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Testing for Chlamydial and Gonorrhea Infection in the Diagnosis of Vaginitis

Testing for Chlamydial and Gonorrhea Infection in the Diagnosis of Vaginitis Abstract To the Editor.— The fact that Schaaf et al1 did not include testing for gonorrhea and chlamydial infection in their evaluation of patients who presented with vaginal symptoms significantly limits the usefulness of their findings. Women with symptoms of possible acute pelvic inflammatory disease were appropriately excluded from the study, but this does not eliminate the need to test for gonorrhea and chlamydial infection. Many women (often the majority) with these two infections have mild symptoms or no symptoms2; therefore, limiting investigation of vaginal/urethral symptoms to only Candida, Trichomonas, and bacterial vaginosis is an important oversight. This omission is particularly puzzling since in 1983 Schachter3 documented an overall prevalence of chlamydial infection in 9.8% (range, 5.5% to 22.5%) of women screened during routine visits to family-planning clinics in San Francisco, Calif, the clinic populations from which Schaaf's study was drawn. Schachter noted that 70% of these infections References 1. Schaaf VM, Perez-Stable E, Borchardt K. The limited value of symptoms and signs in the diagnosis of vaginal infections . Arch Intern Med. 1990;150:1929-1933.Crossref 2. Krasnoff MJ. Diagnosis and treatment of pelvic inflammatory disease . Med Rounds. 1990;3:49-62. 3. Schachter J. Screening for chlamydial infection in women attending family planning clinics . West J Med. 1983;138:375-379. 4. Handsfield HH. Control of sexually transmitted chlamydia infections . JAMA. 1987;257:2073-2074.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Testing for Chlamydial and Gonorrhea Infection in the Diagnosis of Vaginitis

Archives of Internal Medicine , Volume 151 (6) – Jun 1, 1991

Testing for Chlamydial and Gonorrhea Infection in the Diagnosis of Vaginitis

Abstract

Abstract To the Editor.— The fact that Schaaf et al1 did not include testing for gonorrhea and chlamydial infection in their evaluation of patients who presented with vaginal symptoms significantly limits the usefulness of their findings. Women with symptoms of possible acute pelvic inflammatory disease were appropriately excluded from the study, but this does not eliminate the need to test for gonorrhea and chlamydial infection. Many women (often the majority) with these two infections...
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Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1991.00400060137025
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.— The fact that Schaaf et al1 did not include testing for gonorrhea and chlamydial infection in their evaluation of patients who presented with vaginal symptoms significantly limits the usefulness of their findings. Women with symptoms of possible acute pelvic inflammatory disease were appropriately excluded from the study, but this does not eliminate the need to test for gonorrhea and chlamydial infection. Many women (often the majority) with these two infections have mild symptoms or no symptoms2; therefore, limiting investigation of vaginal/urethral symptoms to only Candida, Trichomonas, and bacterial vaginosis is an important oversight. This omission is particularly puzzling since in 1983 Schachter3 documented an overall prevalence of chlamydial infection in 9.8% (range, 5.5% to 22.5%) of women screened during routine visits to family-planning clinics in San Francisco, Calif, the clinic populations from which Schaaf's study was drawn. Schachter noted that 70% of these infections References 1. Schaaf VM, Perez-Stable E, Borchardt K. The limited value of symptoms and signs in the diagnosis of vaginal infections . Arch Intern Med. 1990;150:1929-1933.Crossref 2. Krasnoff MJ. Diagnosis and treatment of pelvic inflammatory disease . Med Rounds. 1990;3:49-62. 3. Schachter J. Screening for chlamydial infection in women attending family planning clinics . West J Med. 1983;138:375-379. 4. Handsfield HH. Control of sexually transmitted chlamydia infections . JAMA. 1987;257:2073-2074.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Jun 1, 1991

References