淋病和衣原体筛查：美国预防服务工作组推荐声明。

Screening for Chlamydia and gonorrhea: U.S. Preventive Services Task Force recommendation statement.

出版信息

Ann Intern Med. 2014 Dec 16;161(12):902-10. doi: 10.7326/M14-1981.

DOI:10.7326/M14-1981

Abstract

DESCRIPTION

Update of previous U.S. Preventive Services Task Force (USPSTF) recommendations on screening for chlamydia (2007) and gonorrhea (2005).

METHODS

The USPSTF reviewed the evidence on screening for chlamydial and gonococcal infections in asymptomatic patients from studies published since its last reviews. The USPSTF also considered evidence from its previous recommendations and reviews.

POPULATION

This recommendation applies to all sexually active adolescents and adults, including pregnant women.

RECOMMENDATIONS

The USPSTF recommends screening for chlamydia in sexually active females aged 24 years or younger and in older women who are at increased risk for infection. (B recommendation) The USPSTF recommends screening for gonorrhea in sexually active females aged 24 years or younger and in older women who are at increased risk for infection. (B recommendation) The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for chlamydia and gonorrhea in men. (I statement).

摘要

描述

更新美国预防服务工作组（USPSTF）之前关于衣原体（2007 年）和淋病（2005 年）筛查的建议。

方法

USPSTF 审查了自上次审查以来发表的关于无症状患者衣原体和淋病感染筛查的研究中的证据。USPSTF 还考虑了其先前建议和审查的证据。

人群

本建议适用于所有有性行为的青少年和成年人，包括孕妇。

建议

USPSTF 建议对 24 岁以下有性行为的女性和有感染风险增加的老年女性进行衣原体筛查。（B 级推荐）USPSTF 建议对 24 岁以下有性行为的女性和有感染风险增加的老年女性进行淋病筛查。（B 级推荐）USPSTF 得出结论，目前的证据不足以评估对男性进行衣原体和淋病筛查的利弊平衡。（I 声明）。