Description

An important part of controlling a sexually transmitted disease like gonorrhoea is to identify and treat all of the involved contacts, starting from the index patient. This requires adequate personnel and resources as well as a standard protocol. The authors are from the United Kingdom, and the standards were developed as part of the National Audit Development Programme in Sexual Health.


 

NOTE: The article listed 12 standards. I have separated these into groups. The original standard number if given with each item.

 

General Administration:

(11) Documentation should be accurate and complete.

(12) The use of contact slips should be encouraged. When handed in by a patient, they should be returned to the issuing clinic.

 

Health Adviser (Public Health Nurse, etc.):

(1) Each clinic should have an adequate provision of health adviser time.

(2) The health advisers should have soundproof rooms for interviewing patients, and sufficient administrative support.

(7) There should be a protocol for the work of health advisers. This will have been negotiated between the health adviser and doctor.

 

Patient Evaluation:

(4) All patients diagnosed with gonorrhoea should be referred to a health adviser at the time of treatment.

(5a) Failure or refusal to see a health adviser should be documented.

(8) Each clinic should have a protocol for recalling patients with an untreated infection.

 

Partner Notification:

(3) All patients diagnosed with gonorrhoea should have partner notification raised with them at the time of treatment.

(5b) If the patient fails or refuses to see a health adviser, then partner notification should then be undertaken by a doctor.

(10) Partner notification should be followed up and documented at subsequent visits.

 

Contact Identification and Management:

(6) A full sexual history of the index patient needs to be obtained for the relevant period including the types of contact and condom use.

(9) There should be a documented discussion on the action taken (and the implications of this) for each sexual contact, e.g., whether there is patient referral, provider referral, contact referral or no referral.

 


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