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O&G CasesGynaecological health — sexually transmitted infections

O&G Cases · Gynaecological health — sexually transmitted infections

STI screening and partner notification — clinic station

Communication and management clinic station on a positive chlamydia diagnosis: counselling, treatment with the verbatim first-line dose, partner notification including the PDPT option, and the retest-at-3-months plan. Includes assessor key and marking domains.

communication3 min readVerification in progress

Target exams

FRANZCOGMRCOGABOG
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Target exams

FRANZCOGMRCOGABOG
Prompt
A 23-year-old woman presents with postcoital bleeding and a mucopurulent vaginal discharge. Her chlamydia NAAT is positive; her other STI tests are negative. She has a new male partner of 3 months. You are the gynaecology registrar running the follow-up clinic; the consultant is available.

Station brief

Format. Communication and management clinic station, approximately 12 minutes. You are the gynaecology registrar. The patient is played by an actor; the assessor feeds results. [1]

Candidate instruction. Explain the diagnosis, prescribe the first-line treatment, initiate a partner notification conversation (offering patient referral, provider referral and patient-delivered partner therapy), and arrange follow-up. The trap is to prescribe azithromycin 1 g as the first-line chlamydia regimen in a non-pregnant patient, or to skip the partner notification entirely. [1][2]

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References3ShowHide
  1. [1]Workowski KA, Bachmann LH, Chan PA, Johnston CM, Muzny CA, Park I, Reno H, Zenilman JM, Bolan GA Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep, 2021.PMID 34292926
  2. [2]Ferreira A, Young T, Mathews C, Zunza M, Low N Strategies for partner notification for sexually transmitted infections, including HIV. Cochrane Database Syst Rev, 2013.PMID 24092529
  3. [3]Peuchant O, Lhomme E, Martinet P, Grob A, Baïta D Doxycycline versus azithromycin for the treatment of anorectal Chlamydia trachomatis infection in women concurrent with vaginal infection (CHLAZIDOXY study): a multicentre, open-label, randomised, controlled trial. Lancet Infect Dis, 2022.PMID 35550262
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