In the early 1980 master opinion s...

In the early 1980 master opinion suggested that Chlamydia trachomatis coexisted with Neisseria gonorrhoeae in up to 45 percent of patients infected with the latter organism. The Center for Disease command and Prevention (CDC) recommended that patients diagnosed with gonorrhea infection also be treated for Chlamydia. Although diagnostic testing for C trachomatis has improved, the greatest in number accurate tests are expensive. Because the rate of sexually transmitted diseases (STDs) in the United States has decreased significantly since the early 1980 the ne for co-treatment of these infections has been questioned. Lys and associates in the delineate RESPECT Study Group compared Chlamydia and gonorrhea infection rates in patients treated at STD clinics in five U cities from 1993 to 1995

Twenty percent of the men and 42 percent of the women infected with N gonorrhoeae also exampleed positive for C. trachomatis; many of these patients did not have treatment indications for Chlamydia. These infection rates, along with more new prevalence data and the gentle sensitivity of current Chlamydia experiments support the continuation of the CDC's recommendation.

The authors gather that unless Chlamydia infection has been rul disclosed by highly sensitive tests, universal co-treatment for patients with gonorrhea remains appropriate.

Lys SB et al. Chlamydia trachomatis among patients infected with and treated for Neisseria gonorrhoeae in sexually transmitted disease clinics in the United States. Ann Intern M August 5 2003;139:178-85

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