Opportunism is NICE idea for chlamydia screening

Gill Jenkins
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Abstract

Between 1995 and 2004, a frightening increase in most sexually transmitted diseases in the UK included a 223% rise in genital chlamydia, with 104,155 reported cases in 2004, making it the most commonly reported STD. Although many questions are yet to be answered after the release of the NICE review of the evidence for the effectiveness of screening for genital chlamydial infection in sexually active young women and men, the evidence seems to say a big ‘yes' to opportunistic screening of any patient under 25, whatever they have walked through the door for. However, NICE, in its evidence statements, did not consider the added value of partner notification/contact tracing – a job effectively managed in GUM clinics but not always undertaken by GPs.

机会主义是衣原体筛查的好主意
1995年至2004年间,英国大多数性传播疾病的发病率都出现了令人恐惧的增长,其中生殖器衣原体发病率上升了223%,2004年报告的病例为104,155例,使其成为最常见的性病。尽管在NICE对性活跃的年轻男女生殖器衣原体感染筛查有效性的证据进行审查后,许多问题尚未得到解答,证据似乎对任何25岁以下的患者进行机会性筛查都是肯定的,不管他们是为了什么来的。然而,NICE在其证据声明中没有考虑到伴侣通知/接触者追踪的附加价值——这是GUM诊所有效管理的一项工作,但并不总是由全科医生承担。
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