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Screening for Chlamydial Infection: a Focused Evidence Update for the U. S. Preventive Services Task Force

Chlamydia trachomatis is the most common sexually transmitted bacterial infection in the U.S. In 2004, a total of 929,462 cases of chlamydial infection were reported to the Centers for Disease Control and Prevention (CDC). Because many cases are not reported, the actual number of new cases of chlamydial infection is thought to be more than 2.8 million per year. In women, Chlamydia trachomatis commonly results in cervicitis and urethritis. Up to 40% of untreated cases of Chlamydia trachomatis in women progress to pelvic inflammatory disease (PID). Of those with PID, it has been estimated that 20% become infertile, 18% experience chronic pelvic pain, and 9% may have a tubal pregnancy. Chlamydial infection may also increase the risk for cervical cancer. After the acute phase of infection, many women appear to experience a long duration of low-grade infection. Seventy-five to 85%, of genital chlamydial infections in women are asymptomatic. Women with low-grade PID may not experience significant enough symptoms to seek medical attention; yet, these low-grade infections may progress to infertility and chronic pelvic pain. In men, genital chlamydial infection is also likely to be asymptomatic. In one large national sample, only 5% of infected men reported symptoms. Chlamydial infection in men can cause nongonococcal urethritis, acute epididymitis, and, in rare instances, may result in uretheral strictures and Reiter Syndrome. As with other inflammatory sexually transmitted infections (STIs), Chlamydial infection facilitates the transmission of HIV infection in both men and women in both the HIV carrier and recipient. Chlamydial infections are also related to adverse pregnancy outcomes, including miscarriages, premature rupture of membranes, pre-term labor, low birth weight, infant mortality, neonatal chlamydial infection, and postpartum endometritis. In 2001, the United States Preventive Services Task Force (USPSTF) commissioned a systematic review of the evidence on screening for chlamydial infection. Based on this review, the USPSTF found good evidence supporting screening for chlamydial infection among asymptomatic women at increased risk for infection, including women at risk due to young age. It found less evidence regarding screening for chlamydial infection in pregnant women and, based on estimates of benefits and harms, recommended screening for pregnant women at increased risk. At that time, the USPSTF found a major gap in the evidence on the effectiveness of screening men for chlamydial infection for the purposes of reducing the incidence of infection and improving health outcomes among women. In 2005, the USPSTF determined that a brief, focused evidence review was needed to update its 2001 recommendation on screening for chlamydial infection. Staff of the Agency for Healthcare Research and Quality (AHRQ) reviewed the literature published on this topic between July 2000 and July 2005 and prepared this evidence update.
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PRODUCT DETAILS

  • Title: Screening for Chlamydial Infection: a Focused Evidence Update for the U. S. Preventive Services Task Force
  • Author: U. S. Department Human Services, Agency for and Quality
  • Publisher: CreateSpace Independent Publishing Platform
  • ISBN: 9781490596709
  • Length: 0.07 inch
  • Width: 8.5 inch
  • Languages: English
  • Subtitle: Evidence Synthesis Number 48
  • Format: PaperBack
  • Category: Medicine
  • Publication Date: 01/07/2013
  • Pages: 28
  • Height: 11.0 inch
  • Weight: 0.27 gram

RATINGS & REVIEW

SHIPPING AND RETURNS


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Christmas Order Cut-off Dates

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  In Stock Titles

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Dispatches in 4-5 days
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Dispatches in 5-7 days
To Order

Dispatches in 5-14 days
To Order

Dispatches in 14-21 days
  Shipping - Saver Delivery ORDER BY
7th December
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1st December
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25th November
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14th November
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7th November
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3rd December
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30th November
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21st November
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Delivery options: Shipping to an Australian address

 

Service Price per order
Australia wide
Delivery time1
After dispatch
Saver Delivery (Tracked)
via Australia post

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$7.95 2-10 days after all items have arrived in the warehouse
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Items in order will be sent via Express post as soon as they arrive in the warehouse. Order may come in multiple shipments, however you will only be charged a flat fee.
$14.95  1-2 days after each item has arrived in the warehouse
 

1 The expected delivery period after the order has been dispatched via your chosen delivery method.
2 Express is not available on all items.
3 Please note this service does not override the status timeframe "Dispatches in", and that the "Usually Dispatches In" timeframe still applies to all orders.

NB All our estimates are based on business days and assume that shipping and delivery don't occur on holidays and weekends.

 

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Once we receive your order we verify it, complete invoicing and prepare your item(s) before we dispatch them from our Sydney warehouse.

You will notice that each product page on the Web site includes an estimated delivery date range for Saver Delivery, as well as for Express Delivery if it is available for that product.

