scholarly journals The Prevalence of Chlamydia Trachomatis Infection Among Gynecological Outpatients Attendees at Central Basra Hospitals Using One-Step Chlamydia Test

2020 ◽  
pp. 1-6
Author(s):  
Ali Falih Al-Assadi
Keyword(s):  
Chlamydia Trachomatis ◽  
Prevalence Rate ◽  
Significant Risk ◽  
Rapid Test ◽  
Chlamydia Infection ◽  
P Value ◽  
High Parity ◽  
Chlamydia Trachomatis Infection ◽  
One Step ◽  
Child Hospital

Objective: The objective of this study is to estimate the prevalence rate of chlamydia infection among gynecological outpatients attendees at central Basra hospitals and assessing the predisposing factors and clinical features. Methods: This is a cross-sectional study that was conducted at central Basra hospitals during the period from 15 February 2018 to 10 May 2019. The distribution of cases according to the hospitals was 290 patients from Basra maternity and child hospital, 85 patients from Basra general hospital, 75 patients from AL Mawani hospital and 50 patients from AL Fayhaa hospital, this variation in the number depend on outpatient clinics attendees. participants were assessed according to a predesigned questionnaire and screening test for Chlamydia Trachomatis was done for all patients under study by using one-step chlamydia test (Chlamydia Rapid Test Device). Results: Among 500 patients 60% of them were from the age group 20-40 year, 62% were P2-4 and 89% from multipara and grand multipara, 60% were illiterate and 38% were having primary and secondary school, 61% from low socioeconomic class, nonusers of contraception were 23.7% and about 90% of patients were living at the central areas of Basra. Several factors have a statistically significant effect on the Chlamydia Trachomatis infection like being infertile p-value 0.000 or having high parity p-value 0.013 or non-barrier contraceptives users p-value 0.035. While other factors have no statistically significant effect like age p-value 0.506, socioeconomic state p-value 0.779, and level of education p-value 0.986. Conclusion: The prevalence rate of Chlamydia infection is low among the population in the central areas of Basra city compare to other countries. Being infertile or of high parity are among the significant risk factors. Barrier contraceptives significantly reduced the risk of infection and can be used to protect against the transmission of infection.

scholarly journals LOW PREVALENCE OF CHLAMYDIA TRACHOMATIS INFECTION IN WOMEN FROM SOUTHERN NIGERIA

2015 ◽  
Vol 05 (01) ◽  
pp. 004-008
Author(s):  
Adesiji Y O. ◽  
Iyere S I. ◽  
Ogah I J.
Keyword(s):  
Chlamydia Trachomatis ◽  
Rapid Test ◽  
Health Care Facilities ◽  
Chlamydia Infection ◽  
Chlamydia Trachomatis Infection ◽  
Sexually Transmitted ◽  
Asymptomatic Patients ◽  
Care Facilities ◽  
Southern Nigeria ◽  
Low Prevalence

Abstract Chlamydia trachomatis infections are the most common bacterial cause of sexually transmitted diseases (STDs) in the world. However, most Nigeria health care facilities do not screen for Chlamydia antigen in gynaecological and general out-patient clinics. This study was to document the prevalence of Chlamydia trachomatis infection in patients attending Family Planning Clinics and Gynaecology clinics in Southern Nigeria. Endocervical swabs were collected from a hundred and forty patients and were screened using Chlamydia Rapid Test Device –Swab / Urine (Interchemical Ltd. China). Out of 140 patients screened, 1 (0.7%) was positive for Chlamydia trachomatis antigen. There seem to be an association between Chlamydia infection and abortion thus screening for chlamydia trachomatis infection in asymptomatic patients to prevent the adverse consequences. This study presents an update in Chlamydia trachomatis in the Southern part of Nigeria.

scholarly journals Relationship between Chlamydia Trachomatis Infection with Patency Tubal and Non-Patency Tubal Occurrence in Infertile Women

2019 ◽  
Vol 7 (20) ◽  
pp. 3437-3442
Author(s):  
Khairani Sukatendel ◽  
Tri Ebta Mayniar ◽  
Aswar Aboet ◽  
Cut Adeya Adela ◽  
Sarma Lumbanraja ◽  
...  
Keyword(s):  
Chlamydia Trachomatis ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Chlamydia Infection ◽  
P Value ◽  
Cross Sectional ◽  
Chlamydia Trachomatis Infection ◽  
Infertile Women ◽  
Normal Tube ◽  
The Relationship

AIM: To determine the relationship between Chlamydia Trachomatis infections with patency tubal and non-patency tubal occurrence in infertile women. METHODS: This research was an observational analytic research with a cross-sectional study. This research was conducted at Haji Adam Malik General Hospital Medan, Pramita Laboratory Medan and Medical Faculty of Medicine Universitas Sumatera Utara. Laboratory on October 2017 until the number of samples was fulfilled. The samples were women who were referred to Pramita Laboratory Medan for hysterosalpingography procedure in accordance which corresponded to the inclusion criteria by using consecutive sampling technique. RESULTS: From this research, it was found that the most infertile women were aged 31-35 years, with the most infertility type was primary infertility (83,8%) with the longest infertility duration was ≥ 3 years (44%). From all samples who were infertile, 26% among them were positive to chlamydia infection. Eight from twelve people who were infected by Chlamydia Trachomatis experienced non-patency tubal (66.7%) with p-value = 0.001 which showed that there was a relationship between Chlamydia Trachomatis infection with patency tubal and non-patency tubal occurrence in infertile women. CONCLUSION: The proportion of Chlamydia Trachomatis infection in tubal abnormality in this study was 66.7%, whereas Chlamydia Trachomatis infection in the normal tube was 13.2%. It was obtained that there was a significant relationship between Chlamydia Trachomatis infection with tubal abnormality (non-patency tubal) with p-value < 0.005 (p = 0.001).

