Brief Encounters
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Opportunistic screening of those under the age of 25 in healthcare settings might not be cost-effective. Adams et als study is directly relevant to the National Chlamydia Screening Programme in England. They used empirical data from the programmes pilot studies, and modelled the main screening approach used in the programme in a state-of-the-art mathematical model. The only scenarios that were cost effective required assumptions that the rate of progression of chlamydia to pelvic inflammatory disease was
10% and
40% of the target population was screened each year. The authors suggest that restricting screening to those under the age of 20 years would be cost effective. In a commentary, Roberts and Low discuss the uncertainty in measuring the cost effectiveness of chlamydia screening, and Adams et al respond.
See p 267–75
Mycoplasma genitalium is almost certainly a sexually transmitted infection, but its virulence is disputed. In a case–control study Jurstrand
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