OBJECTIVE: To assess the effectiveness of an outreach health adviser on treatment, partner notification and outcome for clients diagnosed with @entity1047 at a community young @entity1 's clinic. METHODS: From August 1999 to March 2000, a genitourinary medicine (GUM) based health adviser helped to develop testing and undertook outreach management of clients aged under 26 years diagnosed with @entity281 . In addition to facilitating referral to GUM, she gave antibiotic treatment based on a GUM derived @entity1 group direction to those not wishing to travel to the GUM clinic. She also advised them on contact tracing and the need for a compliance check (CC). RESULTS: Chlamydia positive tests with ligase chain reaction (LCR), on first void urine, were obtained for 62 (12.9%) of 481 female clients, one (5%) of 20 male clients, and nine (53%) of 17 male contacts of female positive cases. All 72 testing positive received their result and were treated. Two urine samples positive for CT showed positive LCR tests for gonorrhoea. Proportions of named contacts seen (67%) and reattendances for compliance checks (60%) were similar to those for @entity1 seen in GUM services. CONCLUSIONS: Health adviser input with the ability to treat can be effective in reducing the growth of identified but untreated @entity1047 consequent upon community based screening. Such a strategy appears comparable with, and can add to, GUM based treatment of @entity281 . It helps to address the need for alternative management strategies in the light of the national sexual health strategy.

Outreach health adviser in a community clinic screening programme improves management of XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'patient', 'people'] @entity281 :: ('MESH:D007239', 'Disease') :: ['CT infection', 'infection'] @entity1047 :: ('MESH:D002690', 'Disease') :: ['genital chlamydia infection', 'genital chlamydia (CT) infection']
@entity1047 :: (MESH:D002690,Disease) :: ['genital chlamydia infection']
