Incident Chlamydia trachomatis Infections Among Inner-city Adolescent Females

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Abstract
CHLAMYDIA TRACHOMATIS infection is the most important preventable cause of pelvic inflammatory disease and subsequent tubal factor infertility in women in the United States.1-6 Most cervical infections are identified by screening both symptomatic and asymptomatic women, although most infections are asymptomatic.7-10 Chlamydial pelvic inflammatory disease is often minimally symptomatic or asymptomatic. Therefore, chlamydia screening programs play a crucial role in preventing infertility.2 Sexually active adolescent females are at highest risk for chlamydia infection and for repeated infections, which further increase their risk of sequelae.11-18 Current guidelines for delivery of adolescent primary care services recommend yearly chlamydia screening for those adolescent females considered to be at risk.19-21 Since 1993, the Centers for Disease Control and Prevention (CDC), Atlanta, Ga, has recommended screening all sexually active

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