{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T05:11:40Z","timestamp":1695618700165},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,7,29]],"date-time":"2014-07-29T00:00:00Z","timestamp":1406592000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p><jats:italic><jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hlamydia trachomatis<\/jats:italic> (<jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>) infection is the most common sexually transmitted infection (<jats:styled-content style=\"fixed-case\">STI<\/jats:styled-content>) reported in <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>urope. We aim to evaluate the overall prevalence of <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> infection and the rate of asymptomatic infection in an <jats:styled-content style=\"fixed-case\">STI<\/jats:styled-content> clinic over a 5\u2010year period. We will also discuss screening strategies with reference to attendees diagnosed with an <jats:styled-content style=\"fixed-case\">STI<\/jats:styled-content> and their sexual partners, and attendees with a non\u2010infectious genital dermatosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Clinical and laboratory data for all attendees at a university hospital <jats:styled-content style=\"fixed-case\">STI<\/jats:styled-content> clinic over a 5\u2010year period were reviewed. Diagnosis of <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> infection was made upon polymerase chain reaction (<jats:styled-content style=\"fixed-case\">PCR<\/jats:styled-content>) performed in first\u2010void urine.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The overall prevalence of <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> infection was 4.0% (53\/1310); the rate of asymptomatic infection was 84.9% (45\/53). The prevalence of <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> infection among attendees with an <jats:styled-content style=\"fixed-case\">STI<\/jats:styled-content> diagnosis and their sexual partners was 5.2% (50\/963), whereas that among attendees with a non\u2010infectious genital dermatosis was 0.9% (3\/347; <jats:italic>P\u00a0<\/jats:italic>&lt;\u00a00.001). Infected attendees were younger than attendees without <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> infection (median age: 31\u00a0years vs. 40\u00a0years; <jats:italic>P\u00a0<\/jats:italic>&lt;\u00a00.001). In 39.5% (17\/43) of <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>\u2010infected attendees, it was possible to notify a sexual partner; <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> infection was subsequently diagnosed in 58.8% (10\/17) of partners.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Asymptomatic <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> infection had a representative frequency, which was more pronounced among young attendees with an <jats:styled-content style=\"fixed-case\">STI<\/jats:styled-content> diagnosis and their sexual partners, to whom screening should be offered. Issues of age limits for screening and whether screening should be directed to males in non\u2010<jats:styled-content style=\"fixed-case\">STI<\/jats:styled-content> clinic settings should be carefully assessed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijd.12338","type":"journal-article","created":{"date-parts":[[2014,7,29]],"date-time":"2014-07-29T05:14:37Z","timestamp":1406610877000},"page":"405-409","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Screening for <i><scp>C<\/scp>hlamydia<\/i> infection in a sexually transmitted infection clinic: a missed opportunity?"],"prefix":"10.1111","volume":"54","author":[{"given":"Ana Filipa","family":"Pedrosa","sequence":"first","affiliation":[{"name":"Department of Dermatology and Venereology Centro Hospitalar S\u00e3o Jo\u00e3o EPE Porto 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