Management of Chlamydia cases and their partners: results from a home-based screening program organized by municipal public health services with referral to regular health care

Sex Transm Dis. 2005 Oct;32(10):625-9. doi: 10.1097/01.olq.0000175397.82962.d5.


Background: We evaluated the management of Chlamydia trachomatis cases and partners found in a systematic home-based chlamydia screening project in the Netherlands among 15- to 29-year-old women and men, organized by the Municipal Public Health Services (MHS).

Methods: Infected participants (165/8339 = 2%) were referred to regular curative services. The treating physician provided feedback on treatment and partner notification.

Results: Including the effect of a reminder, the treatment rate of all index cases was 91% (150/165); among persons with non-Dutch ethnicity, 81% (25/31). The majority of cases (82%) consulted the general practitioner for treatment as opposed to sexually transmitted disease/MHS clinics (18%). Eighty-five percent of cases were treated within 2 weeks. The confirmed treatment rate of partners in the last 6 months was 49% (86/176); 57% (81/141) for current versus 14% (5/35) for other partners. Patient referral was advised in an additional 18% (25/141) of current partners and in 9% (3/35) of other partners (potential treatment).

Conclusion: Home-based chlamydia screening and treatment through regular treatment facilities has proven to be effective in the Netherlands. The necessity of a reminder to increase treatment rate and the lower treatment rate in non-Dutch high-risk groups deserve attention. Low confirmed treatment rate of current partners carries the potential of reinfection, and patient-delivered treatment should be expanded.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Chlamydia Infections / epidemiology*
  • Chlamydia Infections / etiology
  • Chlamydia Infections / prevention & control*
  • Chlamydia trachomatis*
  • Family Characteristics
  • Female
  • Humans
  • Local Government
  • Male
  • Mass Screening / methods
  • Mass Screening / statistics & numerical data*
  • Netherlands / epidemiology
  • Patient Acceptance of Health Care* / ethnology
  • Public Health Administration
  • Referral and Consultation / organization & administration*
  • Sexual Partners*