• Screening for Chlamydia

    The purpose of screening is early diagnosis and treatment. Screening tests are usually given to people without current symptoms, but who may be at high risk for certain diseases or conditions.
    Screening for chlamydia is done only for sexually transmitted forms. This is especially important for pregnant women to prevent spreading the infection to the baby.

    Screening Guidelines

    Anyone is able to contract chlamydia after unprotected sexual contact with someone who is infected. All pregnant women and anyone with any sexually transmitted infection should be suspected of having a chlamydial infection. All those who are not treated routinely should be screened.
    The Center for Disease Control and Prevention (CDC) and the Preventive Services Task Force have issued recommendations for chlamydia screening. The CDC recommends yearly testing for:
    • Sexually active women age 25 or younger
    • Older women with risk factors for chlamydial infections (eg, those who have a new sex partner or multiple sex partners)
    • All pregnant women
    • Men who have sex with men
    The CDC also suggests to consider screening sexually active young men in areas where chlamydia is common.
    The US Preventive Services Task Force recommends screening:
    • Sexually active women 24 years of age and younger
    • Women over 24 who are at high risk
    • Pregnant women under 25 years of age and older women with risk factors who are pregnant
    The Task Force concluded that there was not enough evidence to support screening for men.

    References

    Centers for Disease Control and Prevention. Sexually Transmitted Diseases Treatment Guidelines, 2010. MMWR 2010;59(No. RR-12):1-110.

    Chlamydia fact sheet. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/std/chlamydia/STDFact-Chlamydia.htm . Updated Feburaray 8, 2012. Accessed October 6, 2012.

    Chlamydia genital infection. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated September 7, 2012. Accessed October 6, 2012.

    Chlamydia. National Institute of Allergy and Infectious Diseases website. Available at: http://www.niaid.nih.gov/topics/chlamydia/understanding/Pages/cause.aspx . Updated August 20, 2010. Accessed October 6, 2012.

    Chlamydia. National Women's Health Organization website. Available at: http://www.womenshealth.gov/publications/our-publications/fact-sheet/chlamydia.cfm . Updated July 8, 2011. Accessed October 6, 2012.

    Centers for Disease Control and Prevention. Sexually Transmitted Diseases Treatment Guidelines, 2010. MMWR 2010;59(No. RR-12):1-110.

    Fauci A, Braunwald E, Isselbacher K, et al, eds. Harrison's Principles of Internal Medicine . 14th ed. New York, NY: McGraw-Hill; 1998.

    International Trachoma Initiative website. Available at: http://www.trachoma.org/ . Accessed October 6, 2012.

    STD and pregnancy fact sheet. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/std/pregnancy/STDFact-Pregnancy.htm . Updated Feburaray 8, 2012. Accessed October 6, 2012.

    US Preventive Services Task Force. Screening for chalmydial infection. Annals of Internal Medicine . 2007:147;128-134.

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