Which population does the USPSTF indicate should be screened for gonorrhea and chlamydia?

Which population does the USPSTF indicate should be screened for gonorrhea and chlamydia?

• A. Screen only in men
• B. Screen all sexually active women 24 years or younger and women 25 years or older at increased risk
• C. Screen all pregnant women
• D. Do not screen for these infections

Answer: (B)

Screening for gonorrhea and chlamydia is recommended for sexually active women in the groups most likely to benefit: all sexually active women 24 years old or younger, and older women who are at increased risk. This approach targets populations with higher infection prevalence and reduces downstream complications like pelvic inflammatory disease and infertility, especially since many infections are asymptomatic. The guideline does not endorse screening only men, nor universal screening of all pregnant women, nor no screening at all. Instead, it emphasizes offering screening to young sexually active women and to older women who have risk factors.

Screening for gonorrhea and chlamydia is recommended for sexually active women in the groups most likely to benefit: all sexually active women 24 years old or younger, and older women who are at increased risk. This approach targets populations with higher infection prevalence and reduces downstream complications like pelvic inflammatory disease and infertility, especially since many infections are asymptomatic. The guideline does not endorse screening only men, nor universal screening of all pregnant women, nor no screening at all. Instead, it emphasizes offering screening to young sexually active women and to older women who have risk factors.