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detection of chlamydia trachomatis in an australian high school student population.to assess the prevalence of chlamydia trachomatis infections among an australian high school adolescent population.200212238652
adolescence and other risk factors for chlamydia trachomatis genitourinary infection in women in melbourne, australia.to establish the prevalence of and risk factors for chlamydia trachomatis infection to determine the role of universal versus targeted testing.200312576611
discordance between trends in chlamydia notifications and hospital admission rates for chlamydia related diseases in new south wales, australia.in australia, notification rates for chlamydia have increased fourfold since the early 1990s. an increasing incidence of genital chlamydia trachomatis infection would be expected to lead to a rise in the incidence of chlamydia related diseases.200516061539
sexually transmitted infections, blood-borne viruses and risk behaviour in an australian senior high school population--the shlirp study.to determine the feasibility and acceptability of screening for sexually transmitted infections and blood-borne viruses and to study the profile of sexual activity and other risk behaviours in a senior high school population.200516402670
changes in testing methods for genital chlamydia trachomatis in new south wales, australia, 1999 to 2002.over the last decade, significant advances have occurred in the area of chlamydia diagnostics. the relative frequency of different testing methods employed in the diagnosis of chlamydia trachomatis infection in new south wales has not been previously reported.200516402674
an audit of contact tracing for cases of chlamydia in the australian capital territory.contact tracing is one of the central pillars of the management of sexually transmitted infections. the aims of this audit were to determine the yield of chlamydia infection from contact tracing the sexual partners of individuals diagnosed with chlamydia and to evaluate and compare the effectiveness of contact tracing undertaken at the communicable diseases control section (cdcs) of australian capital territory (act) health and the canberra sexual health centre (the clinic).200516402675
what do you get when you fall in love?: warehouse youth health centre chlamydia audit.the aim of the chlamydia audit was to determine the rate of positive diagnosis of chlamydia trachomatis in young people aged 12 to 25 years of age who were tested at the warehouse youth health centre, sydney, australia, in 2001 and to review current practice relating to chlamydia testing.200416499243
chlamydia trachomatis infection among antenatal women in sydney. 200616502959
chlamydia trachomatis infection in the family planning clinical setting across new south wales.following a small pilot study in 2003, a study was set up to determine the prevalence of genital chlamydia trachomatis infection in young women presenting to family planning nsw centres across new south wales and to evaluate the characteristics of those infected.200616607970
an audit of contact tracing activities and records for chlamydia in an urban sexual health clinic.the national sexually transmissible infections strategy 2005-2008 emphasised the importance of control of chlamydia and recognised contact tracing as an important health tool for this. this paper reports on a recent audit of contact tracing conducted at the gold coast sexual health clinic.200616800400
prevalence of chlamydia trachomatis infection among 'high risk' young people in new south wales.international research on homeless adolescents has found that incidence and prevalence of sexually transmissible infections is relatively high. this study reports on a chlamydia prevalence survey conducted among high-risk young people (14-25 years) in new south wales. the participants were recruited from youth health centres, which target homeless and high-risk youth. of 333 clients (42.6% male), 84.1% were sexually active and mean number of sexual partners over the preceding 3 months was 1.4. a ...200617112436
lymphogranuloma venereum in australia: anorectal chlamydia trachomatis serovar l2b in men who have sex with men.lymphogranuloma venereum (lgv) is a sexually transmitted infection that is causing an ongoing epidemic in men who have sex with men (msm) in europe, the united kingdom, and north america. twenty-nine rectal swabs positive for chlamydia trachomatis were analyzed by real-time pcr for the presence of lgv serovars. genotyping revealed an identical l2b serovar from four specimens. all patients were msm and human immunodeficiency virus infected. three of the four presented with severe ulcerative proct ...200717251405
coverage is the key for effective screening of chlamydia trachomatis in australia.the rate of diagnosis of chlamydia trachomatis (chlamydia) infection has risen dramatically in australia. in response, the australian government is planning to implement systematic screening and testing. several decisions must be made, including whom to screen.200818588484
