Toward Control of Sexually Transmitted Chlamydial Infections
Authors: Walter E. Stamm
Journal: Annals of Internal Medicine (1993)

Editorials1 September 1993Toward Control of Sexually Transmitted Chlamydial InfectionsWalter E. Stamm, MDWalter E. Stamm, MDHarborview Medical Center, Seattle, WA 98104.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-119-5-199309010-00017 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail In 1985, the Centers for Disease Control and Prevention (CDC) published the first edition of guidelines for the prevention and control of Chlamydia trachomatis infections [1]. These guidelines outlined the high prevalence and enormous morbidity associated with chlamydial infection, delineated the specific syndromes in which chlamydia was a major etiologic agent, and recommended empiric treatment of these syndromes. Recently, the CDC published an updated set of guidelines for the prevention and control of Chlamydia trachomatis infections [2]. These 1993 guidelines advocate new approaches to prevention and control of chlamydial infection made possible by scientific advances of the last decade.Among ...References1. Chlamydia trachomatis infections: policy guidelines for prevention and control. MMWR: Recommendations and Reports. 1985; 34:53S-74S. Google Scholar2. Recommendations for the prevention and management of Chlamydia trachomatis infections, 1993. MMWR; 42 (RR-11): 1-36. Google Scholar3. Schachter J. Epidemiology of infection. In Chlamydial Infections. Bowie WR, Caldwell HD, Jones RP, Mardh PA, Ridgway GL, Schachter J, Stamm WE, Ward ME, eds. Cambridge: Cambridge University Press; 1990:245-54. Google Scholar4. Stamm WE, Holmes KK. Chlamydial infections in adults. In: Sexually Transmitted Diseases. 2d edition. Holmes KK, Mardh PA, Sparling PF, Wiesner PJ, eds. New York: McGraw-Hill; 1990:181-93. Google Scholar5. Sellors JW, Mahony JB, Chernesky MA, Rath DJ. Tubal factor infertility: an association with prior chlamydial infection and asymptomatic salpingitis. Fertil Steril. 1988; 49:451-7. Google Scholar6. Shafer MA, Prager V, Shalwitz J, Vaughan E, Moscicki B, Brown R, et al. Prevalence of urethral Chlamydia trachomatis and Neisseria gonorrhoeae among asymptomatic, sexually active adolescent boys. J Infect Dis. 1987; 156:223-4. Google Scholar7. Barnes RC. Laboratory diagnosis of human chlamydial infections. Clin Microbiol Rev. 1989; 2:119-36. Google Scholar8. Stamm WE. Laboratory diagnosis of chlamydial infection. In: Chlamydial Infections. Bowie WR, Caldwell HD, Jones RP, Mardh PA, Ridgway GI, Schachter J, Stamm WE, Ward ME, eds. Cambridge: Cambridge University Press; 1990:460-70. Google Scholar9. Chernesky M, Castriciano S, Sellors J, Stewart I, Cunningham I, Landis S, et al. Detection of Chlamydia trachomatis antigens in urine as an alternative to swabs and cultures. J Infect Dis. 1990; 161:124-6. Google Scholar10. Schachter J, Stamm WE, Chernesky MA, Hook EW, Jones RB, Judson FN, et al. Nonculture tests for genital tract chlamydial infection. What does the package insert mean, and will it mean the same thing tomorrow? Sex Transm Diseases. 1992; 19:243-4. Google Scholar11. Martin DH, Mroczkowski TF, Dalu ZA, McCarty J, Jones RB, Hopleing SJ, et al. A controlled trial of a single dose of azithromycin for the treatment of chlamydial urethritis and cervicitis. N Engl J Med. 1992; 327:921-5. Google Scholar12. Hooton TM, Rogers M, Medina TG, Kuwamura LE, Ewers C, Roberts PL, et al. Ciprofloxacin compared with doxycycline for nongonococcal urethritis: ineffectiveness against Chlamydia trachomatis due to relapsing infection. JAMA. 1990; 264:1418-21. Google Scholar13. Britton TF, DeLisle S, Fine D. STDs and family planning: a regional program for chlamydia control that works. Am J Gynecol Health. 1992; 6:24-31. Google Scholar14. Jones RB. Treatment of Chlamydia trachomatis infections of the urogenital tract. In: Chlamydial Infections: Proceedings of the Seventh International Symposium on Human Chlamydial Infections. Bowie WR, Caldwell HD, Jones RP, Mardh PA, Ridgway GL, Schachter J, Stamm WE, Ward ME, eds. Cambridge: Cambridge University Press. 1990:490-518. Google Scholar15. Herrman BF, Johansson AB, Mardh PA. A retrospective study of efforts to diagnose infections by Chlamydia trachomatis in a Swedish county. Sex Trans Dis. 1991; 18:233-7. Google Scholar Author, Article, and Disclosure InformationAuthors: Walter E. Stamm, MDAffiliations: Harborview Medical Center, Seattle, WA 98104.Corresponding Author: Walter E. Stamm, MD, Department of Medicine, Harborview Medical Center, ZA-89, 325 9th Avenue, Seattle, WA 98104.Grant Support: In part by grant AI-33118 from the National Institutes of Health. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byHow robust are the natural history parameters used in chlamydia transmission dynamic models? A systematic reviewThe prevalence of urogenital micro-organisms detected by a multiplex PCR–reverse line blot assay in women attending three sexual health clinics in Sydney, AustraliaSurvey of Sexually Transmitted Disease Laboratory Methods in US Army LaboratoriesChlamydial DiseaseUniversal Screening or Prophylactic Treatment for Chlamydia trachomatis Infection Among Women Seeking Induced Abortions: Which Strategy Is More Cost-Effective?Chlamydia trachomatis???The Persistent PathogenCost-Effectiveness of Partner Pharmacotherapy in Screening Women for Asymptomatic Infection with Chlamydia TrachomatisGender differences in HIV risk behaviors in an adult emergency department in New York CitySexually transmitted diseases in adolescents: Focus on gonorrhea, chlamydia, and trichomoniasis—Issues and treatment guidelinesPerformance and Cost-Effectiveness of Selective Screening Criteria for Chlamydia trachomatis Infection in WomenEpidemiology of gonococcal and chlamydial infections in Harrow and Brent. 1 September 1993Volume 119, Issue 5Page: 432-434KeywordsChlamydiaChlamydia infectionDoxycyclineHIV preventionInfectious disease controlNucleic acidsPatientsPelvic inflammatory diseasePregnancySexually transmitted diseases ePublished: 15 August 2000 Issue Published: 1 September 1993 Copyright & PermissionsCopyright © 1993 by American College of Physicians. 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