International Journal of Epidemiology 2002;31:891-893
© International Epidemiological Association 2002
Editorial |
What should we do about screening for genital chlamydia?
a Department of Social Medicine, University of Bristol, UK.
b Institute for Social and Preventive Medicine, University of Berne, Switzerland.
Dr Low, Department of Social Medicine, University of Bristol, Canynge Hall, Whiteladies Road, Bristol BS8 2PR, UK. E-mail: nicola.low@bristol.ac.uk
| The first 150 words of the full text of this article appear below. |
Chlamydia trachomatis is the world’s most common bacterial sexually transmitted infection, with an estimated 89 million new cases each year.1 Genital chlamydia poses a major global public health problem because it is a transmissible cause of severe reproductive morbidity, including pelvic inflammatory disease, impaired fertility and ectopic pregnancy in women.2 Chlamydia can be cured with antibiotics and transmission prevented by treating sexual partners, but most infections are asymptomatic so they remain undiagnosed. Early diagnosis is possible, with DNA amplification techniques now providing highly sensitive and specific tests3 that are more acceptable to patients than previous methods because they can be performed on non-invasively collected genital specimens. Probably more than any other single factor, these technological advances in chlamydial diagnosis are driving the current health policy debate about the introduction of national chlamydia screening programmes.4,5 But do we have enough evidence about the effectiveness of screening and about the natural history
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