Study of Chlamydia trachomatis in Military Women; Prevalence, Risk Factors, and a Cost Benefit Analysis of Early Diagnosis and Treatment
Annual rept. 31 Aug 1997-30 Aug 1998
JOHNS HOPKINS UNIV BALTIMORE MD
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In the third project year, 5,657 women and 1,203 male military recruits were screened at Fort Jackson, Sc. Over the course of the project, there have been 16,727 women and 1,203 men screened. Those that tested positive received treatment at the Troop Medical Clinic TMC. Methods After receiving an hour of instruction on chiamydia including symptoms and sequelae, prevention, and screening and treatment, potential subjects were asked for their inforrned consent. All potential subjects answered a chlamydia risk history questionnaire, however, some who chose each month not to participate submitted the questionnaire anonymously. Study participants submitted a first catch urine specimen for testing at Johns Hopkins by ligase chain reaction LCR. Results 583 women 10.3 and 59 men 4.9 tested positive and were subsequently treated. If a questionnaire could be avoided and young age 25 years used alone as the screening criterion, 87.9 11,60313,204 of the population would need to be tested, and 95.3 1,1621,219 of the positives would be identified. Young age was not a risk factor for men, as it was for women. Conclusion We recommend screening women 25 years of age in this population.