A major chlamydia study indicates that it may be cost-effective to screen for chlamydia trachomatis infections young women under age 24 or women with other risk factors for sexually transmitted diseases. The increased rates of chlamydia mean higher costs for family planning clinics, which often operate on limited budgets not designed to include regular chlamydia screening and treatment. The Centers for Disease Control (CDC) in Atlanta published chlamydia guidelines in 1985, partly in response to the testing dilemma. The guidelines advocate empirical treatment of symptomatic clients, recommending that clients with any of the following symptoms be treated automatically with tetracycline, doxycycline, or erythromycin: nongonococcal urethritis; mucopurulent cervicitis; pelvic inflammatory disease; and epididymitis in men 35 years old or younger. Another resource may be available soon. A large-scale chlamydia field project in the Northwest is seeking to provide more extensive answers on the types of women who are at highest risk of chlamydial infection, and the project could provide data indicating that some women with specific risk factors should be screened routinely, regardless of symptoms. Susan DeLisle, chlamydia project manager for the Public Health Service (PHS) Region 10 Family Planning/STD Chlamydia Project, reports that clients who meet at least 1 of the following symptomatic criteria are screened automatically: clients who are having an IUD inserted; clients who have had visits for positive pregnancy detection in conjunction with a bimanual pelvic examination; clients who have been a rape victim within the last 60 days; clients who report their partner has signs or symptoms suggestive of urethritis; and clients who request testing. Patients with a presumptive diagnosis of chlamydia or a positive chlamydia test are given information on treatment and prevention at Public Health Health Service Region 10 Family Planning/STD. The information includes a brief overview of chlamydia and discussions of treatment, partner(s) management, feelings, and prevention.

来源：Contraceptive technology update 1989 年 10卷 4期