Cook Robert L., ØStergaard Lars
*University of Pittsburgh, Division of General Internal Medicine, 230 McKee Place, Suite 600, Pittsburgh, PA 15213, USA.
Curr Infect Dis Rep. 2003 Apr;5(2):153-158. doi: 10.1007/s11908-003-0052-4.
During the past several years, research related to screening for Chlamydia trachomatis has flourished, with new diagnostic tests, new methods for specimen collection, and new prevalence data in different populations. Public health endorsements for screening are now more specific than ever, yet several important clinical and laboratory questions remain, including questions concerning who to screen and how often to screen. Additional important research is addressing issues related to assay validity, efficacy of screening in different populations, and feasibility of screening on the level of the individual patient and the level of the community and health care system. This article discusses major research findings related to chlamydial screening from the past several years and suggests areas in which additional research is needed.
在过去几年中,与沙眼衣原体筛查相关的研究蓬勃发展,出现了新的诊断测试、新的标本采集方法以及不同人群的新患病率数据。现在,公共卫生领域对筛查的支持比以往任何时候都更加具体,但仍存在几个重要的临床和实验室问题,包括关于筛查对象以及筛查频率的问题。另外一些重要研究正在解决与检测有效性、不同人群筛查效果以及个体患者、社区和医疗保健系统层面筛查可行性相关的问题。本文讨论了过去几年中与衣原体筛查相关的主要研究结果,并指出了需要进一步研究的领域。