prevalence, incidence and risk factors for pharyngeal chlamydia in the community based health in men (him) cohort of homosexual men in sydney, australia.to determine the prevalence, incidence and risk factors for pharyngeal chlamydia trachomatis in the community based health in men (him) cohort of hiv negative homosexual men in sydney, australia.200818596068
screening pregnant women for chlamydia: what are the predictors of infection?to determine the risk factors associated with chlamydial infection in pregnancy and the sensitivity and specificity of these when used for selective screening.200918708481
multiplex pcr testing detection of higher-than-expected rates of cervical mycoplasma, ureaplasma, and trichomonas and viral agent infections in sexually active australian women.knowing the prevalence of potential etiologic agents of nongonococcal and nonchlamydial cervicitis is important for improving the efficacy of empirical treatments for this commonly encountered condition. we describe four multiplex pcrs (mpcrs), designated vdl05, vdl06, vdl07, and vdl09, which facilitate the detection of a wide range of agents either known to be or putatively associated with cervicitis, including cytomegalovirus (cmv), enterovirus (ev), epstein-barr virus (ebv), varicella-zoster ...200919261782
simultaneous identification of 14 genital microorganisms in urine by use of a multiplex pcr-based reverse line blot assay.the aim of this study was to develop and evaluate a sensitive method for the simultaneous identification of 14 urogenital potential pathogens. a multiplex pcr-based reverse line blot (mpcr/rlb) assay was developed to detect 14 urogenital pathogens or putative pathogens, namely trichomonas vaginalis, streptococcus pneumoniae, neisseria gonorrhoeae, chlamydia trachomatis, ureaplasma parvum, u. urealyticum, gardnerella vaginalis, haemophilus influenzae, herpes simplex virus type 1 (hsv1) and hsv2, ...200919357202
the c-project: use of self-collection kits to screen for chlamydia trachomatis in young people in a community-based health promotion project.the present study aimed to ascertain the acceptability to at-risk young people of self-collected urine samples as a means of testing for chlamydia trachomatis (chlamydia); to determine the effectiveness of drop-off and outreach collection methods as a means of detecting and treating chlamydia; and to determine the rate of positive chlamydia tests in a sample of the target group.200919457296
the check is in the mail: piloting a novel approach to chlamydia trachomatis testing using self-collected, mailed specimen.to develop, implement and evaluate the processes of a novel approach to chlamydia testing that is accessible, confidential, free of charge, easy to use, and allows for self-collection of specimens, their transportation by regular mail and the central management of results.200919457297
establishing a linked sentinel surveillance system for blood-borne viruses and sexually transmissible infections: methods, system attributes and early findings.to describe the attributes and key findings from implementation of a new blood-borne virus (bbv) and sexually transmissible infection (sti) sentinel surveillance system based on routine testing at clinical sites in victoria, australia.201021062582
role of the general practitioner in testing for genital chlamydia trachomatis infection: an analysis of enhanced surveillance data.to examine the relationship between genital chlamydia testing by healthcare providers and patient demographic characteristics in tasmania, australia, from 2001 to 2007.200919653957
mycoplasma genitalium in men who have sex with men at male-only saunas.to determine the prevalence and clinical associations of mycoplasma genitalium in urethral, rectal and pharyngeal specimens collected from men who have sex with men (msm) attending male-only saunas.200919254902
take the sex out of sti screening! views of young women on implementing chlamydia screening in general practice.australia is developing a chlamydia screening program. this study aimed to determine the attitudes of young women to the introduction of chlamydia screening in australian general practice.200818471280
genotyping of urogenital chlamydia trachomatis in regional new south wales, australia. 200818449071
contact tracing in a regional sexual health clinic: audit outcomes and implications for sexually transmissible infection control.to evaluate contact tracing outcomes in a regional sexual health clinic (shc) and to investigate contact tracing outcome measures.200718081581
maximising retention in a longitudinal study of genital chlamydia trachomatis among young women in australia.cohort studies are an important study design however they are difficult to implement, often suffer from poor retention, low participation and bias. the aims of this paper are to describe the methods used to recruit and retain young women in a longitudinal study and to explore factors associated with loss to follow up.201121385471
