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Chlamydia Infection Rate Trends among Women Attending GUM Clinics
Annual Chlamydia Screening is recommended for all sexually active women. Due to not all women getting tested substantial limitations exist in ascertaining Chlamydia trends. Reported case rates have increased likely due to increased screening and improved test technology.
Results: Over 5 million Chlamydia Tests were reported to American family planning clinics from 2004 to 2008. A majority of tests were conducted among white women. Overall Chlamydia positivity from 2004 to 2008 was 7.0%.
Chlamydia infection, a sexually transmitted disease associated with serious adverse outcomes among women, including pelvic inflammatory disease, ectopic pregnancy, tubal-factor infertility, and chronic pain is the most commonly reported nationally notifiable disease in the UK. In the USA over 1.2 million cases were reported to the CDC. However an estimated 2.8 million Chlamydia cases occur annually, suggesting that under-detection of cases is substantial.
Monitoring sexual health trends in Chlamydia prevalence is a critical component to assessing the impact of prevention efforts. While prevention strategies may be having some effect, more remains to be done. Despite steady improvements in screening eligible women seeking healthcare, Chlamydia trends remain stable. The burden of disease is substantial; this analysis show regional variation in positivity of 5% to 9% among young women aged 15 to 24 years tested in family planning clinics analyzed. In addition, other reports have demonstrated substantial racial./ethnic disparities too.
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