"Chlamydia: Universal vs Selective Screening" by Verneal Y. Glispie

Date Approved

1997

Graduate Degree Type

Thesis

Degree Name

Nursing (M.S.N.)

Degree Program

College of Nursing

Abstract

Women, age 20 to 39, attending three family planning clinics within a Michigan health department, were screened for Chlamydia trachomatis. A nucleic acid hybridization test (Gen-Probe) was used to collect cervical specimens for seven consecutive months. A chlamydia risk assessment form, using Michigan Department of Community Health's selective screening criteria, was used to determine the client's risk group. A chi-square test with Yates correction was used for data analysis. The prevalence rates of high and low risk groups were compared with no significant difference (p = .18). The prevalence rates were 12.% in Site A; 1.7% in Site B; 1.7% in Site C; and the mean prevalence rate was 3.0%. CDC's 5% prevalence rate, and NCchigan's 1994 local out county, and state prevalence rates of 7.9% and 5.08% respectively, were used as guidelines for determining high risk populations. Universal screening was recommended and instituted for Site A, and selective screening was continued in Sites B and C.

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