| do 02.10.2008 |
published in Huisarts Nu 2004 (4):182-198 - Opportunistic screening of women decreases the number of complications (level of evidence 2).
- Opportunistic screening should, by consensus, be offered to:
- Women under 35 who have had more than one sexual partner in the past year or who have a new partner for less than six months;
- Women who will undergo an abortion.
- Furthermore it is advised to offer a test for Chlamydia trachomatis to:
- All women with one or more of the following risk factors:
postcoital or intermenstrual bleeding, painful micturition which continues after empirical treatment for a bladder infection, having a partner who complains of dysuria - All men who suffer from dysuria or who have complaints related to urethritis.
- Screening should be performed using Nucleic Acid Amplified Testing (NAAT) (level of evidence 1) on a first voided urine sample or a vaginal swab.
- A positive result must be confirmed by a second amplification test, unless the clinical history is suggestive for an STD.
- An uncomplicated infection in a non-pregnant woman is treated with a single dose of 1g azithromycin (level of evidence 1).
- The partner(s) of an infected patient must also receive treatment.
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| Laatst aangepast: ma 06.10.2008 |