Abstract:
BACKGROUND:Nucleic acid amplification tests (NAATs) allow chlamydia screening in asymptomatic women who otherwise may not have pelvic examinations. How often these women have examination findings that may prompt empiric therapy is unclear. OBJECTIVE:The objective of this study was to assess the relationship of chlamydia with pelvic examination findings in asymptomatic women screened by NAAT. METHODS:The authors conducted a retrospective analysis of clinical data from 577 young asymptomatic women screened by chlamydial transcription-mediated amplification (TMA). RESULTS:TMA was positive in 68 (11.8%). The most common examination finding was vaginal discharge (5.9%) followed by cervical ectopy (3.6%), endocervical mucopus (2.3%) or easily induced bleeding (2.3%), and cervical motion (1.4%) or adnexal (0.7%) tenderness. On multivariate analysis, only easily induced bleeding or mucopus predicted chlamydia (adjusted odds ratio [AOR] = 4.7; P = 0.010 and AOR = 4.4; P = 0.015, respectively). CONCLUSIONS:Abnormal pelvic examination findings were infrequent in asymptomatic young women screened by a chlamydial NAAT. However, endocervical bleeding or mucopus, when present, predicted chlamydia.
journal_name
Sex Transm Disjournal_title
Sexually transmitted diseasesauthors
Geisler WM,Chow JM,Schachter J,McCormack WMdoi
10.1097/01.olq.0000240344.20665.63subject
Has Abstractpub_date
2007-06-01 00:00:00pages
335-8issue
6eissn
0148-5717issn
1537-4521journal_volume
34pub_type
杂志文章,多中心研究abstract:BACKGROUND AND OBJECTIVES:The increasing prevalence of resistant strains of Neisseria gonorrhoeae has prompted investigation of new agents for the treatment of this sexually transmitted disease. GOAL OF THIS STUDY:This study compared the efficacy and safety of a single oral dose of enoxacin to intramuscular ceftriaxon...
journal_title:Sexually transmitted diseases
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00007435-199307000-00008
更新日期:1993-07-01 00:00:00
abstract::Identifying pathogen-specific signs or symptoms of nongonococcal urethritis could improve syndromic management accuracy. We evaluated nongonococcal urethritis signs and symptoms in 220 men with single-pathogen infections (Chlamydia trachomatis, Mycoplasma genitalium, Trichomonas vaginalis, or Ureaplasma urealyticum) o...
journal_title:Sexually transmitted diseases
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abstract:OBJECTIVES:To describe the impact of surveillance for antimicrobial resistance (AMR) in Neisseria gonorrhoeae over a 7-year period on treatment guidelines in Alberta, Canada. METHODS:AMR testing data from gonorrhea cases were combined with demographic and risk behavior information collected through surveillance to des...
journal_title:Sexually transmitted diseases
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doi:10.1097/OLQ.0b013e318223be5f
更新日期:2011-10-01 00:00:00
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章,多中心研究
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更新日期:1996-07-01 00:00:00
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journal_title:Sexually transmitted diseases
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更新日期:2017-07-01 00:00:00
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章,多中心研究
doi:10.1097/OLQ.0b013e31825ef325
更新日期:2012-09-01 00:00:00
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journal_title:Sexually transmitted diseases
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更新日期:2008-02-01 00:00:00
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章
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更新日期:2011-07-01 00:00:00
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章,多中心研究
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更新日期:2007-03-01 00:00:00
abstract:BACKGROUND:Vietnamese women may be especially vulnerable to reproductive tract infections (RTIs) and their biological and social sequelae. Few data are available on the prevalence of and health-seeking behavior for RTIs among women in Vietnam. GOAL:To assess prevalence of RTI symptoms, describe treatment-seeking behav...
journal_title:Sexually transmitted diseases
pub_type: 杂志文章
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更新日期:2002-04-01 00:00:00
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章
doi:10.1097/OLQ.0b013e31818d3fb6
更新日期:2009-03-01 00:00:00
abstract::We believe this to be the first report of coexisting polymerase chain reaction (PCR)-confirmed primary genital and ocular syphilis in a patient with penicillin allergy treated with doxycycline. The case examines the use of nonpenicillin and corticosteroid treatment of ocular syphilis and highlights the risk of eye inv...
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doi:10.1097/OLQ.0000000000000900
更新日期:2018-12-01 00:00:00
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journal_title:Sexually transmitted diseases
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更新日期:2016-08-01 00:00:00
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章,随机对照试验
doi:10.1097/OLQ.0b013e3181dd1691
更新日期:2010-06-01 00:00:00
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章
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更新日期:2010-05-01 00:00:00
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章,随机对照试验
doi:10.1097/01.olq.0000175392.84989.ec
更新日期:2005-11-01 00:00:00
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章
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更新日期:2012-04-01 00:00:00
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journal_title:Sexually transmitted diseases
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更新日期:2000-01-01 00:00:00
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章
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更新日期:2014-07-01 00:00:00
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章
doi:10.1097/00007435-199509000-00002
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章
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更新日期:1977-01-01 00:00:00
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章
doi:10.1097/00007435-198007000-00005
更新日期:1980-07-01 00:00:00
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章
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更新日期:2017-10-01 00:00:00