Screening for Chlamydia trachomatis: whom and how?
Chlamydia trachomatis (Ct) infections are sexually transmitted, often asymptomatic, and may lead to reduced fertility in women. Available sensitive detection methods on urine and effective single-dose treatment have made home-based screening for Ct infections feasible. In Swedish surveillance data we interpretated increasing chlamydia trends while using more sensitive tests. In a home based screening study in the Netherlands, 15-29 year old men and women were invited by Municipal Health Services. Response was 41%, and Ct prevalence was 0.6% in rural areas and 3.2% in very highly urbanised area... Mehr ...
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Dokumenttyp: | doctoralThesis |
Erscheinungsdatum: | 2006 |
Schlagwörter: | Netherlands / adolescents / area under curve / epidemiology chlamydia trachomatis infections / female / high risk groups / home care services / male / mass Screening/methods / utilization / patient acceptance of health care / statistics and numerical data / polymerase chain reaction / methods / prevalence / regression analysis / selective screening |
Sprache: | Englisch |
Permalink: | https://search.fid-benelux.de/Record/base-29199464 |
Datenquelle: | BASE; Originalkatalog |
Powered By: | BASE |
Link(s) : | http://repub.eur.nl/pub/7245 |
Chlamydia trachomatis (Ct) infections are sexually transmitted, often asymptomatic, and may lead to reduced fertility in women. Available sensitive detection methods on urine and effective single-dose treatment have made home-based screening for Ct infections feasible. In Swedish surveillance data we interpretated increasing chlamydia trends while using more sensitive tests. In a home based screening study in the Netherlands, 15-29 year old men and women were invited by Municipal Health Services. Response was 41%, and Ct prevalence was 0.6% in rural areas and 3.2% in very highly urbanised areas. Nationwide systematic screening is not indicated in the Netherlands and targeted approaches are a better option. We developed a prediction rule based on risk factors which is a promising tool for selective Ct-screening at population level. A reasonable discriminative ability of the rule was shown in population based data from Amsterdam and an outrea