Literature DB >> 3436412

Selective screening for Chlamydia trachomatis infection in nonurban family planning clinics in Wisconsin.

D G Addiss1, M L Vaughn, M A Holzhueter, L L Bakken, J P Davis.   

Abstract

To determine the prevalence of, and identify risk factors for, Chlamydia trachomatis infection, we studied 380 women attending four Wisconsin family planning clinics in October 1985. The patients completed self-administered sexual history questionnaires, were examined by nurse clinicians and had specimens taken for direct fluorescent antibody (DFA) testing for C. trachomatis. Of 335 women with adequate specimens, 10.7 percent had positive DFA tests. Selective screening criteria were developed based on the following risk factors for C. trachomatis: Age less than 20 years and recent exposure to either a new sexual partner or a partner with more than one partner; a partner with symptoms of urethritis; a diagnosis of cervicitis; and inflammatory changes on Pap smear. Thirty-six percent of patients met one or more of these screening criteria, and the criteria had a sensitivity of 72 percent.

Entities:  

Keywords:  Adolescents; Adolescents, Female; Age Factors; Americas; Behavior; Biology; Chlamydia; Clinical Research; Demographic Factors; Developed Countries; Diseases; Examinations And Diagnoses; Infections; Laboratory Examinations And Diagnoses; Measurement; Multiple Partners; North America; Northern America; Physical Examinations And Diagnoses; Physiology; Population; Population Characteristics; Prevalence; Reliability; Reproductive Tract Infections; Research Methodology; Risk Factors; Screening; Sex Behavior; Sexual Partners; Sexually Transmitted Diseases; United States; Urogenital Effects; Urogenital System; Wisconsin; Youth

Mesh:

Year:  1987        PMID: 3436412

Source DB:  PubMed          Journal:  Fam Plann Perspect        ISSN: 0014-7354


  8 in total

1.  Chlamydia trachomatis and oral contraceptive use: a quantitative review.

Authors:  J Cottingham; D Hunter
Journal:  Genitourin Med       Date:  1992-08

2.  Prevalence of cervical pathogens in women with and without inflammatory changes on smear testing.

Authors:  W L Parsons; M Godwin; C Robbins; R Butler
Journal:  BMJ       Date:  1993-05-01

3.  Risk factors for genital chlamydial infection.

Authors:  Christine Navarro; Anne Jolly; Rama Nair; Yue Chen
Journal:  Can J Infect Dis       Date:  2002-05

4.  Factors associated with genital chlamydial and gonococcal infection in females.

Authors:  G Hart
Journal:  Genitourin Med       Date:  1992-08

5.  Chlamydia trachomatis cervical infection: prevalence and determinants among women presenting for routine gynecologic examination.

Authors:  R Massé; H Laperrière; H Rousseau; J Lefebvre; R S Remis
Journal:  CMAJ       Date:  1991-10-15       Impact factor: 8.262

6.  Development and evaluation of screening strategies for Chlamydia trachomatis infections in an STD clinic.

Authors:  Y T van Duynhoven; M J van de Laar; J S Fennema; G J van Doornum; J A van den Hoek
Journal:  Genitourin Med       Date:  1995-12

Review 7.  Laboratory diagnosis of human chlamydial infections.

Authors:  R C Barnes
Journal:  Clin Microbiol Rev       Date:  1989-04       Impact factor: 26.132

8.  Predictors of Chlamydia trachomatis infection among women attending rural Midwest family planning clinics.

Authors:  T M Hilger; E M Smith; K Ault
Journal:  Infect Dis Obstet Gynecol       Date:  2001
  8 in total

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