Improving chlamydia knowledge should lead to increased chlamydia testing among Australian general practitioners: a cross-sectional study of chlamydia testing uptake in general practiceReportar como inadecuado




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BMC Infectious Diseases

, 14:584

Sexually transmitted diseases

Abstract

BackgroundFemale general practitioners GPs have higher chlamydia testing rates than male GPs, yet it is unclear whether this is due to lack of knowledge among male GPs or because female GPs consult and test more female patients.

MethodsGPs completed a survey about their demographic details and knowledge about genital chlamydia. Chlamydia testing and consultation data for patients aged 16-29 years were extracted from the medical records software for each GP and linked to their survey responses. Chi-square tests were used to determine differences in a GP’s knowledge and demographics. Two multivariable models that adjusted for the gender of the patient were used to investigate associations between a GP and their chlamydia testing rates ― Model 1 included GPs’ characteristics such as age and gender, Model 2 excluded these characteristics to specifically examine any associations with knowledge.

ResultsFemale GPs were more likely than male GPs to know when to re-test a patient after a negative chlamydia test 18.8% versus 9.7%, p = 0.01, the correct symptoms suggestive of PID 80.5% versus 67.8%, p = 0.01 and the correct tests for diagnosing PID 57.1% versus 42.6%, p = 0.01. Female GPs tested 6.5% of patients, while male GPs tested 2.2% p < 0.01. Model 1 found factors associated with chlamydia testing were being a female GP OR = 2.5, 95% CI: 1.9, 3.3 and working in a metropolitan clinic OR = 3.2; 95% CI: 2.4, 4.3. Model 2 showed that chlamydia testing increased as knowledge of testing guidelines improved 3-5 correct answers – AOR = 2.0, 95% CI: 1.0, 4.2; 6+ correct answers – AOR = 2.9, 95% CI: 1.4, 6.2.

ConclusionsHigher rates of chlamydia testing are strongly associated with GPs who are female, based in a metropolitan clinic and among those with more knowledge of the recommended guidelines. Improving chlamydia knowledge among male GPs may increase chlamydia testing.

KeywordsChlamydia testing General practice Sexual health knowledge General practitioner education AbbreviationsGPGeneral practitioner

PIDPelvic inflammatory disease

RACGPRoyal Australian College of General Practitioners

Electronic supplementary materialThe online version of this article doi:10.1186-s12879-014-0584-2 contains supplementary material, which is available to authorized users.

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Autor: Anna Yeung - Meredith Temple-Smith - Simone Spark - Rebecca Guy - Christopher K Fairley - Matthew Law - Anna Wood - Kirsty

Fuente: https://link.springer.com/







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