Increasing repeat chlamydia testing in Family Planning clinics depends on perception of value and availability of low-burden flexible reminder systems.

Abstract

Re‐infection after a chlamydia infection is common: 22% of young Australian women are re‐infected within 4‐5months (Walker, et al, 2012). Re‐infections increase the risk of pelvic inflammatory disease (PID) by 4‐6 fold (Bowring, et al, 2011). Retesting is an important strategy to detect re‐infection. Clinical guidelines note that repeat testing at least three months after a positive diagnosis be considered. AIM: To understand Australian Family Planning clinicians’ practices and perceptions of repeat chlamydia testing.CONCLUSION: Reminder systems to support repeat testing of positive chlamydia tests had been implemented in some FPCs, with low workload impact. It was too early for evaluation of clinical success. These FPCs could share locally developed systems and positive experiences with FPCs skeptical about their value. This may also enhance awareness of the clinical value of retesting and the consequences of re‐ infection. Audits may help determine if clients are indeed being caught through repeat visits and opportunistic testing.