Adolescent Chlamydia Testing Practices and Diagnosed Infections in a Large Managed Care Organization

Goal: To determine chlamydia screening practices and the resulting positive test results for adolescents enrolled in a large nonprofit managed care organization. Study Design: The electronic medical records of all 12- to 19-year-olds enrolled in a large nonprofit managed care organization serving a...

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Bibliographic Details
Published in:Sexually transmitted diseases 2001-08, Vol.28 (8), p.477-483
Main Authors: BURSTEIN, GALE R., SNYDER, MARK H., CONLEY, DEBBIE, BOEKELOO, BRADLEY O., QUINN, THOMAS C., ZENILMAN, JONATHAN M.
Format: Article
Language:English
Subjects:
Adolescent
Adolescent Health Services - statistics & numerical data
Adult
Bacterial diseases
Bacterial diseases of the genital system
Biological and medical sciences
Child
Chlamydia Infections - epidemiology
Chlamydia Infections - prevention & control
Female
Human bacterial diseases
Humans
Infectious diseases
Male
Managed care
Managed Care Programs - organization & administration
Mass Screening - methods
Mass Screening - statistics & numerical data
Medical Records
Medical sciences
Medical screening
Mid-Atlantic Region - epidemiology
Practice Patterns, Physicians
Prevention
Retrospective Studies
Sexually transmitted diseases
STD
Teenagers
Therapy
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Summary:Goal: To determine chlamydia screening practices and the resulting positive test results for adolescents enrolled in a large nonprofit managed care organization. Study Design: The electronic medical records of all 12- to 19-year-olds enrolled in a large nonprofit managed care organization serving a demographically diverse patient population from January 1998 through December 1999 were reviewed retrospectively. Results: Among the 43,205 female and 44,133 male managed care organization members, ages 12 to 19 years in 1998-1999, 7575 adolescents (8.7%) (6914 females [16%] and 661 males [1.5%]) were tested for chlamydia. Among the members tested, chlamydia was diagnosed in 1109 adolescents (14.6%) (983 females [14.2] and 126 males [19.1%]); 761 (68.6%) adolescents were retested for chlamydia; and 182 (16.4%) had repeat positive test results. The median time to diagnosis of a repeat infection was 6 months. Conclusions: Chlamydia imposes a large disease burden in the private, organized healthcare sector. Managed care organizations can use operational data to enhance chlamydia prevention services by defining testing practices and local disease prevalence.
ISSN:0148-5717
1537-4521
DOI:10.1097/00007435-200108000-00011