ArticleSexually transmitted infections2003
Chlamydial infection: an accurate model for opportunistic screening in general practice.
Article in Sexually transmitted infections, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.
- A systematic review of postcoital bleeding and risk of cervical cancer.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006Pooled it
- Chlamydia-related knowledge, opinion to opportunistic testing, and practices of providers among different sexually transmitted infections related departments in hospitals in Shenzhen city, China.BMC health services research · 2022Article
- Enteric disease episodes and the risk of acquiring a future sexually transmitted infection: a prediction model in Montreal residents.Journal of the American Medical Informatics Association : JAMIA · 2016Article
- Prevalence of chlamydia among HIV positive and HIV negative patients in the Vhembe District as detected by real time PCR from urine samples.BMC research notes · 2016Article
- Conversant or clueless? Chlamydia-related knowledge and practice of general practitioners in Western Australia.BMC family practice · 2008Article
- The clinical diagnosis of pelvic inflammatory disease--reuse of electronic medical record data from 189 patients visiting a Swedish university hospital emergency department.BMC women's health · 2006Article
- Chlamydia trachomatis in female sex workers in Belgium: 1998-2003.Sexually transmitted infections · 2005Article
- A prediction rule for selective screening of Chlamydia trachomatis infection.Sexually transmitted infections · 2005Article
- Prevalence of urogenital Chlamydia trachomatis increases significantly with level of urbanisation and suggests targeted screening approaches: results from the first national population based study in the Netherlands.Sexually transmitted infections · 2005Article
- Concomitant Chlamydia trachomatis and human papilloma virus infection cannot be attributed solely to sexual behaviour.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2004Article
Corrections and comments
- Erratum issued
Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo estimate the prevalence of Chlamydia trachomatis in women in general practice and to assess risk factors associated with infection.
methodsThe study was carried out in 2001-2 in different general practices in Antwerp, Belgium. Sexually active women, visiting their general practitioner for routine gynaecological care (mostly pill prescription or PAP smear), were offered opportunistic screening for chlamydia. 787 participants aged 15-40 delivered a self taken vaginal sample and filled in a questionnaire which included questions on demographic variables, urogenital symptoms, sexual history, and sexual behaviour. Samples were tested for presence of chlamydial DNA by means of a ligase chain reaction (LCR) assay, and positives were confirmed by two other amplification assays (PCR and SDA).
resultsOverall prevalence was 5.0% (95% CI: 3.5 to 6.5). Determinants of infection in logistic regression analysis were age 18-27 years, >1 partner in the past year, no use of contraceptives, frequent postcoital bleeding, having a symptomatic partner, painful micturition, and living in the inner city. The area under the ROC curve in the full model was 0.88. Selective screening based on a combination of the five first determinants detects 92.3% of infections in this sample; 37.5% of the population would need to be screened.
conclusionTargeted screening for chlamydial infection is possible, even in a heterogeneous group of general practice attendants. Implementing this model would require considerable communication skills from healthcare providers.
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