Journal Article

Value of Self-Reportable Screening Criteria to Identify Asymptomatic Individuals in the General Population for Urogential <i>Chlamydia trachomatis</i> Infection Screening

Berit Andersen, Irene van Valkengoed, Frede Olesen, Jens K. Møller and Lars Østergaard

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 36, issue 7, pages 837-844
Published in print April 2003 | ISSN: 1058-4838
Published online April 2003 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/368188
Value of Self-Reportable Screening Criteria to Identify Asymptomatic Individuals in the General Population for Urogential Chlamydia trachomatis Infection Screening

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Submission of samples from the home allows screening for Chlamydia trachomatis without preceding professional assessment of clinical risk factors. Therefore, a validation of self-reportable information for use as selective screening criteria is needed. We asked a total of 1175 women and 1033 men who participated in an in-home sampling screening study to provide information on behavior and sociodemographic characteristics. In a multivariate model, selective screening criteria were developed on the basis of information from a random part of the tested population (development group), and the validity was assessed for the remaining part of the tested population (validation group). To find all infections, 95% of the subjects had to be screened, and screening 63% of them would have detected 86% of infections. Low predictive values were found when selective screening criteria from other studies were assessed. Selective screening by means of in-home sampling strategies among men and women aged 21–23 years cannot be recommended in the area studied.

Journal Article.  4261 words.  Illustrated.

Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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