chlamydia trachomatis infection among antenatal women in remote far west new south wales, australia.background: a prospective, cross-sectional study was undertaken of pregnant women attending antenatal services in the remote far west of new south wales, australia, between october 2004 and may 2006. of 420 eligible women, 218 (52%) participated in the study. six women (2.7%; 95% ci: 1.0-5.9) tested positive for chlamydia trachomatis. the prevalence among pregnant, indigenous women (n = 44) was 9.1% (95% ci: 2.5-21.7). infection was significantly associated with indigenous status (p = 0.003) and ...200717524294
correlation of clinical trachoma and infection in aboriginal communities.trachoma is the leading infectious cause of blindness due to conjunctival infection with chlamydia trachomatis. the presence of active trachoma and evidence of infection are poorly correlated and a strong immunologically-mediated inflammatory response means that clinical signs last much longer than infection. this population-based study in five aboriginal communities endemic for trachoma in northern australia compared a fine grading of clinical trachoma with diagnostic positivity and organism lo ...201121423648
bug breakfast in the bulletin: genital chlamydia trachomatis infection. 201021426854
chlamydia trachomatis among antenatal women in sydney. 200616805050
the prevalence of genital chlamydia trachomatis in australia 1997-2004: a systematic review.to determine by systematic review the prevalence of genital chlamydial infection in australia between 1997 and 2004.200516335545
the tip of the iceberg: opportunistic screening for chlamydia trachomatis in asymptomatic patients attending a young people's health clinic reveals a high prevalence--a pilot study.we implemented an opportunistic screening programme for chlamydia trachomatis amongst patients presenting to a young peoples' health service in the city of geelong, australia, to define the prevalence of infection and to identify specific risk factors.200416334993
does living outside of a major city impact on the timeliness of chlamydia treatment? a multicenter cross-sectional analysis.timely treatment of chlamydia trachomatis infection reduces complications and onward transmission. we assessed client, process, and clinic factors associated with treatment delays at sexual health clinics in new south wales, australia.201627414683
chlamydia trachomatis infection in sydney women.in australia, reported rates of chlamydia trachomatis infection have been rising progressively since the mid-1990s. opportunistic testing of sexually active young women attending clinical services for other reasons has already been implemented in a number of other countries.200516171478
current priorities for adolescent sexual and reproductive health in australia.the sexual health needs of teenagers differ from those of adults. young sexually active teenagers are at high risk of chlamydia trachomatis genital infection and its complications. teenage pregnancy continues to be a problem in australia. current preventive strategies and clinical services in this domain of adolescent health in australia are deficient. australia can learn from the innovative and effective strategies developed in various countries for preventing high-risk sexual behaviours in tee ...200312885286
screening for chlamydia in general practice.to determine the prevalence of genital chlamydia trachomatis infection in young patients presenting to general practitioners and to evaluate selective screening, based on risk factors, including gender.200212189675
rising prevalence of genital chlamydia trachomatis infection in heterosexual patients at the sydney sexual health centre, 1994 to 2000.this study sought to investigate trends in the prevalence of genital chlamydia trachomatis infection in heterosexual patients attending an urban sexual health service. data from cases of c. trachomatis in all new self-referred heterosexual patients who were tested at the sydney sexual health centre from 1994 to 2000 were extracted from the centre's database. female sex workers and homosexually active men were excluded. over the study period the prevalence of c. trachomatis infection doubled from ...200211950204
the epidemiology of notified genital chlamydia trachomatis infection in victoria, australia: a survey of diagnosing providers.data on 259 notified cases of genital chlamydia infection diagnosed in victoria australia in january and february 1995 were augmented by call-back. risk factor data was available for 221. patients were primarily adolescents or young adults (median age 23 years); 66% were women. men were more commonly symptomatic. persons without symptoms were tested as a result of partner notification, sexual risk, termination of pregnancy, or because of abnormalities on genital examination. limitations of antig ...19979179649
the frequency of co-infection with neisseria gonorrhoeae and chlamydia trachomatis in men and women in eastern sydney.the frequency of simultaneous infection with neisseria gonorrhoeae and chlamydia trachomatis in men and women in eastern sydney was examined prospectively over a 21 month period in patients from whom appropriate specimens were obtained. in men gonococcal disease (113 cases) and chlamydial infections (124 cases) occurred in approximately equal frequencies, but there were only 4 instances (3.5%) where c. trachomatis was detected at the same time as n. gonorrhoeae. demographic data and phenotypic p ...19968714280
