在全科医疗中，无症状患者是否应该接受沙眼衣原体检测？
Should asymptomatic patients be tested for Chlamydia trachomatis in general practice?
作者信息
Buhaug H, Skjeldestad F E, Halvorsen L E, Dalen A
机构信息
Department of Community Medicine, University of Trondheim.
出版信息
Br J Gen Pract. 1990 Apr;40(333):142-5.
Abstract
Routine testing for Chlamydia trachomatis during gynaecological examinations has been suggested as a preventive measure against pelvic inflammatory disease and other health risks associated with chlamydial genital infections. This study examined the cost and effectiveness of routine testing for C trachomatis in general practice. An epidemiological model was used to predict how routine testing and treatment of positive cases would affect the future number of cases of pelvic inflammatory disease, infertility and ectopic pregnancy in a general practice population. The cost of routine test and treatment, and savings resulting from prevented future morbidity, were also estimated. For the population under study, a routine test for chlamydial infections in asymptomatic 18-24 year old women during gynaecological examinations was found to be cost effective but this was not the case for older women. At least two years should elapse between repeated tests.
摘要
在妇科检查期间对沙眼衣原体进行常规检测，已被提议作为预防盆腔炎及与衣原体性生殖器感染相关的其他健康风险的一项措施。本研究考察了全科医疗中对沙眼衣原体进行常规检测的成本及效果。采用一种流行病学模型来预测对阳性病例进行常规检测及治疗会如何影响全科医疗人群中未来盆腔炎、不孕症及异位妊娠的病例数。还估算了常规检测及治疗的成本，以及因预防未来发病而节省的费用。对于所研究的人群，发现在妇科检查期间对无症状的18至24岁女性进行衣原体感染常规检测具有成本效益，但老年女性并非如此。重复检测之间至少应间隔两年。
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本文引用的文献
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