Screening For Chlamydia Trachomatis With Routine Pap Smears In General Practice: A Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$350,500.00
Summary
Genital chlamydia infection is the most commonly reported infectious disease in Australia. Notifications have increased three fold since 1995; five-fold in the ACT and surveillance data underestimate the true incidence of the disease in the community. Chlamydia is associated with immediate morbidity in men and women including urethritis, epididymo-orchitis, cervicitis, and pelvic pain and long-term complications including pelvic inflammatory disease, ectopic pregnancy and tubal factor infertilit ....Genital chlamydia infection is the most commonly reported infectious disease in Australia. Notifications have increased three fold since 1995; five-fold in the ACT and surveillance data underestimate the true incidence of the disease in the community. Chlamydia is associated with immediate morbidity in men and women including urethritis, epididymo-orchitis, cervicitis, and pelvic pain and long-term complications including pelvic inflammatory disease, ectopic pregnancy and tubal factor infertility. The economic costs of Chlamydial infection in Australia have been estimated to be as high as $160 million each year. In the ACT 73.8% of chlamydial infections occur in the 20-40 year old group. Between 60 and 70% of women in this age range participate in Pap screening every two years. While targeted screening for Chlamydia in women is effective in the US, there are few studies that investigate its value in an Australian setting. In this randomised controlled clinical trial we aim to test the novel hypothesis that the routine offer of chlamydia testing to women between 20 and 40 years who undergo Pap screening significantly increases the detection of Chlamydia in that population. This is the first randomised-controlled trial of its type and is an extension of a current non-randomised pilot study of linked Chlamydia-Pap screening in the primary care setting. The aim is to determine if the program can be incorporated more widely in the ACT. The study will: Measure the impact of linked chlamydia-Pap screening on chlamydia screening participation rates More accurately determine the epidemiology of genital chlamydial infection in this age group and social setting; Undertake an economic evaluation of this approach; Determine if promoting the Pap smear as an opportunity for chlamydial screening increases the uptake of Pap screening in younger women Aid in the development of a National Chlamydia Screening strategyRead moreRead less
Specificity Of Chlamydia Pneumoniae For Humans : Analysis Of Previous Cross-host Transmission Events And The Role Of Tryptophan Availability In Host Specificity
Funder
National Health and Medical Research Council
Funding Amount
$413,568.00
Summary
Chlamydia are major causes of sexually transmitted disease but they also cause respiratory disease (Chlamydia pneumoniae) which is widespread across Australia and indeed the whole world (80% of people have been infected at some time in their life). Recent results suggest that the respiratory infections in humans came from animals and in this project we aim to identify which animals might have transmitted this infection to humans and determine if there is a continuing risk. We also plan to determ ....Chlamydia are major causes of sexually transmitted disease but they also cause respiratory disease (Chlamydia pneumoniae) which is widespread across Australia and indeed the whole world (80% of people have been infected at some time in their life). Recent results suggest that the respiratory infections in humans came from animals and in this project we aim to identify which animals might have transmitted this infection to humans and determine if there is a continuing risk. We also plan to determine what defines animal versus human infections.Read moreRead less
Persistent Chlyamdial Infection In The Testes : Development Of A Successful Vaccine Strategy For Males
Funder
National Health and Medical Research Council
Funding Amount
$652,019.00
Summary
Males are a reservoir of infection and novel vaccine approaches to control Chlamydia infections in young men are needed urgently. This study will be essential for the development of interventions to control infection and will inform strategies for manipulating the immune system within the male reproductive tract that may be applied to other sexually transmitted pathogens. The studies will benefit the health and welfare of the Australian people under National Research Priority 2, promoting and ma ....Males are a reservoir of infection and novel vaccine approaches to control Chlamydia infections in young men are needed urgently. This study will be essential for the development of interventions to control infection and will inform strategies for manipulating the immune system within the male reproductive tract that may be applied to other sexually transmitted pathogens. The studies will benefit the health and welfare of the Australian people under National Research Priority 2, promoting and maintaining good health and a healthy start to life.Read moreRead less
An Evaluation Of The Impact Of A Chlamydia Testing Intervention On General Practitioner Knowledge, Attitudes And Chlamydia Testing Rates
Funder
National Health and Medical Research Council
Funding Amount
$84,800.00
Summary
Chlamydia trachomatis is a significant public health burden. Annual chlamydia testing is recommended for young people attending Australian general practice, and is required to reduce chlamydia prevalence, but testing rates remain low. This research will evaluate the impact of a chlamydia testing intervention on Australian general practitioners’ chlamydia testing rates, knowledge and attitudes. Findings will provide evidence to support future chlamydia control programs in Australia.