FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 349:2424-2430 December 18, 2003 Number 25 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear PubMed Citation

This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 19-year-old woman visits her primary care provider for counseling about contraception. She became sexually active one year previously and has had a new sexual partner for the past three months. Her partner currently uses a condom intermittently for contraception, and she inquires about oral contraceptives. She reports no medical problems and is in good health. Her physical examination is unremarkable. Is . . . [Full Text of this Article]

The Clinical Problem

Clinical Presentation

Epidemiology of Chlamydial Infections

Strategies and Evidence

Screening

            Screening in Women

            Screening in Men

            Testing Methods

Treatment

            Infection during Pregnancy

            Pelvic Inflammatory Disease

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Division of Research, Department of Obstetrics and Gynecology and Community Health, Brown University Medical School and the Women and Infants Hospital, Providence, R.I.

Address reprint requests to Dr. Peipert at the Division of Research, Women and Infants Hospital, 101 Dudley St., Providence, RI 02905, or at jpeipert@wihri.org.

This article has been cited by other articles:

• Land, J.A., Van Bergen, J.E.A.M., Morre, S.A., Postma, M.J. (2009). Epidemiology of Chlamydia trachomatis infection in women and the cost-effectiveness of screening. Hum Reprod Update 0: dmp035v1-dmp035 [Abstract] [Full Text]  
• Siemer, J., Theile, O., Larbi, Y., Fasching, P. A., Danso, K. A., Kreienberg, R., Essig, A. (2008). Chlamydia trachomatis Infection as a Risk Factor for Infertility among Women in Ghana, West Africa. Am J Trop Med Hyg 78: 323-327 [Abstract] [Full Text]  
• Quint, K., Porras, C., Safaeian, M., Gonzalez, P., Hildesheim, A., Quint, W., van Doorn, L.-J., Silva, S., Melchers, W., Schiffman, M., Rodriguez, A. C., Wacholder, S., Freer, E., Cortes, B., Herrero, R., for the Costa Rican Vaccine Trial Group, (2007). Evaluation of a Novel PCR-Based Assay for Detection and Identification of Chlamydia trachomatis Serovars in Cervical Specimens. J. Clin. Microbiol. 45: 3986-3991 [Abstract] [Full Text]  
• Goh, B T, Hadley, J M, Lomax, N J, Patel, H C, Viswalingam, N D (2006). Otitis media in adults with chlamydial conjunctivitis.. Sex. Transm. Infect. 82: 219-220 [Abstract] [Full Text]  
• Chernesky, M., Jang, D., Luinstra, K., Chong, S., Smieja, M., Cai, W., Hayhoe, B., Portillo, E., MacRitchie, C., Main, C., Ewert, R. (2006). High Analytical Sensitivity and Low Rates of Inhibition May Contribute to Detection of Chlamydia trachomatis in Significantly More Women by the APTIMA Combo 2 Assay. J. Clin. Microbiol. 44: 400-405 [Abstract] [Full Text]  
• Castellsague, X., Peeling, R. W., Franceschi, S., de Sanjose, S., Smith, J. S., Albero, G., Diaz, M., Herrero, R., Munoz, N., Bosch, F. X., for the IARC Multicenter Cervical Cancer Study Gro, (2005). Chlamydia trachomatis Infection in Female Partners of Circumcised and Uncircumcised Adult Men. Am J Epidemiol 162: 907-916 [Abstract] [Full Text]  
• Stamm, W. E. (2004). Chlamydia Screening: Expanding the Scope. ANN INTERN MED 141: 570-572 [Full Text]