Chlamydia-trachomatis-Infektionen - Zeit zum Handeln?

Zusammenfassung

Die urogenitale Infektion mit Chlamydia (C.) trachomatis ist die häufigste sexuell übertragbare Erkrankung der Welt. Bei Frauen finden sich C.-trachomatis-Infektionen gehäuft bis zum 25., bei Männern bis zum 35. Lebensjahr. In westeuropäischen Ländern bewegte sich die Prävalenz in den 90er Jahren laut Angaben der WHO zwischen 2,7 % (Italien) und 8 % (Island). Zur Zeit wird ein generelles Screening auf C. trachomatis in Deutschland diskutiert.

Die nicht erkannte und nicht behandelte C.-trachomatis-Infektion und die daraus resultierenden vielfachen und oft schwerwiegenden gesundheitlichen Störungen haben für die Betroffenen erhebliche individuelle körperliche, somatische und psychische Konsequenzen. Sie stellen für die Gesellschaft epidemiologisch und gesundheitsökonomisch ein erhebliches Problem dar, welches in einer Zeit des Geburtenrückgangs und der demografischen Wandlung auch von hoher familienpolitischer Bedeutung ist.

Summary

Infection with Chlamydia trachomatis is the most common sexually transmitted disease in the world. In women it mainly occurs before the age of 25 years, while in men it can still be diagnosed till the age of 35 years. In Western Europe the prevalence of a Chlamydia trachomatis infection has been estimated, according to WHO data, as between 2.7% (Italy) and 8.0% (Island). A general screening strategy is now being discussed in Germany. A non-diagnosed and non-treated Chlamydia trachomatis infection and the resulting health problems have not only severe consequences for the individual but also results in major epidemiological and socio-economic public health problems. This issue is not only of extreme importance in health policy, but has also a major impact in family policy, especially in view of the declining birth rates and the demographic changes.

Schlüsselwörter

Chlamydia trachomatis - Prävalenz - Diagnose - Therapie - Screening

Key words

Chlamydia trachomatis - prevalnece - diagnosis - treatment - screening

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