<i>Chlamydia trachomatis</i>Infections in Female Military Recruits
New England Journal of MedicinePublished 10 September 1998
Charlotte A. Gaydos, M. René Howell, Barbara Pare, Kathryn Clark, D. A. Ellis, Rose Marie Hendrix
Citations261
SJR quartileQ1
SJR score19.08
SNIP13.47
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
A control program that screens female recruits who are 25 years old or younger with urine DNA-amplification assays has the potential to reduce infection, transmission, and the sequelae of chlamydial infection among female military recruits.
Abstract
Among female military recruits, the prevalence of chlamydial infection is high. A control program that screens female recruits who are 25 years old or younger with urine DNA-amplification assays has the potential to reduce infection, transmission, and the sequelae of chlamydial infection.
Keywords
Immunology and MicrobiologyMedicineHealth Professions
PubMedSurveillance for waterborne-disease outbreaks--United States, 1993-1994.
2,055 Citations1996Michael H. Kramer, Barbara L. Herwaldt +3 more
The outbreaks of cryptosporidiosis in Milwaukee and Las Vegas demonstrate that WBDOs can occur in large metropolitan areas and were associated with deaths among immunocompromised persons.
American Journal of Obstetrics and GynecologyGenital chlamydial infections: Epidemiology and reproductive sequelae
548 Citations1991Willard Cates, Judith N. Wasserheit
Failure to control chlamydial infections reflects the following four factors: many cases are mild or asymptomatic; diagnostic tests are expensive and technically demanding; at least 7 days of multiple-dose therapy are currently required; and partner notification is not routinely performed.
The LancetGlobal epidemiology of sexually transmitted diseases
395 Citations1998Antonio Gerbase, Jane Rowley +1 more
In the last decade there have been considerable advances in the field of STDs, fuelled to a large extent by the HIV/AIDS epidemic, but also by increased recognition of the range and severity of complications and sequelae that can be linked to these infections a& the development of new case-management approaches.
The LancetDiagnosis of Chlamydia trachomatis genitourinary infection in women by ligase chain reaction assay of urine
353 Citations1995H H Lee, John D. Burczak +6 more
Sexually Transmitted DiseasesCondom Use to Prevent Incident STDs
323 Citations1995Jonathan M. Zenilman, Carol S. Weisman +5 more
In this high-risk population at high risk for sexually transmitted diseases and human immunodeficiency virus, self-reported condom use is not associated with lower sexually transmitted disease incidence, suggesting that self- reported condom use measures, even in a research setting, may be subject to substantial reporting bias.
JAMAEpidemiologic and Microbiologic Correlates of Chlamydia trachomatis Infection in Sexual Partnerships
237 Citations1996Thomas C. Quinn
The high rate of concordant infection, high frequency of infection among asymptomatic individuals, andhigh frequency of transmission regardless of sex underscore the importance of routine screening for chlamydia in both males and females, along with provision of treatment to all sexual partners of chlam Lydia-infected individuals.
Journal of Clinical MicrobiologyDiagnosis of Chlamydia trachomatis infections in men and women by testing first-void urine by ligase chain reaction
236 Citations1994Max Chernesky, D. Jang +6 more
LCR testing of FVU from men or women diagnosed the greatest number of genitourinary tract infections with no false positives and was the most sensitive approach in both studies.
JAMAChlamydia trachomatis Infections in the United States
217 Citations1987A. Eugene Washington
It is estimated that C trachomatis infections cost Americans over $1.4 billion per year in direct and indirect costs, and if the current rate of chlamydial infection persists, the projected annual costs will exceed $2.18 billion by 1990.
Sexually Transmitted DiseasesPerformance and Cost-Effectiveness of Selective Screening Criteria for Chlamydia trachomatis Infection in Women
195 Citations1997Jeanne Marrazzo, Connie Celum +4 more
Age and behavioral history are as sensitive in predicting chlamydial infection as criteria that include cervicitis, and cost‐effectiveness of selective screening is strongly influenced by the criteria's sensitivity in predicting infection, which was significantly higher in STD clients.
