| Titre : | Incident Chlamydia trachomatis infections among inner-city adolescent females. (1998) |
| Auteurs : | G.R. BURSTEIN ; M. DIENER-WEST ; C.A. GAYDOS ; M.R. HOWELL ; T.C. QUINN ; J.M. ZENILMAN ; Division of Infectious Diseases. Johns Hopkins University. Baltimore Md. USA |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (n° 6, 1998) |
| Pagination : | 521-526 |
| Langues: | Anglais |
| Mots-clés : | Chlamydiose ; Bactériose ; Infection ; Bactérie ; Epidémiologie ; Facteur risque ; Incidence ; Prévalence ; Adolescent ; Homme ; Femme ; Etats Unis ; Amérique du Nord ; Amérique ; Dépistage |
| Résumé : | [BDSP. Notice produite par INIST AR0xw108. Diffusion soumise à autorisation]. Context. - Adolescents are at highest risk for infection with Chlamydia trachomatis, an important preventable cause of pelvic inflammatory disease and subsequent tubal factor infertility in US women. Current guidelines for delivery of adolescent primary care services recommend yearly chlamydia screening for those adolescent females considered to be at risk. Objectives. - To describe the epidemiology of prevalent and incident chlamydia infection among adolescent females to assess the appropriate interval for chlamydia screening and to define risk factors that would identify adolescent females to target for screening. Design. - Prospective longitudinal study. Patients. - A consecutive sample of 3202 sexually active females 12 through 19 years old making 5360 patient visits over a 33-month period, January 1994 through September 1996. Setting. - Baltimore, Md, family planning, sexually transmitted disease, and school-based clinics. Intervention. - Testing for C trachomatis by polymerase chain reaction. Main Outcome Measures. - Prevalence and incidence of C trachomatis infections ; predictors of positive test result for C trachomatis. Results. - Chlamydia infection was found in 771 first visits (24.1%) and 299 repeat visits (13.9%) ; 933 adolescent females (29.1%) had at least 1 positive test result. Females who were 14 years old had the highest age-specific chlamydia prevalence rate (63 [27.5% ] of 229 cases ; P=01). The chlamydia incidence rate was 28. (...) |
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