Chlamydia trachomatis: important relationships to race, contraception, lower genital tract infection, and Papanicolaou smear.
Chlamydia trachomatis: important relationships to race, contraception, lower genital tract infection, and Papanicolaou smear.
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沙眼衣原体：与种族、避孕、下生殖道感染和巴氏涂片的重要关系。
DOI：
10.1016/s0022-3476(84)80614-9
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发表时间：
1984
期刊：
影响因子：
--
通讯作者：
Schachter,J
中科院分区：
文献类型：
--
作者：
Shafer,MA;Beck,A;Blain,B;Dole,P;IrwinJr,CE;Sweet,R;Schachter,J
沙眼衣原体是青春期女孩性传播疾病的常见原因。在筛查的366名青少年患者中，15.3%被发现患有衣原体宫颈内膜感染，其中黑人感染率为23.3%，西班牙裔感染率为14.3%，白人感染率为10.3%（P=0.01，黑人超出）。衣原体阳性患者中，63.6%被诊断为下生殖道感染，而衣原体阴性患者中，这一比例为35.4%（P=0.004）。与使用屏障方法（16.2%）或非使用者（9.3%）相比，口服避孕药使用者的感染率（23.8%）更高（P=0.004）。巴氏涂片上的炎症变化与衣原体感染相关（P=0.0001）。被确定为衣原体感染危险因素的其他变量包括首次性交年龄较小（P=0.02）和性活动年数较长（P=0.02）。实足年龄、初潮年龄、妇科年龄、子宫颈生物学年龄、上个月和一生中的性伴侣数量以及产次均未发现与衣原体恢复相关。
Chlamydia trachomatisis a common cause of sexually transmitted disease in adolescent girls. Of 366 adolescent patients screened, 15.3% were found to have chlamydial endocervical infections, with an infection rate of 23.3% in blacks, 14.3% in Hispanics, and 10.3% in whites (P=0.01, excess for blacks). OfChlamydia-positive patients, 63.6% had a diagnosis of lower genital tract infection, compared with 35.4% ofChlamydia-negative patients (P=0.004). Oral contraceptive users had a higher prevalence of infection (23.8%) compared with those using a barrier method (16.2%) or with nonusers (9.3%) (P=0.004). Inflammatory changes on Papanicolaou smears were associated with chlamydial infection (P=0.0001). Other variables identified as risk factors for chlamydial infection included both a younger age at first intercourse (P=0.02) and more years of sexual activity (P=0.02). Chronologic, menarchal, and gynecologic age, biologic age of the cervix, the number of sexual partners in the last month and during a lifetime, and parity were not found to be associated with recovery ofChlamydia.
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