Screening for Chlamydia trachomatis in asymptomatic women attending family planning clinics: a cost-effectiveness analysis of three strategies

Article Abstract:

Screening all women under the age of 30 who attend family planning clinics appears to be the most cost-effective screening method for preventing chlamydia infections. Researchers evaluated the cost-effectiveness of three screening methods: universal screening of all women, screening only women 30 or younger, or screening only young women who do not consistently use barrier contraception or who have multiple partners. Screening all women under the age of 30 at family planning clinics would detect the most cases while still saving money. Universal screening would not detect significantly more cases and would cost more money.

Usage, Cost benefit analysis

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Screening women for Chlamydia trachomatis in family planning clinics: the cost effectiveness of DNA amplification assays

Article Abstract:

DNA amplification tests of women at family planning clinics would be the most useful and cost effective for preventing pelvic inflammatory disease (PID). Combining the cost of tests with the amount saved by prevention of PID and infection of sex partners and children, the DNA amplification test is more cost effective than the lower-priced enzyme immunoassay (EIA). Other tests might prevent more cases of PID, but at an extremely high price per case, except for women having a pelvic exam. The DNA amplification test can be used whether or not a pelvic exam is performed.

Health aspects, Women, Prevention, Women's health, Chlamydia trachomatis, Pelvic inflammatory disease

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Urine as a diagnostic specimen for the detection of Chlamydia trachomatis in Malaysia by ligase chain reaction

Article Abstract:

Chlamydia trachomatis may now be diagnosed noninvasively using a new DNA amplification test. Researchers analyzed first-void of the day urine samples from 300 men and 300 women using both the new ligase chain reaction (LCR) test and an enzyme immunoassay. The LCR test found all of the true positive cases of chlamydia infection in both men and women. The LCR was far superior to the enzyme immunoassay in diagnosing chlamydia infections. The use of urine samples to test for Chlamydia may enable public health officials to screen whole populations to control its spread.

Analysis, DNA

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