JAMACost of and payment source for pelvic inflammatory disease. Trends and projections, 1983 through 2000
193 Citations1991A. Eugene Washington
Annals of Internal MedicineDiagnosis of <i>Chlamydia trachomatis</i> Genitourinary Infections
172 Citations1988Walter E. Stamm
Annals of Internal MedicineScreening for <i>Chlamydia trachomatis</i> in Asymptomatic Women Attending Family Planning Clinics: A Cost-Effectiveness Analysis of Three Strategies
157 Citations1998M. René Howell, Thomas C. Quinn +1 more
This study applied three screening strategies in a medical cost and outcome decision model to the predominantly asymptomatic population seen at family planning clinics in Baltimore, Maryland, and compared each strategy's ability to identify women at risk for chlamydial infection.
American Journal of EpidemiologySelective Screening for Chlamydia trachomatis Infection in a Primary Care Population of Women
143 Citations1993Andy Stergachis, Delia Scholes +4 more
It should be feasible to develop a risk factor-based program to screen for cervical infection with C. trachomatis in populations where its prevalence is low, the authors suggest.
Annals of Internal MedicineCommunity-Based Urine Screening for <i>Chlamydia trachomatis</i> with a Ligase Chain Reaction Assay
138 Citations1997Jeanne Marrazzo, Christine L. White +5 more
The utility of screening for C. trachomatis in urine specimens by ligase chain reaction assay is assessed and the prevalence and predictors of chlamydial infection in teenagers and young adults in community-based settings are explored.
Sexually Transmitted DiseasesScreening Women for Chlamydia trachomatis in Family Planning Clinics
136 Citations1998M. René Howell, Thomas C. Quinn +2 more
Compared with EIA screening, the strategy with the lowest program costs, a screening strategy that combines use of DNA amplification on cervical specimens in women receiving pelvic examinations, and DNA amplification of urine in women with no medical indications necessitating a pelvic examination, prevents the most cases of PID and provides the highest cost savings.
The Journal of Infectious DiseasesMolecular Amplification Assays to Detect Chlamydial Infections in Urine Specimens from High School Female Students and to Monitor the Persistence of Chlamydial DNA after Therapy
129 Citations1998Charlotte A. Gaydos, Kimberly A. Crotchfelt +4 more
Urine tests for Chlamydia organisms should not be used as a test of cure within 3 weeks after treatment and use of urine assays for screening sexually active adolescents has the potential to significantly improve control of chlamydial infections.
The Journal of Infectious DiseasesNoninvasive Tests for Diagnosis of Chlamydia trachomatis Infection: Application of Ligase Chain Reaction to First-Catch Urine Specimens of Women
124 Citations1995J Schachter, Jeanne Moncada +5 more
LCR on FCU specimens is more sensitive than TC and may well present public health authorities with a useful noninvasive screening test for chlamydial infection in asymptomatic women.
Sexually Transmitted DiseasesDecreased Prevalence of Chlamydia trachomatis Infection Associated With a Selective Screening Program in Family Planning Clinics in Wisconsin
103 Citations1993David G. Addiss, Michael Vaughn +3 more
Selective screening and attendant activities, as well as an increase in condom use, were associated with a decrease in prevalence of C. trachomatis infection in this population of women in Wisconsin.
Journal of Clinical MicrobiologyDetection of Chlamydia trachomatis infection in urine samples from men and women by ligase chain reaction
94 Citations1995G J van Doornum, M. Buimer +7 more
Results indicate that the plasmid-LCR-based assay is a very reliable, sensitive, convenient test for the detection of C. trachomatis infection in female and male urine specimens.
American Journal of EpidemiologyChlamydia trachomatis Infection in Women: A Need for Universal Screening in High Prevalence Populations?
85 Citations1992Hillard Weinstock, Gail Bolan +4 more
Logistic regression analysis identified five factors associated with infection: age less than 25 years, cervical friability, single marital status, a new sexual partner within the past 3 months, and lack of barrier contraceptive use.
Journal of Adolescent HealthGenital chlamydia infections in sexually active female adolescents: Do we really need to screen everyone?
83 Citations1997Debra J. Mosure, Stuart M. Berman +4 more
Findings support earlier national recommendations and the need for universal screening of sexually active female adolescents and support the current Chlamydia trachomatis screening guidelines.
New England Journal of MedicineScreening for Chlamydia — A Key to the Prevention of Pelvic Inflammatory Disease
79 Citations1996Susan D. Hillis, Judith N. Wasserheit
It is necessary to select patients suitable for vaginal or laparoscopic mesh placement based on prior history and once they provide informed consent for surgery.
