Chlamydia Trachomatis Infections: Screening, Diagnosis, and Management

被引:1
|
作者
Mishori, Ranit [1 ]
McClaskey, Erica L. [1 ]
Winklerprins, Vince J. [1 ]
机构
[1] Georgetown Univ, Sch Med, Dept Family Med, Washington, DC 20007 USA
关键词
SEXUALLY-TRANSMITTED-DISEASES; SINGLE-DOSE AZITHROMYCIN; COST-EFFECTIVENESS; MEN; RISK; TRANSMISSION; METAANALYSIS; DOXYCYCLINE; PREVALENCE;
D O I
暂无
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Chlamydia trachomatis is a gram-negative bacterium that infects the columnar epithelium of the cervix, urethra, and rectum, as well as nongenital sites such as the lungs and eyes. The bacterium is the cause of the most frequently reported sexually transmitted disease in the United States, which is responsible for more than 1 million infections annually. Most persons with this infection are asymptomatic. Untreated infection can result in serious complications such as pelvic inflammatory disease, infertility, and ectopic pregnancy in women, and epididymitis and orchitis in men. Men and women can experience chlamydia-induced reactive arthritis. Treatment of uncomplicated cases should include azithromycin or doxycycline. Screening is recommended in all women younger than 25 years, in all pregnant women, and in women who are at increased risk of infection. Screening is not currently recommended in men. In neonates and infants, the bacterium can cause conjunctivitis and pneumonia. Adults may also experience conjunctivitis caused by chlamydia. Trachoma is a recurrent ocular infection caused by chlamydia and is endemic in the developing world. (Am Fam Physician. 2012;86(12):1127-1132. Copyright (c) 2012 American Academy of Family Physicians.)
引用
收藏
页码:1127 / 1132
页数:6
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