Management of screened chlamydia positive women.

Evidence based and minimally harmful management of screened positive people is an essential component of any screening programme. In the pilot chlamydia programme the protocol for those who screened positive included testing for other genital tract infections.1,2 This policy is not evidence based and requires evaluation before roll out of the screening programme nationally. During the 12 month period September 1999 to August 2000 in Wirral and Portsmouth women throughout the communities up to the age of 25 years were offered a urine LCR test, in general practices, family planning clinics, gynaecology, antenatal, and termination of pregnancy services. Departments of genitourinary medicine (GUM) also offered the test though clearly these were usually for diagnosis rather than true screening. Results were sent to everyone tested, as in other screening programmes, and an overall positivity of some 10% was …