North Metropolitan Area Health Service, Perth, WA.
Med J Aust. 2012 Jul 2;197(1):47-9. doi: 10.5694/mja11.10745.
To document the prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae in the refugee population settling in Western Australia from 1 January 2006 to 31 December 2009 and make recommendations for future screening for chlamydia and gonorrhoea in the refugee population.
A prevalence and quality assurance study of 2610 refugees aged 15 years and older who attended the Humanitarian Entrant Health Service in Western Australia and were screened for chlamydia and gonorrhoea.
Demographic details and results of C. trachomatis and N. gonorrhoeae tests on first void urine.
The prevalence of chlamydia was found to be 0.8% (n = 21) in the refugee population. No gonorrhoea infections were detected. The prevalence of chlamydia was low (0.19%-1.23%) when analysed by sex, ethnicity or age and was considerably lower than other subpopulations considered high risk in Australia.
The low prevalence rates of chlamydia and gonorrhoea found in the refugee population suggest that current screening guidelines should be updated. We recommend screening all refugees who are sexually active up to age 39 years, taking into account an appropriate sexual history; otherwise, screening guidelines should be as for the general Australian population.
记录 2006 年 1 月 1 日至 2009 年 12 月 31 日期间在西澳大利亚定居的难民人群中沙眼衣原体和淋病奈瑟菌的流行情况，并为未来对难民人群中的衣原体和淋病进行筛查提出建议。
对 2610 名年龄在 15 岁及以上的难民进行了一项流行率和质量保证研究，这些难民参加了西澳大利亚人道主义入境者健康服务，并接受了衣原体和淋病筛查。
人口统计学细节和首次尿样中沙眼衣原体和淋病奈瑟菌检测结果。
在难民人群中，衣原体的流行率为 0.8%（n = 21）。未发现淋病感染。按性别、种族或年龄分析时，衣原体的流行率较低（0.19%-1.23%），远低于澳大利亚其他被认为是高风险的亚人群。
在难民人群中发现的衣原体和淋病的低流行率表明，目前的筛查指南需要更新。我们建议对所有有性行为的 39 岁以下的难民进行筛查，同时考虑到适当的性行为史；否则，筛查指南应与澳大利亚一般人群的指南相同。
