Aavitsland P, Lystad A
Seksjon for forebyggende infeksjonsmedisin, Universitetet i Oslo.
Tidsskr Nor Laegeforen. 1995 Oct 20;115(25):3141-4.
Laboratory testing for sexually transmitted Chlamydia trachomatis infection is widely used in Norwegian general practice. The yield of this testing is declining, since the prevalence of infection in the community has decreased. Thus, the cost-effectiveness of testing is reduced, and the risk of false positive results using non-culture methods has increased. In cooperation with a panel of medical microbiologists, gynaecologists, venerologists, general practitioners and public health specialists, we have reviewed the literature and drawn up a set of recommendations for the use of laboratory testing for genital C. trachomatis infection. We emphasize clinical testing of men and women, notification of partners in order to reach males, and screening of women under the age of 25 after each change of sexual partner.
挪威的普通医疗实践中广泛使用实验室检测来诊断性传播的沙眼衣原体感染。由于社区中感染率下降，这种检测的阳性率正在降低。因此，检测的成本效益降低，使用非培养方法出现假阳性结果的风险增加。我们与一组医学微生物学家、妇科医生、性病学家、全科医生和公共卫生专家合作，查阅了文献，并制定了一套关于使用实验室检测诊断生殖器沙眼衣原体感染的建议。我们强调对男性和女性进行临床检测，通知性伴侣以便检测男性，并在每次更换性伴侣后对25岁以下女性进行筛查。
