Chlamydia Screening Pathways for Pharmacists Jules Smith Hackney Chlamydia Screening Coordinator amp Health adviser 8916 Aims Definition of partner notification Reasons why PN is so important ID: 637982
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Partner Notification &Chlamydia Screening Pathways for Pharmacists
Jules SmithHackney Chlamydia Screening Coordinator & Health adviser8/9/16Slide2
AimsDefinition of ‘partner notification’
Reasons why PN is so importantBarriers to PNThe ‘interview’ – how to initiate PN & next stepsChlamydia screening pathwayScreening forms
Ordering screening kitsSlide3
Partner notification (PN) is a key element in the identification, management and control of chlamydia (& other STI’s).
“The process of contacting the sexual partners of an individual with a STI or HIV, and advising them they have been exposed to infection”
SHHA manual, (2004). Found at:
http
://ssha.info/wp-content/uploads/ha_manual_2004_complete.pdfSlide4
“Breaking the chain of infection”Slide5
Importance of PNBreak the chain of transmission
Prevent complications of an untreated infection occurring (eg PID, sub fertility, epididymitis etc)To reduce the risk of reinfectionPrevent vertical transmissionSlide6
Ways of performing PNFace-to-face discussionTelephone
discussion‘Provider referral’ (PR)Provide ‘contact slips’
Online partner notification systemsSlide7
Barriers to PNLack of knowledge, understanding or education about chlamydiaDifferent health belief models
Indifference/hostility to contacting partner(s)Untraceable partner(s) / no contact detailsFears of blame/retributionEmbarrassmentLoss of partner(s) / breakdown in relationshipsFear of domestic violenceIgnorance?!Slide8
PN interviewPrivate room, no interruptionsSee the client on their own (no partners/children in room to prevent inhibited answers)
Include friends in the room in SOME circumstances to allow client feel more secure (eg young people)Try to maintain the clients sense of control and consentReassure that their diagnosis and information will remain confidentialSlide9Slide10Slide11
Discussion Prompts Checklist
Understanding of infectionTransmission preventionComplications
PN discussed & 6 month ‘look back period’ – recommendations to inform <6/12 partners (British Association for Sexual Health & HIV PN guidelines)NO sexual contact AT ALL
(including sex with/without condoms, oral sex or mutual genital touching) for 7 days & until partner(s) treated also
Risk of re-infectionSlide12
Useful phrases for PN….
“We recommend that you inform the last 6 months of sexual partners to get tested/ treated, as they may have also been in contact with Chlamydia”
“Your partner will be
treated on the day if they say they have been in contact with chlamydia”
“Getting treatment ensures no future health complications”
“If you would prefer a health adviser to inform your partner anonymously, I can arrange that for you”
Getting your partner(s) treated will prevent them from re-infecting you”
“We can treat your partner here for free in the pharmacy”Slide13
PathwaySlide14
Test Request Form
Ask the client to read this page and also the leaflet that comes in the pack with instructions on how to take the testsSlide15
706A7
Ask the client to fill in their details on both these stickers here – they need to attach 1 to their sample before sending sample or SAMPLE WILL NOT BE PROCESSED!
Pharmacist to tick relevant sample type
& reason for testing
Ask the client to fill in all information on the
form & ensure they have at least 2 x ways of
contact, if they have a positive result
eg
phone/address/emailSlide16
Chlamydia Screening Contacts/ConsumablesTo order test kits:
Please email:chlamydiascreeningprojectrequests@homerton.nhs.ukState how many male/female kits you would likeFor advice/support
Jules Smith (lead health adviser for Hackney NCSP)Julia.smith@homerton.nhs.uk0208 510 7995Or The health adviser team 0208 510 7995 / 7988Slide17
Questions?