Andersen Berit, Østergaard Lars, Olesen Frede
Forskningsenheden for Almen Praksis, Vennelyst Boulevard 6, 8000 Arhus C.
Ugeskr Laeger. 2010 Jul 12;172(28):2059-61.
Every year one fourth of the young Danish population is tested for urogenital Chlamydia trachomatis--mostly as part of opportunistic testing. The rationale is that asymptomatic infections may reduce reproductive capacity in women and that screening may reduce the burden of disease in the population. Systematic reviews documented lack of conclusive evidence for reproductive complications after asymptomatic infections and lack of evidence concerning the effect of screening on long-term sequelae. Routine opportunistic testing should be replaced by research protocols aiming to evaluate the effect of such interventions.
每年有四分之一的丹麦年轻人口接受泌尿生殖系统沙眼衣原体检测——大多作为机会性检测的一部分。理由是无症状感染可能会降低女性的生殖能力,且筛查可能会减轻人群中的疾病负担。系统评价表明,无症状感染后缺乏关于生殖并发症的确凿证据,也缺乏关于筛查对长期后遗症影响的证据。常规的机会性检测应由旨在评估此类干预措施效果的研究方案取代。