Controversies and evidence on Chlamydia testing and treatment in asymptomatic women and men who have sex with men: a narrative review.
Nicole H T M Dukers-MuijrersYmke J EversChristian J P A HoebePetra F G WolffsHenry J C de VriesBernice HoenderboomMarianne A B van der SandeJanneke HeijneJeffrey D KlausnerJane S HockingJan van BergenPublished in: BMC infectious diseases (2022)
Current practices vary widely, from widescale test-and-treat approaches to more individual patient- and partner-level case management. Choosing which asymptomatic people to test at what anatomic site, and whether to test or not, requires an urgent (re-)definition of the goals of testing and treating asymptomatic persons. Treatment guidelines are shifting toward universal doxycycline use, and clinical practice now faces the challenge of implementation.