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Best Tests March 2006

Including: Full colour PDF of ‘best tests’ September 2006. Tiredness PDF

Chlamydia update

Epidemiological data on Chlamydia trachomatis infection in New Zealand suggests we are well behind other OECD countries in the control of this infection.

Chlamydia is the most commonly reported STI in New Zealand. In areas with complete laboratory data (Auckland, Waikato, and Bay of Plenty), the rates of Chlamydia are six times higher than reported in Australia, and four times higher than reported in the UK (excluding Scotland). Those at risk include people < 25 years old, those with a new sexual partner in the last 12 months, lack of barrier contraception and use of oral contraceptives, and women undergoing termination of pregnancy.

  • For women undergoing a vaginal examination an endocervical +/- urethral swab is used. Remove excess mucus before inserting the swab inside the cervical os and firmly rotating against the endocervix.
  • Otherwise, for women a first void early morning urine specimen for nucleic acid testing will detect urethral infections.
  • For men either a first void early morning urine (which is less traumatic) or urethral swab (insert 1-4 cm inside and rotate once) are appropriate.

http://www.hpa.org.uk/infections/topics_az/primary_care_guidance/chlamydia_guide_270105.pdf