11th Annual Conference Of The British HIV Association [BHIVA]


20–23 April 2005, Burlington Hotel·Dublin·Ireland


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[TITLE:] FREE AVAILABILITY OF POSTAL TESTING KITS FOR CHLAMYDIA IN COLLEGES OF FURTHER EDUCATION AS AN ALTERNATIVE TO NURSE-LED CLINICS: A PROSPECTIVE CROSSOVER INTERVENTION TRIAL

[AUTHOR(S):] DJ Clutterbuck, K Carrick-Anderson, K Allison, GR Scott, L McKay
Healthy Respect, Lothian Health Board, Lothian, UK

BHIVA Conf 2005 Apr 20-23;10:O2


Three models of testing and treatment for chlamydial infection in students attending four FE colleges in Lothian, SE Scotland were compared in a prospective crossover intervention trial as part of the 'Healthy Respect' health demonstrator project. Part-time nurse-led clinics were compared over two consecutive academic years with the use of postal testing kits, distributed either under supervision by trained non-healthcare staff or freely available from distribution points. 316 tests for chlamydia were carried out, 65% in women and 35% in men. Chlamydia prevalence in those tested on site was the same as that detected by postal testing (11.6% (14/121) vs 12.3% (24/195), χ2=0.04; P>0.05). Treatment rate was 100% and contact details were obtained in all cases. Free distribution of postal testing kits generated a lower percentage return rate than supervised distribution (15% (157/891) vs 25% (38/152), χ2=9.07; P=0.026) but results in a greater number of students being tested. Although all methods were successful in accessing men for testing, postal testing kits carried no additional advantage over clinics. Free distribution of postal testing kits detects a greater number of infections than alternative models with comparable outcomes but reduced manpower requirements.

PRESENTING AUTHOR: DJ Clutterbuck

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2005-04-20
O2

Copyright © 2005 - British HIV Association (BHIVA) Reproduction of this abstract (other than one copy for personal reference) must be cleared through the BHIVA Organising Secretariat 1 Mountview Court, 310 Friern Barnet Lane, London N20 0LD