美国预防服务工作组 (USPSTF) 认为,目前的证据不足以评估男性衣原体感染筛查的获益和危害平衡。
USPSTF 和美国家庭医师学会 (American Academy of Family Physicians, AAFP) 推荐针对以下情况应进行年度筛查:[22]LeFevre ML; U.S. Preventive Services Task Force. Screening for chlamydia and gonorrhea: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2014 Dec 16;161(12):902-10.http://annals.org/article.aspx?articleid=1906843http://www.ncbi.nlm.nih.gov/pubmed/25243785?tool=bestpractice.com[23]American Academy of Family Physicians. Summary of recommendations for clinical preventive services. July 2017 [internet publication].http://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/cps-recommendations.pdf
年龄在 24 岁及以下的性活跃女性
感染风险增加的 24 岁以上女性。
此外,美国疾病预防控制中心 (CDC) 推荐如有以下情况时,在第一次产前检查和在妊娠晚期时对孕妇进行筛查:[13]Centers for Disease Control and Prevention. Recommendations for the laboratory-based detection of Chlamydia trachomatis and Neisseria gonorrhoeae - 2014. MMWR Recomm Rep. 2014 Mar 14;63(RR-02):1-19.http://www.cdc.gov/mmwr/preview/mmwrhtml/rr6302a1.htmhttp://www.ncbi.nlm.nih.gov/pubmed/24622331?tool=bestpractice.com
英国国家卫生与临床优化研究所 (NICE) 不推荐将衣原体筛查作为常规产前保健的一部分。[24]National Institute for Health and Care Excellence. Antenatal care for uncomplicated pregnancies. January 2017 [internet publication].https://www.nice.org.uk/guidance/cg62/