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Chlamydia Screening Programme

Background. Chlamydia TrichomalisChlamydia is a bacteriaReferences to chlamydia-like disease can be traced back in ancient Chinese and Egyptian manuscripts.Isolated from genital tract in 1959.Most commonly diagnosed Sexually Transmitted Infection in the UKTransmission = vaginal, anal and oral sexual intercourse, genital area to eye, vertical from mother to baby.Incubation period = 7

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Chlamydia Screening Programme

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    1. Chlamydia Screening Programme

    3. Towards a national screening programme in England 1995 Increases in chlamydia diagnoses (GUM KC60 returns) 1998 CMOs Expert Advisory Group Report 1999 Pilots held Portsmouth/Wirral 2001 National strategy for sexual health and HIV 2003 Phase 1: 10 programme areas 2004 Phase 2: 26 programme areas 2006 Phase 3: national roll out Anticipated full implementation during 2006/07 2007 Introduction of LDP data monitoring line

    4. Aim

    8. Local positive rates

    9. Total numbers screened July 2007 – March 2008

    10. Target age group

    11. Why target under 25s? Epidemiology Highest rates of chlamydia diagnoses seen in those under 25 years old Physiology Younger women more susceptible to infection with chlamydia at cervix Behaviour High rates of partner change Presentation (pathogenesis and presentation?) High rates of asymptomatic infection - undetected infection drives transmission

    12. Transmission Chlamydia can be transmitted during sex between men and women between men between women Transmission can occur during: vaginal sexual intercourse anal sexual intercourse oral-genital contact mutual touching sharing of sex toys Genital chlamydial infection may facilitate increased risk of HIV transmission Condoms should be used to minimise risk of sexual transmission Chlamydia can also be vertically transmitted – passed to baby during birth – which may result in neo-natal conjunctivitis or pneumonia

    13. Criteria for Screening

    14. Getting tested

    15. Taking The Test

    16. Using the Postal Chlamydia Kit.

    19. Notification of results

    20. Partner notification

    21. Treatment regimes

    22. Pathway

    23. Local programme

    24. Local leaflet

    25. Finally

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