Dhar, J.; Moussa, R.A.
June 2003
Sexually Transmitted Infections;Jun2003 Supplement 1, Vol. 79, pA11
Academic Journal
Introduction: Sexually transmitted infection (STI) rates continue to rise in the UK. The Sexual Health Strategy encourages testing for STIs at the community level. GU physicians may need to develop strategies locally for managing these cases, once they are identified. Method: A multidisciplinary working party in our region agreed on a care pathway for the management of patients diagnosed with an STI in general practice. This was implemented in 2001. Steps involved in the care pathway process were as follows: distribution of a patient information leaflet with every chlamydia swab kit provided to general practitioners (it advised patients that the Department of GUM would be notified of a positive result, and sought patient consent); laminated guide to all general practices with recommendations on who to screen, how to screen, appropriate medication and referral mechanisms; notification from local microbiology laboratory to the GUM department of all positive results identified in general practice; GUM contacting general practitioner if patient did not attend within two weeks of diagnosis; and GUM contacting patient directly. Result: An audit of the care pathway was undertaken over an 8 month period (February-September 2001). The results will be presented. Conclusion: Our data indicate that care pathways and their successful implementation require leadership, ownership, and communication. The present unsustainable workload in GU clinics and manpower limitations prevent successful implementation of such pathways unless necessary resources are provided and in place.


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