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Detection or treatment: which outcome measure?
  1. I Simms1,
  2. H Mallinson2,
  3. J Hopwood3,
  4. A M C Webb4,
  5. K Fenton5,
  6. J Pimenta6
  1. 1Communicable Disease Surveillance Centre
  2. 2Liverpool Public Health Laboratory
  3. 3NHS Chlamydia Screening Pilot
  4. 4North Mersey Community NHS Trust
  5. 5Communicable Disease Surveillance Centre and Department of STDs, Royal Free and University College Medical School
  6. 6Communicable Disease Surveillance Centre
  1. Mr Ian Simms, PHLS Communicable Disease Surveillance Centre, 61 Colindale Avenue, London NW9 5EQ, UK

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Editor,—The report by Rogstad et al1 is a timely description of the problems associated with the management of patients diagnosed with genital chlamydial infection within and between established healthcare settings. The inappropriate or inadequate treatment, low rates of partner notification, and lack of referral to genitourinary medicine (GUM) clinic described were similar to the observations made in two recent studies. An investigation in Merseyside family planning clinics (FPC) showed that of 80 infected patients identified (n = 958) only 34% were treated within 1 month of diagnosis, 24% had no proof of treatment, …

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