RESUMO
The first national audit of the management of Chlamydia trachomatis was undertaken by non-consultant career grade doctors working in genitourinary (GU) medicine clinics in the UK. During the audit period of January--March 2004, 1670 data collection forms were completed (from 830 men and 840 women with chlamydia). In all, 99% (1647) were treated appropriately; 76% (1261) were followed up, of which 12% (154) required re-treatment; 71% (1186) were managed appropriately within four weeks and 942 partners (0.56 per index case) were managed satisfactorily within four weeks of the initial partner notification interview. Partner notification outcomes were significantly more successful when the index patient was followed up (P<0.0001). Outcome standards were not associated with age, gender or sexuality, but were significantly associated with ethnicity (P<0.004). GU medicine clinics are delivering high-quality care and evidence-based national outcome standards are being met.
Assuntos
Instituições de Assistência Ambulatorial , Infecções por Chlamydia/tratamento farmacológico , Chlamydia trachomatis , Auditoria Médica , Adolescente , Adulto , Infecções por Chlamydia/diagnóstico , Infecções por Chlamydia/epidemiologia , Busca de Comunicante , Feminino , Doenças Urogenitais Femininas , Humanos , Masculino , Doenças Urogenitais Masculinas , Auditoria Médica/normas , Pessoa de Meia-Idade , Resultado do Tratamento , Reino Unido/epidemiologiaRESUMO
Non-consultant career grade (NCCG) doctors perform a significant proportion of the clinical work in genitourinary medicine (GUM) and it is essential that their training and educational needs are met. Seven hundred questionnaires were posted to NCCGs in the UK to investigate whether employing trusts supported the educational needs of NCCG doctors by granting/funding study leave. A summary of the 220 replies (31% response) is presented. One hundred and twenty (55%) were not granted study leave to attend the 2002 national GUM NCCG conference. Study leave was less likely to be granted to those who held posts as clinical assistant or hospital practitioner and to those doctors who were working three or fewer sessions per week in GUM. It appears from our survey that many NCCG doctors who are seeing a significant proportion of the clinical workload in GUM are not supported by their employing trusts to keep up to date.
