Polyzos Nikolaos P, Vittoraki Angeliki, Tsappi Maria, Mauri Davide, Spiliopoulou Anastasia, Tzioras Spyros, Kamposioras Konstantinos, Ioakeimidou Aliki
PanHellenic Association of Continual Medical Research, Section of Obstetrics and Gynaecology, 28 Karolou St, (Platia Metaxourgiou) 10438 Athens, Greece.
Acta Obstet Gynecol Scand. 2006;85(10):1156-9. doi: 10.1080/00016340600880928.
Genital Chlamydia trachomatis infection is the principal cause of bacterial sexually transmitted disease in industrialized countries. A wide spectrum of pathologic conditions has been associated with the disease ranging from urethritis, cervicitis, to pelvic inflammatory disease, ectopic pregnancy, tubal infertility and cervical neoplasia. Screening for genital Chlamydia infection may prevent its serious complications. The need of a comprehensive European screening policy has been recently underlined by PACMeR's scientific committee. Anyhow invitational screening programs are only at the beginning. Chlamydia trachomatis control ''orphan'' and women's health at risk. Until organized programs are developed, implementation of opportunistic screening is mandatory. Since the infection is more commonly observed among juvenile females proper testing of the young women is recommended. As asymptomatic young women in reproductive age are more eager to visit gynaecologists for periodical gynaecological examination and councelling (cervical cytology, breast examination, contraception and family planning), gynaecologist represents the only specialist able to provide early diagnosis of Chlamydia trachomatis. Gynaecologists are called to play a new role in public healthcare, being ''gatekeepers'' for the early detection of the disease, emphasizing their crucial part in young women's health.
在工业化国家，生殖系统沙眼衣原体感染是细菌性性传播疾病的主要病因。该疾病与多种病理状况相关，范围从尿道炎、宫颈炎到盆腔炎、异位妊娠、输卵管性不孕和宫颈肿瘤。筛查生殖系统沙眼衣原体感染可预防其严重并发症。PACMeR科学委员会最近强调了制定全面欧洲筛查政策的必要性。无论如何，邀请性筛查项目才刚刚起步。沙眼衣原体防治处于“孤立无援”状态，女性健康面临风险。在制定有组织的项目之前，实施机会性筛查是必要的。由于该感染在青少年女性中更为常见，因此建议对年轻女性进行适当检测。鉴于处于生育年龄的无症状年轻女性更愿意因定期妇科检查和咨询（宫颈细胞学检查、乳房检查、避孕和计划生育）而就诊妇科医生，妇科医生是唯一能够提供沙眼衣原体早期诊断的专科医生。妇科医生被要求在公共卫生保健中发挥新作用，成为该疾病早期检测的“把关人”，强调他们在年轻女性健康方面的关键作用。
