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No benefit of chlamydia screening in primary care?
The Lancet ( IF 98.4 ) Pub Date : 2018-10-20 , DOI: 10.1016/s0140-6736(18)32465-6
Paul C Adamson , Jeffrey D Klausner

Chlamydia trachomatis is the most common sexually transmitted bacterial infection worldwide. Persistent, untreated infection with C trachomatis leads to pelvic inflammatory disease (PID) and other complications, including ectopic pregnancy and tubal factor infertility. Researchers have shown that interventions that shorten the duration of infection through timely detection and treatment decrease PID incidence by 32%. On the basis of that and other evidence, many high-income countries support annual screening and treatment programmes for chlamydia in young women, repeated screening of those who are infected, and expedited partner treatment. Given that most C trachomatis infections are asymptomatic, diagnosis and treatment relies on effective screening programmes largely delivered in primary care clinics.

中文翻译:

衣原体筛查在初级保健中没有益处吗?

沙眼衣原体是全世界最常见的性传播细菌感染。持续,未经治疗的沙眼衣原体感染会导致盆腔炎(PID)和其他并发症,包括异位妊娠和输卵管因素不育。研究人员表明,通过及时发现和治疗缩短感染持续时间的干预措施可使PID发生率降低32%。根据这些证据和其他证据,许多高收入国家支持对年轻妇女的衣原体进行年度筛查和治疗方案,对受感染者进行反复筛查,并加快伴侣治疗的速度。, 鉴于大多数沙眼衣原体 感染无症状,诊断和治疗依赖于有效的筛查程序,这些程序主要在初级保健诊所中提供。
更新日期:2018-10-19
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