This Estimated Delivery date range is a combination of:

  • the time to dispatch your order from our warehouse, and
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In addition to the estimated delivery date range, on the product page you will find how long an item will take to be dispatched.

  Dispatch time
The time it takes to verify the order, complete invoicing, prepare your item(s) and dispatch.  
Explanation
The dispatch time will depend on the status of your item(s) at our warehouse.  
 
Immediate download

Immediate download

Digital downloads only

Dispatches next business day

Usually dispatches next business day+

In stock at our warehouse.

Dispatches in 4-5 business days

Usually dispatches in 4-5 business days+

Order placed with supplier, estimated arrival time to warehouse is 4-5 business days. 

Dispatches in 5-14 business days

Usually dispatches in 5-14 business days+

Order placed with supplier, estimated arrival time to warehouse is 5-14 business days.


+ All our estimates are based on business days and assume that shipping and delivery don't occur on holidays and weekends.

 

When will my order arrive?

The Estimate Delivery Date is when your order is expected to arrive at your chosen delivery location.

Once you have submitted your order you will receive confirmation and status update emails.

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All our estimates are based on business days and assume that shipping and delivery don't occur on holidays and weekends.

 

Tracking delivery

Saver Delivery: Australia post

Australia Post deliveries can be tracked on route with eParcel. You can track your delivery by going to AusPost tracking and entering your tracking number - your Order Shipped email will contain this information for each parcel.

  • Delivery with Standard Australia Post usually happens within 2-10 business days from time of dispatch. Please be aware that the delivery time frame may vary according to the area of delivery and due to various reasons, the delivery may take longer than the original estimated timeframe.
  • If you have not received your delivery following the estimated timeframe, we advise you to contact your local post office first, as the parcel may be there awaiting your collection.
  • If you have not received any information after contact with Australia Post, please contact us to confirm that the details for delivery logged with us are correct. We will then contact you with the appropriate action.

Express Delivery via StarTrack Express

You can track your delivery by going to StartTrack tracking using your consignment number. The consignment number is emailed to you along with the invoice at the time of shipment.

  • Please be aware that the delivery time frame may vary according to the area of delivery - the approximate delivery time is usually between 1-2 business days.
  • For enquiries regarding the delivery of your order, contact Star Track Customer Service on 13 23 45 - and quote the above consignment number.
  • If you have not received any information after contact with Star Track, please contact us to confirm that the address for delivery logged with us are correct. We will then contact you with the appropriate action.

International delivery

To track orders sent by DHL, go to DHL tracking

 

International orders

Deliveries to destinations outside Australia are made by DHL courier, and cannot be made to post office boxes. Charges for international delivery destinations are available below. For international deliveries we will hold your order until we can send you all your items at once.

Parcel Weight New Zealand Hong Kong US & Canada United Kingdom
Up to 1kg $30 $35 $40 $45
1.5kgs $35 $45 $50 $60
2kgs $40 $50 $60 $70
2.5kgs $45 $60 $70 $80
3kgs $50 $65 $75 $90
3.5kgs $55 $75 $85 $100
4kgs $60 $80 $95 $105
4.5kgs $65 $85 $100 $115
5kgs $70 $95 $110 $125

 

If your order weighs more than 1.0kg (2.2lb, roughly equivalent to 1 or 2 paperbacks), we'll let you know what your delivery charge will be, and seek your approval before sending your order.

Please note that some countries may charge the recipient duties on the 'import' of parcels from time-to-time. As these charges are the responsibility of the recipient, please check the customs service in your destination country to see if charges are applicable.

To track orders sent by DHL, go to DHL tracking

 

Delivery restrictions

Remote areas: Please note that there may be a surcharge if shipping international orders to a remote area. You can check if the delivery address is in a remote area at DHL Remote Area Services.

Reshipping: If your order is returned to us by the delivery company due to incorrect or insufficient delivery details, you will be charged the cost of reshipping the order. Please note that if the delivery address is incorrect and the order has been shipped, depending on the delivery option selected we may not be able to change the delivery address until the order has been returned.

 

Problems with your delivery

In the event that the courier company fails to deliver your order due to invalid address information, they will return the order back to Dymocks Online.

Dymocks Online will do their best to ensure the information you have input is accurate. We cannot guarantee that your order will arrive at its destination if you have not provided correct address details and as much information as possible to assist the couriers when delivering e.g. company name, level, suite etc.

If your order has not yet been shipped you will need to send Dymocks Online an email advising the error and requesting a change in details. If your order has a status of "packed" or "shipped" we will not be able to guarantee any change in shipping details.

Unfortunately, you will be liable for any costs incurred in return to sender parcels if the information you provided was inaccurate.