Screening and Treatment Guidelines for Chlamydia trachomatis in Incarcerated Adolescents: A Review

Abstract

Chlamydia trachomatis is the most prevalent sexually transmitted bacterial infection among adolescents in the United States. Chlamydia infections that go untreated may cause complications such as pelvic inflammatory disease, ectopic pregnancy, epididymitis, and infertility. Screening has become easier and more cost-effective with the development of nucleic acid amplification tests. Two common treatments for chlamydia infections are a single dose of azithromycin and a 7-day course of doxycycline. Although the Centers for Disease Control and Prevention has published guidelines regarding screening for and treating chlamydia, only a small percentage of correctional health care facilities adhere to them. Correctional facilities have the opportunity to prevent transmission of chlamydia within a population that has limited access to health care.

State of the immune system of patients with recurrent urogenital infections

“…В России уровень заболеваемости урогени тальной хламидийной инфекцией в 2011 соста вил 66,3 на 100 000 населения [5]. Социально значимым является то, что урогенитальный хламидиоз, чаще встречаясь у молодых людей, преимущественно у женщин, служит причиной бесплодия у 17 20% супружеских пар [8,9] Среди вирусных инфекций, поражающих аногенитальную область, наиболее распростра нены герпетическая и папилломавирусная ин фекция. Частота встречаемости одного из про явлений папилломавирусной инфекции -ано генитальных бородавок (остроконечных кон дилом) составляет 19,1% [10], а инфицирован ность вирусом папилломы человека (ВПЧ) сре ди лиц молодого и среднего возраста в некото рых популяциях достигает 34,4 44,9% [11,12].…”

Chlamydia Screening for Sexually Active Young Women Under the Affordable Care Act

“…3–5 If left untreated, chlamydia can lead to complications that may influence current or future reproductive functioning. 6,7 To prevent this, recommendations developed by the Centers for Disease Control and Prevention 8 (CDC) and the US Preventive Services Task Force 9 (USPSTF) call for annual screening of sexually active young women younger than 25 years for chlamydia (and, though not the focus of this article, also for older women at increased risk). Despite recommendations, many women in this age group do not receive screening.…”

Screening Juvenile Justice-Involved Females for Sexually Transmitted Infection

“…While some detention facilities in the United States do screen all residentially detained youth for CT and GC infection, many continue to rely on symptomatic report to guide testing (Frye, Wallace, Chavez, & Luce, 2008). This approach is problematic because many females with CT or GC infection remain asymptomatic (CDC STD Treatment Guidelines, 2010b).…”