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June 1, 2009

Approaches to Chlamydia ScreeningOne Size Does Not Fit All

Author Affiliations

Copyright 2009 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2009

Arch Pediatr Adolesc Med. 2009;163(6):585-586. doi:10.1001/archpediatrics.2009.58

In this issue of the Archives, Tebb et al1 describe a strategy for increasing Chlamydia trachomatis (CT) screening rates among adolescent girls who make urgent care visits to a large health maintenance organization (HMO). Why is such a study important? C trachomatis, the most common bacterial sexually transmitted infection in the United States, disproportionately affects sexually active women between the ages of 15 and 24 years.2 The vast majority of CT infections are asymptomatic3; therefore, most infections will be detected only through systematic screening efforts. Left untreated, CT may progress to pelvic inflammatory disease with possible sequelae of infertility and ectopic pregnancy.3