Chlamydia screening in a metropolitan Atlanta primary care clinic.
BACKGROUND
Chlamydia is the most commonly reported infectious disease in the United States, yet many women at risk for chlamydia infection are not being tested.


METHODS
We conducted a chlamydia screening study (Phase I) and retrospective medical chart review (Phase II) of 199 women from 16 to 40 years of age attending a primary care clinic in metropolitan Atlanta.


RESULTS
Two (1%) of the 199 study participants tested positive for chlamydia during Phase I. Phase II medical chart reviews indicated that only 35% of study participants had been tested for chlamydia at least once in the previous 15 months. Three of these individuals tested positive, yielding a prevalence of 5.6%. All infections occurred in women 30 years of age or younger.


CONCLUSIONS
The results suggest that chlamydia screening is low and that recommended guidelines are not being followed. Strategies are needed to increase the rates of screening and adherence to these guidelines to ensure that chlamydia is detected before complications occur.
D000293:Adolescent; D000328:Adult; D000554:Ambulatory Care Facilities / Q000592:standards / Q000706:statistics & numerical data*; D002690:Chlamydia Infections / Q000175:diagnosis* / Q000453:epidemiology*; D005260:Female; D005845:Georgia / Q000453:epidemiology; D019983:Guideline Adherence / Q000592:standards / Q000706:statistics & numerical data; D006801:Humans; D008403:Mass Screening / Q000592:standards / Q000706:statistics & numerical data*; D010818:Practice Patterns, Physicians' / Q000592:standards / Q000706:statistics & numerical data; D015995:Prevalence; D011320:Primary Health Care / Q000592:standards / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D014505:Urban Population / Q000706:statistics & numerical data*