The Gynecologic Health Consequences of Chlamydia trachomatis Infection in Military Servicewomen

2018 ◽  
Vol 36 (06) ◽  
pp. 340-350 ◽  
Author(s):  
Christine Nadeau ◽  
Dennis Fujii ◽  
Jessica Lentscher ◽  
Amanda Haney ◽  
Richard Burney
Keyword(s):  
Chlamydia Trachomatis ◽  
The United States ◽  
Chlamydia Infection ◽  
Tubal Infertility ◽  
Military Health ◽  
Vitro Fertilization ◽  
Chlamydia Trachomatis Infection ◽  
Sexually Transmitted ◽  
The Military

Abstract Chlamydia trachomatis is the most common sexually transmitted bacterial infection in the United States. Within the U.S. military, the age- and race-adjusted chlamydia infection rates among female service members are consistently higher than civilian rates, with a 20% annual acquisition rate among young active-duty women. The sequelae of chlamydia disproportionately impact women in terms of severity and cost. Untreated chlamydia progresses to pelvic inflammatory disease in 40% of cases, and is a leading cause of fallopian tube damage and pelvic adhesive disease resulting in ectopic pregnancy, tubal infertility, and acute and chronic pelvic pain. Tubal infertility is among the leading indications for in vitro fertilization (IVF) nationally and rates among couples undergoing IVF at military treatment centers are double the national average. Collectively, chlamydia infection represents a significant resource burden to the military health care system and, in view of the serious gynecologic health sequelae, a significant threat to the readiness of servicewomen. In this review, we discuss the gynecologic impact of chlamydia infection within the military, the critical gaps for research funding, and opportunities for intervention.

scholarly journals Evaluation of Cortez Onestep Chlamydia RapicardTM Insta Test for the Detection of Chlamydia Trachomatis in Pregnant Women at Mbare Polyclinic in Harare, Zimbabwe

2016 ◽  
Vol 6 (1) ◽  
pp. 19 ◽  
Author(s):  
Stephen Stephen, MSc ◽  
Chiwoneso Gwyneth Elizabeth Muchaneta-Kubara, PhD ◽  
Marshall Wesley Munjoma, PhD ◽  
Gibson Mandozana, PhD
Keyword(s):  
Chlamydia Trachomatis ◽  
Pregnant Women ◽  
Point Of Care ◽  
Rapid Test ◽  
Neonatal Infection ◽  
Antenatal Clinic ◽  
Cross Sectional Study ◽  
Chlamydia Infection ◽  
Cross Sectional ◽  
Predictive Values

Background: Cervical chlamydia infection poses high risk of pregnancy complications and neonatal infection. Reference methods for the detection of chlamydia infection are not available for routine use in developing countries. Point-of-care (POC) tests can bridge this gap. This study evaluated Cortez Onestep Chlamydia RapicardTM insta test for the detection of Chlamydia trachomatis in pregnant women at Mbare Polyclinic and determined the prevalence of C. trachomatis.Methods: This was a cross sectional study in 242 pregnant women aged ≥18 years attending their first ANC visit at Mbare polyclinic in Harare, Zimbabwe. Data collection form was used to obtain demographic and predisposing factors to Chlamydia infection and two endocervical swabs were collected from each patient. One specimen was examined by the POC test at the clinic and the other by SDA method in the laboratory.Results: The sensitivity, specificity, positive and negative predictive values of the rapid kit were 71.4%, 99.6%, 90.9% and 98.3% respectively. Prevalence of C. trachomitis was 5.8% by SDA method.Conclusion and Global Health Implications: The kit’s sensitivity (71.4%) and specificity (99.6%) implies that the rapid test is an important test which needs further evaluations. The prevalence of C. trichomitis of 5.8% is comparable to studies done elsewhere in Africa.Key words: Chlamydia trachomatis • Antenatal Clinic • Point of Care Tests • Rapid Test • Cortez One Step Chlamydia TestCopyright © 2017 Stephen et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Detection Of Antichlamydial Antibody in Patients With Ectopic Pregnancy and Normal Pregnancy

2020 ◽  
pp. 160-167
Author(s):  
Srwa Jamal Murad
Keyword(s):  
Chlamydia Trachomatis ◽  
Pregnant Women ◽  
Ectopic Pregnancy ◽  
Teaching Hospital ◽  
Normal Pregnancy ◽  
Chlamydia Infection ◽  
Pelvic Surgery ◽  
P Value ◽  
History Of ◽  
The Mean

