Prevention and Management of Chlamydial Infections in Adolescents: A Toolkit for Clinicians, Second Edition

摘要

Chlamydia trachomatis continues to be the most frequently reported bacterial sexually transmitted disease (STD) in Massachusetts. The rate of chlamydial infections in 2003 was 181.4/100,000, and 5% higher than the 2002 rate of 172.9/100,000. Increases in rates over the last six years may be explained by enhanced screening efforts among both women and men, as well as the expanded use of new highly-sensitive diagnostic tests (nucleic acid amplification tests or NAAT). The Division of Medical Assistance (DMA) and the Division of STD Prevention at the Massachusetts Department of Public Health have an interest in addressing chlamydial infections for the purpose of preventing the spread of infection and preventing complications of the infection. In Massachusetts, less than 40% of sexually active women aged 25 or less are screened for chlamydia.