General practice update: chlamydia infection in women.

作者: P Oakeshott , P Hay

DOI:

关键词: ObstetricsVaginal dischargeChlamydiaEctopic pregnancyMedicinePregnancyContact tracingInfertilityMass screeningGynecologyPelvic inflammatory disease

摘要: The prevalence of cervical Chlamydia trachomatis infection in general practice populations ranges between 2% and 12%. Untreated can cause pelvic inflammatory disease, tubal infertility ectopic pregnancy. These risks are increased by invasive procedures, especially termination However, most women with chlamydia have no symptoms. General practitioners nurses carrying out examinations should facilities for taking endocervical specimens chlamydia. Routine screening, be considered if the local is over 6%. Otherwise testing offered to requesting pregnancy those who risk factors: aged less than 25 years, absence barrier contraception, recent change sexual partner, vaginal discharge, friable cervix or sterile pyuria. Women found need appropriate antibiotics, advice about contact tracing referral a genitourinary medicine clinic. Good communication physicians essential. Both an important role play reducing its potentially devastating consequences.

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