筛查的影响:有高质量证据表明,与选择性筛查相比,普查可使分配到常规治疗组的高风险患者的盆腔炎性疾病 (PID) 发病风险降低 50%。[14]Scholes D, Stergachis A, Heidrich FE, et al. Prevention of pelvic inflammatory disease by screening for cervical chlamydial infection. N Engl J Med. 1996 May 23;334(21):1362-6.https://www.nejm.org/doi/10.1056/NEJM199605233342103?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub%3Dwww.ncbi.nlm.nih.gov&http://www.ncbi.nlm.nih.gov/pubmed/8614421?tool=bestpractice.com
系统评价或者受试者>200名的随机对照临床试验(RCT)。
筛查的影响:有高质量证据表明,与选择性筛查相比,普查可使分配到常规治疗组的高风险患者的盆腔炎性疾病 (PID) 发病风险降低 50%。[14]Scholes D, Stergachis A, Heidrich FE, et al. Prevention of pelvic inflammatory disease by screening for cervical chlamydial infection. N Engl J Med. 1996 May 23;334(21):1362-6.https://www.nejm.org/doi/10.1056/NEJM199605233342103?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub%3Dwww.ncbi.nlm.nih.gov&http://www.ncbi.nlm.nih.gov/pubmed/8614421?tool=bestpractice.com
筛查的影响:有中等质量证据表明,如果在初级医疗保健门诊实施筛查,则影响更大。[15]Scholes D, Grothaus L, McClure J, et al. A randomized trial of strategies to increase Chlamydia screening in young women. Prev Med. 2006 Oct;43(4):343-50.http://www.ncbi.nlm.nih.gov/pubmed/16782182?tool=bestpractice.com
系统评价或者受试者>200名的随机对照临床试验(RCT)。
筛查的影响:有中等质量证据表明,如果在初级医疗保健门诊实施筛查,则影响更大。[15]Scholes D, Grothaus L, McClure J, et al. A randomized trial of strategies to increase Chlamydia screening in young women. Prev Med. 2006 Oct;43(4):343-50.http://www.ncbi.nlm.nih.gov/pubmed/16782182?tool=bestpractice.com
白带与核酸扩增试验 (NAAT) 之间的相关性:有中等质量证据表明,诊断白带对 NAAT 检测出淋球菌和衣原体有良好的预测能力。[16]Hakakha MM, Davis J, Korst LM, et al. Leukorrhea and bacterial vaginosis as in-office predictors of cervical infection in high risk women. Obstet Gynecol. 2002 Oct;100(4):808-12.http://www.ncbi.nlm.nih.gov/pubmed/12383553?tool=bestpractice.com
系统评价或者受试者>200名的随机对照临床试验(RCT)。
白带与核酸扩增试验 (NAAT) 之间的相关性:有中等质量证据表明,诊断白带对 NAAT 检测出淋球菌和衣原体有良好的预测能力。[16]Hakakha MM, Davis J, Korst LM, et al. Leukorrhea and bacterial vaginosis as in-office predictors of cervical infection in high risk women. Obstet Gynecol. 2002 Oct;100(4):808-12.http://www.ncbi.nlm.nih.gov/pubmed/12383553?tool=bestpractice.com
复发风险:有中等质量证据表明,诊断为淋病性宫颈炎的青少年,复发风险较高。[24]Oh MK, Cloud, GA, Fleenor, M, et al. Risk for gonococcal and chlamydial cervicitis in adolescent females: incidence and recurrence in a prospective cohort study. J Adolesc Health. 1996;18:270-275.http://www.ncbi.nlm.nih.gov/pubmed/8860791?tool=bestpractice.com
系统评价或者受试者>200名的随机对照临床试验(RCT)。
复发风险:有中等质量证据表明,诊断为淋病性宫颈炎的青少年,复发风险较高。[24]Oh MK, Cloud, GA, Fleenor, M, et al. Risk for gonococcal and chlamydial cervicitis in adolescent females: incidence and recurrence in a prospective cohort study. J Adolesc Health. 1996;18:270-275.http://www.ncbi.nlm.nih.gov/pubmed/8860791?tool=bestpractice.com