Screening
Sexually active women
The US Preventive Services Task Force (USPSTF) recommends that all sexually active women 24 years or younger, including pregnant women, and women 25 years or older who are at increased risk for infection (e.g., new or multiple sex partners), should be screened for Chlamydia trachomatis, but there are no recommendations to specifically screen for LGV genovar-specific C trachomatis.[43]
Men who have sex with men (MSM)
MSM with anorectal chlamydia can be screened by rectal swab with subsequent analysis by real-time polymerase chain reaction. Targeted empirical treatment for MSM with proctitis and early treatment for those diagnosed can prevent transmission, late complications, and morbidity. Recommendations for screening and empirical treatment in MSM are based on the sporadic outbreaks in Europe and North America.[21][44]
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