Incident Chlamydia trachomatis Infections Among Inner-city Adolescent Females

Authors:
  • CGCharlotte A. Gaydos
    Charlotte A. Gaydos
  • MDMarie Diener-West
    Marie Diener-West
  • MHM. Rene Howell
    M. Rene Howell
  • JZJonathan M. Zenilman
    Jonathan M. Zenilman
  • TQThomas C. Quinn
    Thomas C. Quinn

Abstract
CHLAMYDIA TRACHOMATIS infection is the most important preventable cause of pelvic inflammatory disease and subsequent tubal factor infertility in women in the United States.1-6 Most cervical infections are identified by screening both symptomatic and asymptomatic women, although most infections are asymptomatic.7-10 Chlamydial pelvic inflammatory disease is often minimally symptomatic or asymptomatic. Therefore, chlamydia screening programs play a crucial role in preventing infertility.2 Sexually active adolescent females are at highest risk for chlamydia infection and for repeated infections, which further increase their risk of sequelae.11-18 Current guidelines for delivery of adolescent primary care services recommend yearly chlamydia screening for those adolescent females considered to be at risk.19-21 Since 1993, the Centers for Disease Control and Prevention (CDC), Atlanta, Ga, has recommended screening all sexually active

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