less likely to be referred to a GUM clinic than FPC attenders (p<0.05), with a trend for GP patients (p=0.068). Only one patient in the study refused referral. For patients referred to GUM clinics, treatment was more likely to be given for patients from hospital (p=0.05) or GP settings (p<0.01) than from FPCs and was frequently inadequate. None of the hospital patients referred were advised on abstinence from sexual intercourse. Thirty seven patients were not referred to GUM clinics and drug therapy was inadequate or not documented in the majority. Similarly, the majority had no partner notification or treatment of partners.