National laboratory reports of Chlamydia trachomatis seriously underestimate the frequency of genital chlamydial infections among women in Switzerland.

Abstract:

BACKGROUND:Public health authorities want to evaluate their sexually transmitted disease (STD) surveillance systems to promote the most effective use of health resources. GOAL:The goal of this study was to estimate the sensitivity of national laboratory reports of in Switzerland (the proportion of cases detected by national laboratory reports). STUDY DESIGN:A cross sectional prevalence study was conducted by the Swiss Sentinel Surveillance Network of Gynecologists in 1998. Two groups of women aged less than 35 years were included in the study: those having a first consultation for pregnancy and those having a routine check-up. RESULTS:A total of 1589 women were tested for. The prevalence among pregnant women (n = 817) was 1.3%, and that among sexually active women (n = 772) was 2.8%. Using the prevalences observed among check-up women, we estimate that there were at least 24,400 infections in Switzerland among women aged 20 to 34 years in 1998 (95% CI: 14,300-34,300). The number of laboratory reports of in this age group was 1,150 in 1998. CONCLUSION:Our study suggests that the sensitivity of national laboratory reports of in 1998 was less than 5% for women aged 20 to 34 years.

journal_name

Sex Transm Dis

authors

Paget WJ,Zbinden R,Ritzler E,Zwahlen M,Lengeler C,Stürchler D,Matter HC,Swiss Sentinel Surveillance Network of Gynecologists.

doi

10.1097/00007435-200211000-00016

subject

Has Abstract

pub_date

2002-11-01 00:00:00

pages

715-20

issue

11

eissn

0148-5717

issn

1537-4521

journal_volume

29

pub_type

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