(Opportunistic screening for chlamydial infection at time of cervical smear testing in general practice: prevalence study)

In a paper in this week's BMJ Oakeshott et al report the findings of their study to ascertain the prevalence of Chlamydia trachomatis in women having smears at 30 practices in inner London. They found a prevalence rate of around three per cent overall. With higher rates of infection in certain groups, the authors advocate that women under the age of 25 years, black women and women who show clinical signs of infection, should be offered screening when undergoing their regular smear test. Oakeshott et al suggest that a cost benefit analysis is undertaken before pursuing such an initiative.

Contact:

Dr Pippa Oakeshott, Clinical Lecturer, Department of General Practice and Primary Care, St George's Hospital Medical School, London email: [email protected]