Journal of Adolescent HealthRisk for gonococcal and chlamydial cervicitis in adolescent females: Incidence and recurrence in a prospective cohort study
71 Citations1996M. Kim Oh, Gretchen A. Cloud +4 more
Adolescents in this study were at high risk for cervicitis, particularly as a result of C. trachomatis, and the importance of repeat screening for sexually transmitted infections and treatment of contacts of adolescent females is underscore.
Sexually Transmitted DiseasesComparison of DNA Amplification Methods for the Detection of Chlamydia trachomatis in First-Void Urine From Asymptomatic Military Recruits
68 Citations1996Angelika Stary, Susan Tomazic-Allen +4 more
It was found that freezing and thawing the specimens before testing enhanced the performance of PCR, and the LCx assay performed better than the Amplicor assay and appears reliable for urine testing.
Journal of Clinical MicrobiologyUse of Ligase Chain Reaction with Urine versus Cervical Culture for Detection of <i>Chlamydia trachomatis</i> in an Asymptomatic Military Population of Pregnant and Nonpregnant Females Attending Papanicolaou Smear Clinics
62 Citations1998Charlotte A. Gaydos, M. René Howell +3 more
The use of LCR testing of urine specimens from asymptomatic women, whether pregnant or not, offers a sensitive and easy method to detect C. trachomatis infection in women.
JAMAChlamydia trachomatis infections in the United States. What are they costing us?
59 Citations1987A. Eugene Washington
Sexually Transmitted DiseasesRisk Factors for Sexually-Transmitted Diseases Among Deployed U.S. Military Personnel
56 Citations1993John D. Malone, Kenneth C. Hyams +3 more
Data indicate that deployed U.S. military personnel frequently engage in high-risk sexual behavior and that there is a continued need for comprehensive and culturally-sensitive STD prevention programs.
The LancetSensitivity of ligase chain reaction assay of urine from pregnant women for Chlamydia trachomatis
46 Citations1997Inge Panum Jensen, Poul Thorsen +1 more
American Journal of EpidemiologyPredictors of Chlamydia trachomatis Infection among Female Adolescents: A Longitudinal Analysis
45 Citations1996Debra J. Mosure, Stuart M. Berman +2 more
Findings support screening sexually active female adolescents at each visit for Chlamydia trachomatis during a pelvic examination at each clinic visit, even if prior tests results are available.
JAMAEpidemiologic and microbiologic correlates of Chlamydia trachomatis infection in sexual partnerships
37 Citations1996Thomas C. Quinn
Sexually Transmitted DiseasesDeclining Prevalence of Chlamydial Infection Among Adolescent Girls
34 Citations1996Barry P. Katz, Margaret J. Blythe +2 more
The quarterly isolation rates showed that there has been a 63% decline in chlamydial infection among adolescent girls attending the clinics for the first time, and behavioral data showed decreases in the frequency of sexual intercourse and in lifetime years of sexual activity, as well as an increase in condom use.
Military MedicineSexually Transmitted Disease Control in the Armed Forces, Past and Present
20 Citations1997Lynn A.C. Emerson
A review of the literature outlining some past strategies used in the United States military to control sexually transmitted diseases and how they have shaped current STD policy finds cooperation with other government agencies and screening programs are examined.
Military MedicinePrevalence of Asymptomatic Chlamydial Cervical Infection in Active Duty Army Females
15 Citations1993Mark L. Catterson, Vikram Zadoo
Four hundred seventy-six consecutive active duty Army females who presented for routine pap smears were screened for Chlamydia trachomatis and Neisseria gonorrhea, finding high prevalence of chlamydia in this population of asymptomatic women makes it probable that screening similar populations of patients would be more cost-effective than treating the complications of this disease.
Military MedicineChlamydial Antigen Testing on Female Patients Presenting to the Emergency Department
7 Citations1991James A. Pfaff, Laura Pimentel
The prevalence of Chlamydia trachomatis infection in patients presenting to an emergency department over a 4-month period who received pelvic exams was prospectively determined and the percentage diagnosed clinically by emergency physicians was compared.
Military MedicineUse of Chlamydiazyme on Urine Sediment for Diagnosis of Chlamydia trachomatis Genital Infections
4 Citations1991Russell S. Boyd, James DeMaio
Urine sediment testing in men using this modified technique offers a rapid, accurate, and non-invasive approach which can effectively replace the use of urethral swabs throughout the military.