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• W2158458739 abstract "<h3>Abstract</h3> <b>Objective</b> To evaluate the effectiveness of a practice nurse led strategy to improve the notification and treatment of partners of people with chlamydia infection. <b>Design</b> Randomised controlled trial. <b>Setting</b> 27 general practices in the Bristol and Birmingham areas. <b>Participants</b> 140 men and women with chlamydia (index cases) diagnosed by screening of a home collected urine sample or vulval swab specimen. <b>Interventions</b> Partner notification at the general practice immediately after diagnosis by trained practice nurses, with telephone follow up by a health adviser; or referral to a specialist health adviser at a genitourinary medicine clinic. <b>Main outcome measures</b> Primary outcome was the proportion of index cases with at least one treated sexual partner. Specified secondary outcomes included the number of sexual contacts elicited during a sexual history, positive test result for chlamydia six weeks after treatment, and the cost of each strategy in 2003 sterling prices. <b>Results</b> 65.3% (47/72) of participants receiving practice nurse led partner notification had at least one partner treated compared with 52.9% (39/68) of those referred to a genitourinary medicine clinic (risk difference 12.4%, 95% confidence interval −1.8% to 26.5%). Of 68 participants referred to the clinic, 21 (31%) did not attend. The costs per index case were £32.55 for the practice nurse led strategy and £32.62 for the specialist referral strategy. <b>Conclusion</b> Practice based partner notification by trained nurses with telephone follow up by health advisers is at least as effective as referral to a specialist health adviser at a genitourinary medicine clinic, and costs the same. <b>Trial registration</b> Clinical trials: NCT00112255." @default.
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• W2158458739 date "2005-12-15" @default.
• W2158458739 modified "2023-10-02" @default.
• W2158458739 title "Partner notification of chlamydia infection in primary care: randomised controlled trial and analysis of resource use" @default.
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• W2158458739 doi "https://doi.org/10.1136/bmj.38678.405370.7c" @default.
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