Chlamydia Audit 2005

1
Chlamydia Audit 2005

• Have We Improved Management?
• Liz Harwood, Christopher Fernandez and John
  Watson

2
Introduction

• Mayday final clinic in SWAGNET to implement NAAT
  testing in June 2005
• TMA technology using the Aptima Combo 2 assay
• Pre NAAT why not toss a coin rather than get
  tested?
• Concerned that quality of care would suffer with
  increase workload

3
Chlamydia at Mayday pre and post NAATs
4
Introduction -2

• Comparison of management of chlamydia in 2004 and
  2005 in Mayday GUM
• First 80 episodes from July 2005 after NAATS test
  introduced
• 81 episodes previous audit

5
Demographics - Ethnicity
N82
N81
6
Demographics - Age
7
KC60 Code

• 2005
• 88.3 C4a
• 1.3 C4b
• 10.4 C4e

• 2004
• All coded C4a

8
Concurrent Infection

• 2004 14.8 (12) GC
• 3.7 (3) had TV
• 2005 17.5 (14) GC
• 5 (4) had TV

9
Pregnancy

• 2004
• 6.2 pregnant
• 13.6 NR
• 2005
• 7.4 pregnant
• 28.4 NR

• 28 patients pregnant or at risk of pregnancy. Of
  these 6 still given doxy

10
Treatment - 1
11
Treatment - 2

• In 2004 all patients given correct dose and
  duration of treatment
• In 2005 Correct dose not recorded in 11.1
• Correct duration not recorded in 1.2 in 2005

12
Time between Diagnosis and Treatment
13
Patient Advised No Sex

• 2004 - 62.3 advised no SI during treatment
• 2005 - only 58.2 advised no SI during treatment

14
New Fields

• PID diagnosed in 2.5 (2/80)

15
Conclusions

• Generally did not show any improvement in
  management
• Continued short times to treatment and no missed
  cases
• Deterioation in coding
• Deterioation in dose recording and recording LMP
• Continued Poor recording of sexual advice info