Division of Clinical Epidemiology and Biostatistics, Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
Eur J Public Health. 2012 Aug;22(4):556-61. doi: 10.1093/eurpub/ckr046. Epub 2011 Apr 29.
Chlamydia is the most commonly reported bacterial sexually transmitted infection in Europe. The objective of the Screening for Chlamydia in Europe (SCREen) project was to describe current and planned chlamydia control activities in Europe.
The authors sent a questionnaire asking about different aspects of chlamydia epidemiology and control to public health and clinical experts in each country in 2007. The principles of sexually transmitted infection control were used to develop a typology comprising five categories of chlamydia control activities. Each country was assigned to a category, based on responses to the questionnaire.
Experts in 29 of 33 (88%) invited countries responded. Thirteen of 29 countries (45%) had no current chlamydia control activities. Six countries in this group stated that there were plans to introduce chlamydia screening programmes. There were five countries (17%) with case management guidelines only. Three countries (10%) also recommended case finding amongst partners of diagnosed chlamydia cases or people with another sexually transmitted infection. Six countries (21%) further specified groups of asymptomatic people eligible for opportunistic chlamydia testing. Two countries (7%) reported a chlamydia screening programme. There was no consistent association between the per capita gross domestic product of a country and the intensity of chlamydia control activities (P = 0.816).
A newly developed classification system allowed the breadth of ongoing national chlamydia control activities to be described and categorized. Chlamydia control strategies should ensure that clinical guidelines to optimize chlamydia diagnosis and case management have been implemented before considering the appropriateness of screening programmes.
衣原体是欧洲最常见的细菌性性传播感染。筛查欧洲衣原体（SCREen）项目的目的是描述欧洲当前和计划中的衣原体控制活动。
作者在 2007 年向每个国家的公共卫生和临床专家发送了一份问卷，询问衣原体流行病学和控制的不同方面。性传播感染控制的原则被用来制定一个包含五个衣原体控制活动类别的分类法。根据问卷的回答，每个国家被分配到一个类别。
在 33 个受邀国家中的 29 个国家（88%）的专家做出了回应。在这 29 个国家中，有 13 个国家（45%）没有当前的衣原体控制活动。在这一组中，有 6 个国家表示计划引入衣原体筛查计划。有 5 个国家（17%）只有病例管理指南。还有 3 个国家（10%）建议在诊断出衣原体感染或患有其他性传播感染的患者的伴侣中发现病例。6 个国家（21%）进一步规定了有资格进行机会性衣原体检测的无症状人群。有 2 个国家（7%）报告了衣原体筛查计划。一个国家的人均国内生产总值与衣原体控制活动的强度之间没有一致的关联（P=0.816）。
一个新开发的分类系统允许描述和分类正在进行的国家衣原体控制活动的广度。衣原体控制策略应确保已经实施了优化衣原体诊断和病例管理的临床指南，然后再考虑筛查计划的适当性。
