Table 2

Chlamydia testing strategies in high and low testing practices

	High testing practices	Low testing practices
Clinical scenarios when testing may be appropriate in at-risk groups
Opportunistic chlamydia swab taken with high vaginal swab	Always	Rarely
Investigation of intermenstrual or cervical bleeding	Considered chlamydia	Rarely considered chlamydia
Opportunistic chlamydia swab taken with cervical smear	Considered chlamydia	Never considered chlamydia
Men with urethritis	Considered chlamydia	Referred to GUM
Awareness and training in chlamydia and sexual health
Staff aware of symptoms and signs of chlamydia	Yes	No
Staff aware that chlamydia is often asymptomatic	Yes	No
Family planning trained nurses in practices	Yes	No
Perception of prevalence of chlamydia in practice population	Chlamydia present in their population	Chlamydia only an inner city problem