This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Betty A. Johnson, MD, PhD; Roy M. Poses, MD; Carolyn A. Fortner, MS; Frederick A. Meier, MD; Harry P. Dalton, PhD

JAMA. 1990;264(24):3161-3165.

Abstract
We developed and prospectively tested a logistic regression model for chlamydial cervical infection. Study subjects included 2271 women receiving gynecologic care in our student health clinic. Clinical data were collected in a standardized fashion. We identified cell culture—isolated Chlamydia trachomatis from 133 (9%) of 1458 subjects in the derivation set and 73 (10%) of 729 subjects in the validation set. Model variables included a new sexual partner within 2 months or more than one sexual partner within 6 months; cervical ectopy; cervical friability; at least 20 polymorphonuclear leukocytes per high-power field in cervical secretions; white blood cells in vaginal secretions; and use of an antibiotic active against C trachomatis within a month. This model can distinguish women with low, medium, and high risks of chlamydial infection (on derivation set: receiver operating characteristic curve area, 0.710; SE, 0.026; on validation set: area, 0.698; SE, 0.035) using simple clinical information obtained in the office.

(JAMA. 1990;264:3161-3165)

Author Affiliations
From the Division of General Internal Medicine and Primary Care, Departments of Internal Medicine (Drs Johnson and Poses) and Biostatistics (Ms Fortner), and Clinical Microbiology Laboratory, Department of Pathology (Drs Meier and Dalton), Medical College of Virginia, Virginia Commonwealth University, Richmond.

Footnotes
Reprint requests to Box 102, MCV Station, Richmond, VA 23298 (Dr Johnson).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

A new visual indicator of chlamydial cervicitis?
Sellors et al.
Sex. Transm. Infect. 2000;76:46-48.
ABSTRACT | FULL TEXT  

Prevention of Pelvic Inflammatory Disease by Screening for Cervical Chlamydial Infection
Scholes et al.
NEJM 1996;334:1362-1366.
ABSTRACT | FULL TEXT  

Effectiveness and Efficiency of Selective vs Universal Screening for Chlamydial Infection in Sexually Active Young Women
Sellors et al.
Arch Intern Med 1992;152:1837-1844.
ABSTRACT  

A Diagnostic Model for Diagnosing Chlamydial Infection
Addiss et al.
JAMA 1991;265:1951-1952.
ABSTRACT  

CORRELATES OF CHLAMYDIAL CERVICAL INFECTION IDENTIFIED
JWatch General 1991;1991:1-1.
FULL TEXT