JOSEPH A. INGELFINGER, M.D.
To the editor: I read with interest the article by Phillips and associates (1) analyzing diagnostic and treatment strategies for Chlamydia trachomatis in asymptomatic women. I would suggest another strategy: treating everyone without a culture. (I would give everyone a prescription for nystatin to be filled if vaginitis develops.)
Using the decision tree of Phillips and associates, I estimate the cost of this strategy to be the cost of tetracycline plus 0.15 times the cost of vaginitis and its treatment, plus 0.05 times the cost of the no-treatment strategy. (The last term represents the cost of the treatment failure rate
INGELFINGER JA. Routine Testing for Chlamydial Cervical Infections. Ann Intern Med. ;108:153–154. doi: 10.7326/0003-4819-108-1-153_2
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Published: Ann Intern Med. 1988;108(1):153-154.
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