the epidemiology of genital chlamydial infection in south australia.all laboratory tests performed and medical reports received in south australia in 1990-1991 and screening results for chlamydia trachomatis at the central std clinic from 1988-1991 were analysed to clarify the epidemiology of genital chlamydial infection. from 70,494 laboratory tests in 1990-1991, 2449 (3.5%) infections were detected of which 2431 (99%) were also reported by clinicians. infections were detected in 1335 (6.4%) of 21,004 patients (71% of 29,401 attendees) screened at the central s ...19938399499
the prevalence of chlamydia trachomatis in a young, sexually-active population.a prospective study was carried out to determine the prevalence of chlamydia trachomatis among 1000 sexually-active women at the family planning association clinic in melbourne. this organism was isolated from the cervices of 5.1% of screened women. the women were surveyed about their sexual and gynaecological history, and symptoms of discharge or pain. it was found that women who gave positive results for the presence of chlamydia were younger, and had commenced intercourse at an earlier age. r ...19873501060
chlamydia trachomatis: the prevalence, trend and importance in initial infertility management.one thousand and five women, and 354 of their partners, attending an infertility clinic have been assessed for the presence of chlamydia trachomatis antibodies in their serum. the overall prevalence in women was 12.4% (125/1,005) but appeared to have increased over a 2-year period. a similar trend was not apparent for men and the prevalence was only 4.2% (15/354). of the 125 seropositive women 81 had their pelvis examined for the first time by laparoscopy. fifty seven had tubal disease of varyin ...19902147848
comparison of the vaginal flora in sexually abused and nonabused girls.the presence of sexually transmitted pathogens in the vagina of the sexually abused girl may provide direct evidence of sexual abuse; the presence of other abnormal vaginal organisms may provide indirect evidence of abuse. to identify abnormal vaginal organisms, we prospectively studied the flora of 209 sexually abused girls (cases) and compared it with that in a concurrent control group of 108 girls. case and control subjects were from the same community, were predominantly white, and 71% of ea ...19921593345
chlamydia at an inner metropolitan sexual health service in sydney, nsw: australian collaboration for chlamydia enhanced sentinel surveillance (access) project.australia has a widely dispersed network of public sexual health services that test large numbers of people from high prevalence populations for genital chlamydia trachomatis infection. these populations include young sexually active heterosexuals, men who have sex with men, sex workers and aboriginal and torres strait islander people. the australian collaboration for chlamydia enhanced sentinel surveillance (access) project was established to monitor chlamydia testing rates and positivity rates ...201021062590
lymphogranuloma venereum is rare in australian community-based samples of men who have sex with men.lymphogranuloma venereum (lgv) typing was performed on chlamydia-positive samples obtained in sydney, australia, between 2005 and 2007, from community-based cohorts of predominantly asymptomatic hiv-infected and -uninfected men who have sex with men. the number of chlamydia tests and follow-up for each cohort were as follows: 2082 (90.2% of eligible visits) over 2005.1 person-years (py) of follow-up in the hiv-uninfected cohort; and 521 (70.8% of eligible visits) over 320.2 py of follow-up in th ...201120625348
ureaplasma urealyticum is significantly associated with non-gonococcal urethritis in heterosexual sydney men.we investigated the prevalence of various genital organisms in 268 men with (cases) and 237 men without (controls) urethral symptoms/signs (urethral discharge, dysuria and/or urethral irritation) from two sexual health clinics in sydney between april 2006 and november 2007. the presence of urethral symptoms/signs was defined as non-gonococcal urethritis (ngu) for this study. specific aims were to investigate the role of ureaplasma urealyticum in ngu and the prevalence of mycoplasma genitalium in ...201020498103
'show me the money': financial incentives increase chlamydia screening rates among tertiary students: a pilot study.we hypothesise that text-messaging and financial incentives would increase tertiary student participation in chlamydia screening.201020152098
opportunistic screening for chlamydia in young men.information on prevalence of genital chlamydia trachomatis in young men attending australian general practices is scarce.200919893805
mycoplasma genitalium is associated with cervicitis and hiv infection in an urban australian sti clinic population.to investigate the prevalence of the genital mollicutes, mycoplasma genitalium (mg), mycoplasma hominis (mh), ureaplasma urealyticum (uu) and ureaplasma parvum (up), and their associations with cervicitis in a sexually transmitted infection (sti) clinic population. clinical correlates of mg infection were also assessed.201021071566
