Chlamydia Management Guidelines
Chlamydia trachomatis is the most common treatable sexually transmissible infection acquired in New Zealand. An effective chlamydia management programme requires increased testing of those with known risk factors, along with prompt identification and treatment of their sexual contacts.
These guidelines provide recommendations for the opportunistic testing and treatment of Chlamydia trachomatis. The guidelines were developed by the Sexual Health Advisory Group in 2007 and went out for external consultation in January and February 2008. Submissions on the draft guidelines have been analysed and changes incorporated into the final guidelines.
The Ministry is planning to pilot implementation of the guidelines. The finer details of how and where the pilot will run are currently being worked through, but will be in areas where we already receive complete laboratory information. The pilot is expected to run for six months, from September 2008. The Ministry is working with ESR to investigate methods for eventual national laboratory data collection of total tests done.
The Ministry will use the information gained from the pilot to calculate a more accurate estimate of what the increase in testing may be for national implementation. As well as providing us with a more accurate estimate of what the increase in testing may be, the evaluation from the pilot will provide feedback on what is required to aid successful national implementation of the chlamydia guidelines.
Following analysis of the pilot, changes may be incorporated into the guidelines. Hard copies of the guidelines will be widely distributed nationally following analysis of the pilot. We anticipate that national distribution and implementation of the Chlamydia Management Guidelines will occur early in 2009. National implementation will include training and education for primary care practitioners.
A two-page summary of the recommendations is also available.