被监禁女性的衣原体宫颈感染
Chlamydial cervical infection in jailed women.
作者信息
Holmes M D, Safyer S M, Bickell N A, Vermund S H, Hanff P A, Phillips R S
机构信息
Department of Medicine, Beth Israel Hospital, Boston, Mass. 02215.
出版信息
Am J Public Health. 1993 Apr;83(4):551-5. doi: 10.2105/ajph.83.4.551.
OBJECTIVES
The prevalence of Chlamydia trachomatis cervical infection in incarcerated adult women has not been reported. To develop a policy for testing and treatment, we determined the prevalence of and risk factors for chlamydial infection in women in a New York City jail.
METHODS
Interviews and cervical cultures for C trachomatis were obtained from 101 consenting female inmates.
RESULTS
Positive cultures for C trachomatis were found in 27% of the participants. Mucopurulent cervical discharge and education of 8 years or less were two independent risk factors for infection, but only 63% of the infected women had one or both of these factors. If pelvic tenderness were considered as a third factor, an additional 7% of the infected women would have been identified.
CONCLUSIONS
The prevalence of chlamydial infection in this population was as high as that in populations for which presumptive treatment is recommended. Although the optimal policy for detection and treatment of chlamydial infection may vary depending on practical considerations, we suggest that women entering correctional facilities should be screened or offered presumptive therapy for C trachomatis infection.
目的
此前尚未有关于成年在押女性沙眼衣原体宫颈感染患病率的报道。为制定检测和治疗政策，我们测定了纽约市一所监狱中女性衣原体感染的患病率及危险因素。
方法
对101名同意参与的女性囚犯进行访谈并采集沙眼衣原体宫颈培养样本。
结果
27%的参与者沙眼衣原体培养结果呈阳性。黏液脓性宫颈分泌物以及受教育年限8年及以下是感染的两个独立危险因素，但只有63%的感染女性具有其中一个或两个因素。若将盆腔压痛视为第三个因素，则可额外识别出7%的感染女性。
结论
该人群中衣原体感染的患病率与推荐进行推定治疗的人群一样高。尽管衣原体感染检测和治疗的最佳政策可能因实际情况而异，但我们建议，进入惩教机构的女性应接受沙眼衣原体感染筛查或接受推定治疗。
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