sex and sport: chlamydia screening in rural sporting clubs.chlamydia trachomatis is the most common notifiable disease in australia, mainly affecting those aged 15 to 29 years. testing rates are low in australia and considerably lower in rural areas, with access and confidentiality of sexual health services being problematic in rural and regional areas. this study aimed to determine the feasibility of establishing a pilot chlamydia testing outreach program among 16-25 year old males and females in rural victoria (australia) undertaken at local sporting ...200919470183
chlamydia trachomatis genotypes among men who have sex with men in australia.background:: chlamydia trachomatis is a common bacterial sexually transmitted infection in men who have sex with men (msm), although little is known about its distribution in australian msm communities. methods:: from 2004 to 2008, 612 consecutive c. trachomatis positive anal swab and urine samples were collected for genotyping and quantification from msm attending 2 sexual health centers (melbourne and sydney). results:: the most common serovars detected were d (35.2%), g (32.7%), and j (17.7%) ...201021085058
'the difference in determinants of chlamydia trachomatis and mycoplasma genitalium in a sample of young australian women'.differences in the determinants of chlamydia trachomatis ('chlamydia') and mycoplasma genitalium (mg) genital infection in women are not well understood.201121284887
a trial of the distribution of chlamydia self-collection postal specimen kits from australian community pharmacies. 201121371398
the prevalence of urogenital micro-organisms detected by a multiplex pcr-reverse line blot assay in women attending three sexual health clinics in sydney, australia.this study used a previously described multiplex pcr-based reverse line blot (mpcr/rlb) assay to assess the prevalence and distribution of 14 urogenital pathogens or putative pathogens, namely neisseria gonorrhoeae, chlamydia trachomatis, mycoplasma genitalium, mycoplasma hominis, trichomonas vaginalis, gardnerella vaginalis, ureaplasma parvum, ureaplasma urealyticum, neisseria meningitidis, streptococcus pneumoniae, haemophilus influenzae, herpes simplex virus types 1 and 2, and human adenoviru ...201121415210
prevalence of genital chlamydial infection among a community sample of young international backpackers in sydney, australia.we conducted a chlamydia prevalence study from january to june 2009 among a community sample of young international backpackers by recruiting at hostels in sydney, australia. participants completed a questionnaire; men provided a urine sample and women provided a self-collected vaginal swab, which were tested for chlamydia trachomatis dna by strand displacement amplification. we recruited 225 men (median age 24 years) and 207 women (median age 23 years). most (87%) of the travellers came from eu ...201121464454
chlamydia trachomatis serovars in community-based hiv-positive and hiv-negative men who have sex with men in sydney, australia.objectives there are few data on the distribution of specific chlamydia trachomatis serovars among men who have sex with men (msm) outside clinical settings. to investigate these patterns, serovar determination was performed on chlamydia-positive samples from two community-based cohort studies of hiv-positive and hiv-negative msm in sydney, australia. methods from january 2005 to june 2007 all positive c trachomatis pharyngeal, urine and anal samples were evaluated. the serovar of each c trachom ...201121813568
chlamydia trachomatis re-infections in a population-based cohort of women.objectivesre-infection with chlamydia may increase subsequent reproductive morbidity in women. the authors sought to identify characteristics associated with re-infection.methodsa cohort of all women aged 10-49 years with a notification of genital chlamydia in the australian state of new south wales during 1999-2008 was defined. probabilistic linkage was used to identify women with repeat notifications in the same period. the risk of repeat notification was examined according to age and other ch ...201122199135
chlamydia prevention indicators for australia: review of the evidence from new south wales.annual notifications of chlamydia (chlamydia trachomatis) diagnoses have increased steadily in australia in the last decade. to guide public health programs, we developed 10 national chlamydia prevention indicators and report on each indicator for new south wales (nsw).201222950949
increasing chlamydia diagnoses but little change in hospitalisations for ectopic pregnancy and infertility among women in new south wales from 2001 to 2008.as genital chlamydia (chlamydia trachomatis) notifications have increased in australia, time trends in hospitalisations for ectopic pregnancy and female infertility between 2001 and 2008 in new south wales (nsw), australia, and their relationship to trends in chlamydia notifications in women were assessed.201222877595
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