Asin J D, Nahorst R R, Thijs C T, Assendelft W J, Hooi B R
Department of Epidemiology, Rijksuniversiteit Limburg, Maastricht, The Netherlands.
Am J Obstet Gynecol. 1993 Aug;169(2 Pt 1):375-8. doi: 10.1016/0002-9378(93)90089-2.
Although genital Chlamydia trachomatis infection is most often asymptomatic, early treatment may prevent serious complications. For screening or routine testing to be cost effective, the prevalence of the infection must not be too low.
On Curaçao, Netherlands Antilles, the prevalence of chlamydial infection in 205 asymptomatic women of reproductive age, who were seen by a general practitioner or gynecologist for a gynecologic examination was measured.
The overall prevalence was found to be 5.4% (95% confidence interval 2.7% to 9.4%) with the enzyme-linked immunosorbent assay method. Of all possible predictors of a chlamydial infection, only young age (< 25 years, prevalence 10.3%) seemed to be indicative of such an infection.
Routine testing for Chlamydia trachomatis in sexually active women on Curaçao and on other Caribbean islands is indicated for women < 25 years old.
虽然生殖器官沙眼衣原体感染大多没有症状，但早期治疗可预防严重并发症。要使筛查或常规检测具有成本效益，该感染的患病率不能过低。
在荷属安的列斯群岛的库拉索岛，对205名无症状育龄妇女进行了衣原体感染患病率的测量，这些妇女因妇科检查就诊于全科医生或妇科医生处。
采用酶联免疫吸附测定法，总体患病率为5.4%（95%置信区间为2.7%至9.4%）。在衣原体感染的所有可能预测因素中，只有年轻（<25岁，患病率10.3%）似乎表明存在此类感染。
在库拉索岛及其他加勒比岛屿，对25岁以下性活跃女性进行沙眼衣原体常规检测是必要的。
