Skjeldestad F E, Jerve F
Kvinneklinikken, Regionsykehuset i Trondheim.
Tidsskr Nor Laegeforen. 1992 Jun 20;112(16):2082-4.
In April and May 1991 all women requesting abortion in Norway were screened for Chlamydia trachomatis and Neisseria gonorrhoeae. During the study period 2,194 abortions were carried out. The study included 2,110 women with representative tests for C trachomatis from the cervix uteri. Only 1,702 women were tested for N gonorrhoeae. The prevalence of N gonorrhoeae was 0.5% (8:1,702), and of C trachomatis 5.4% (113:2,100). The prevalence of C trachomatis decreased from 9.1% among women less than or equal to 19 years to 2.0% among women greater than or equal to 35 years of age. Prevalence of C trachomatis was significantly lower among subjects resident in health region no. IV (mid-western part of Norway) than among candidates for abortion from the other four health regions. Being less than 25 years of age was the best single parameter for identifying chlamydia-positive cases. The prevalence of N gonorrhoeae among women seeking abortion in Norway is so low that screening is not recommended. However, the prevalence of C trachomatis is still high enough to recommend screening of all women less than 25 years of age who request abortion. Chlamydia-positive cases should be tested for N gonorrhoeae.
1991年4月和5月,挪威所有要求堕胎的妇女都接受了沙眼衣原体和淋病奈瑟菌筛查。在研究期间,共进行了2194例堕胎手术。该研究纳入了2110名对子宫颈进行了沙眼衣原体代表性检测的妇女。仅有1702名妇女接受了淋病奈瑟菌检测。淋病奈瑟菌的患病率为0.5%(8/1702),沙眼衣原体的患病率为5.4%(113/2100)。沙眼衣原体的患病率从19岁及以下妇女中的9.1%降至35岁及以上妇女中的2.0%。居住在第四健康区域(挪威中西部)的研究对象中沙眼衣原体的患病率显著低于其他四个健康区域寻求堕胎的妇女。年龄小于25岁是识别沙眼衣原体阳性病例的最佳单一参数。挪威寻求堕胎妇女中淋病奈瑟菌的患病率很低,因此不建议进行筛查。然而,沙眼衣原体的患病率仍然足够高,建议对所有年龄小于25岁要求堕胎的妇女进行筛查。沙眼衣原体阳性病例应进行淋病奈瑟菌检测。