Ezazi S, Ezazi S, Aavitsland P
Norsk Pasientforening, Oslo.
Tidsskr Nor Laegeforen. 1995 Oct 20;115(25):3145-7.
We describe the cases of three women who, in 1994, filed complaints of alleged false-positive diagnosis of Chlamydia infection with the Norwegian Patients' Association. They were living in mutually monogamous relationships, but had genital symptoms when they visited their doctor. The positive tests had adverse psychological and social consequences. Two women and their partners had negative repeat tests elsewhere, while one woman found that the laboratory, but not her doctor, had registered her primary test as negative. We suggest measures to reduce the number of false-positive tests and to prevent adverse psychological and social consequences of such tests. Patients should be involved in the decision to perform a Chlamydia test. The doctors should be aware of the possibility of false results, and must improve their information to patients with positive tests.
我们描述了三名女性的案例，她们于1994年向挪威患者协会投诉衣原体感染的假阳性诊断。她们处于相互一夫一妻制关系中，但就医时出现了生殖器症状。阳性检测结果带来了不良的心理和社会后果。两名女性及其伴侣在其他地方进行的重复检测结果为阴性，而一名女性发现实验室（而非她的医生）将她的初次检测记录为阴性。我们建议采取措施减少假阳性检测的数量，并防止此类检测带来的不良心理和社会后果。患者应参与衣原体检测的决策。医生应意识到出现错误结果的可能性，并且必须改善向检测结果呈阳性的患者提供的信息。
