Chlamydia trachomatis infection in Sydney women.

作者: Marcus Y. CHEN , Richard ROHRSHEIM , Basil DONOVAN

DOI: 10.1111/J.1479-828X.2005.00457.X

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摘要: Background:  In Australia, reported rates of Chlamydia trachomatis infection have been rising progressively since the mid-1990s. Opportunistic testing sexually active young women attending clinical services for other reasons has already implemented in a number countries. Aims:  To help guide chlamydia women, this study aimed to establish factors predictive chlamydial an Australian setting. Methods:  Women sexual health service Sydney who tested positive C. by polymerase chain reaction and did not any concurrent urogenital infections (n = 170) were compared with chlamydia-negative controls (n = 170). Factors independently associated determined using logistic regression. Results:  Although they present only minority infected symptoms dysuria [adjusted odds ratio (AOR) = 3.2 (95% CI: 1.2–9.1), P = 0.03] postcoital bleeding [AOR = 2.7 1.0–7.1), P < 0.05] each chlamydia. Symptoms vaginal discharge (P = 0.3), abdominal pain (P = 0.2), or intermenstrual (P = 0.1) discriminate between uninfected women. The following chlamydia: younger age (P = 0.003); being overseas-born [AOR = 2.3 1.3–4.0), P = 0.005]; sex partner from overseas [AOR = 2.0 1.3–12.3), P = 0.01]; known suspected be chlamydia-infected [AOR = 7.4 3.6–15.0), P < 0.001]. Conclusions:  is clinically indicated dysuria, contact partner. Consideration should given enhanced screening programs travelling migrant men cities.

参考文章(16)
US Preventive Services Task Force, Screening for chlamydial infection: recommendations and rationale. American Journal of Preventive Medicine. ,vol. 20, pp. 90- ,(2001)
Marcus Y. Chen, Basil Donovan, Genital Chlamydia trachomatis infection in Australia: epidemiology and clinical implications. Sexual Health. ,vol. 1, pp. 189- 196 ,(2004) , 10.1071/SH04027
WILLIAM M. GEISLER, ROBERT J. SUCHLAND, WILLIAM L. H. WHITTINGTON, WALTER E. STAMM, The relationship of serovar to clinical manifestations of urogenital Chlamydia trachomatis infection. Sexually Transmitted Diseases. ,vol. 30, pp. 160- 165 ,(2003) , 10.1097/00007435-200302000-00013
Kevin A Fenton, Christos Korovessis, Anne M Johnson, Angela McCadden, Sally McManus, Kaye Wellings, Catherine H Mercer, Caroline Carder, Andrew J Copas, Kiran Nanchahal, Wendy Macdowall, Geoff Ridgway, Julia Field, Bob Erens, Sexual behaviour in Britain: reported sexually transmitted infections and prevalent genital Chlamydia trachomatis infection The Lancet. ,vol. 358, pp. 1851- 1854 ,(2001) , 10.1016/S0140-6736(01)06886-6
Lisa E. Manhart, Cathy W. Critchlow, King K. Holmes, Susan M. Dutro, David A. Eschenbach, Claire E. Stevens, Patricia A. Totten, Mucopurulent cervicitis and Mycoplasma genitalium. The Journal of Infectious Diseases. ,vol. 187, pp. 650- 657 ,(2003) , 10.1086/367992
Thomas C Quinn, Charlotte Gaydos, Mary Shepherd, Linda Bobo, Edward W Hook, Raphael Viscidi, Anne Rompalo, Epidemiologic and Microbiologic Correlates of Chlamydia trachomatis Infection in Sexual Partnerships JAMA: The Journal of the American Medical Association. ,vol. 276, pp. 1737- 1742 ,(1996) , 10.1001/JAMA.1996.03540210045032
Jeanne M Marrazzo, Christine L White, Barbara Krekeler, Connie L Celum, William E Lafferty, Walter E Stamm, H Hunter Handsfield, Community-Based Urine Screening for Chlamydia trachomatis with a Ligase Chain Reaction Assay Annals of Internal Medicine. ,vol. 127, pp. 796- 803 ,(1997) , 10.7326/0003-4819-127-9-199711010-00004
Lars Østergaard, Berit Andersen, Jens K. Møller, Frede Olesen, Home Sampling versus Conventional Swab Sampling for Screening of Chlamydia trachomatis in Women: A Cluster-Randomized 1-Year Follow-up Study Clinical Infectious Diseases. ,vol. 31, pp. 951- 957 ,(2000) , 10.1086/318139
Y. T. H. P. van Duynhoven, J. M. Ossewaarde, R. P. Derksen‐Nawrocki, W. I. van der Meijden, M. J. W. van de Laar, Chlamydia trachomatis genotypes: correlation with clinical manifestations of infection and patients' characteristics. Clinical Infectious Diseases. ,vol. 26, pp. 314- 322 ,(1998) , 10.1086/516291