Aim of the current research is to assess the Chlamydia Trachomatis infection role in the development of early pregnancy complication including ectopic pregnancy and miscarriage in Sulaimanyia Maternity Teaching Hospital. It is a comparative study conducted in Gynecology Clinic and Emergency department of Sulaimanyia Maternity Teaching Hospital during the period from 1st of September 2018 to 31st of March 2019. The study groups included of 70 pregnant women; the first group included 35 ectopic pregnant women and the second group included 35 normal pregnant women that both groups had been selected randomly. Pregnant women with history of ectopic pregnancies, women used intrauterine device, in vitro fertilization, assisted reproduction and history of pelvic surgery. Blood sample (2 ml venous blood) collected to test for antibodies level for Chlamydia Trachomatis by Alegria test system for both studied groups and patients with ectopic pregnancy detected by beta human chorionic gonadotropin and ultrasound scanning. The collected data analyzed by SPSS program and for compare between means of two variables independent sample t-test was used while for comparison of categorical variables Chi square test was used with considering ≤ 0.05 P-value as significant level. The results shows that the mean age of normal pregnancy were (28.3±4.6) group compared with mean age ectopic pregnancy (29.5±4.9) group. The mean IgG (6.3±5.1) of patients with ectopic pregnancy was found to be significantly higher than mean IgG (2.8±1.1) for normal pregnant patients (P-value 0.01) and IgM mean (4.5±2.4) of patients with ectopic pregnancy was significantly higher than mean IgM (1.6±1.2) for normal pregnant patients with P-value 0.01. In conclusion, infection of Chlamydia Trachomatis has a significant relationship with the development of ectopic pregnancy therefor screening and treatment of Chlamydia infection may reduce ectopic pregnancy rate with low cost

scholarly journals Preliminary results of a screening programme for Chlamydia in an asymptomatic young population

2019 ◽  
Author(s):  
Oriol Yuguero ◽  
Jose Manuel Fernández-Armenteros ◽  
Álvaro Vilela ◽  
Jesus Aramburu ◽  
Raquel Lain ◽  
...  
Keyword(s):  
Chlamydia Trachomatis ◽  
Screening Programme ◽  
Young Patients ◽  
Cross Sectional Study ◽  
Chlamydia Infection ◽  
Sexually Active ◽  
Young Population ◽  
Cross Sectional ◽  
Barrier Methods ◽  
Chlamydia Trachomatis Infection

Abstract Introduction Chlamydia trachomatis infection has increased in recent years, reaching 127 million cases in 2016. Possible complications, especially among women, require intervention for early detection. The objective of our study was to determine the prevalence of Chlamydia infection in a young, sexually active, asymptomatic population.Methods A cross-sectional study was conducted among young patients aged 18 to 25 years attending the emergency room for any reason. The presence of Chlamydia trachomatis and other STIs in urine was determined.Results Twenty-two patients enrolled in the screening (7.4%) were diagnosed with Chlamydia. A further nine patients among the partners of those affected were detected. Young people with two or more sexual partners in the last month and those suffering from infection by ureaplasma were at greater risk of infection by Chlamydia. Up to 50% of participants do not use barrier methodsConclusion The prevalence of infection by Chlamydia in the asymptomatic young population is higher than expected. The scarce use of barrier methods among this population may be one of the causes of this increase and one of the targets to work on in order to reduce the prevalence of the infection.

scholarly journals Burden of Chlamydia trachomatis infection amongst infertile women compared with pregnant controls in North-central Nigeria

2017 ◽  
Vol 5 (9) ◽  
pp. 3819 ◽  
Author(s):  
George I. Ogbu ◽  
Stephen A. Anzaku ◽  
Chris Aimakhu
Keyword(s):  
Chlamydia Trachomatis ◽  
Antibody Titre ◽  
Sexual Debut ◽  
Antenatal Clinic ◽  
P Value ◽  
Tubal Infertility ◽  
Chlamydia Trachomatis Infection ◽  
Infertile Women ◽  
Chlamydial Antibody ◽  
And Control

Background: Female infertility due to tubal damage resulting from pelvic infections including Chlamydia trachomatis is common among women in our environment. The study aimed at determining the prevalence of Chlamydia trachomatis antibody amongst infertile women and to assess the relationship between exposure to Chlamydia trachomatis infection and tubal infertility in Garki Hospital, Abuja, Nigeria.Methods: This was a case control study among 76 infertile patients with tubal occlusion diagnosed with hysterosalpingography and confirmed by laparoscopy compared with 81 pregnant women recruited from the antenatal clinic. Both cases and control were investigated with a study protocol which solicited information on socio-demographic variables, sexual and reproductive risk factors and history of previous pelvic infection. Each subject and control had 5 ml of blood collected for serological assay for Chlamydial antibody titre using the immunocomb Chlamydia trachomatis 1gG kit. The data was analyzed using the SPSS version 20 (IBM, Armonk, NY, USA). A p-value of < 0.05 was considered statistically significant.Results: The prevalence of serum Chlamydial antibody was 57 (75.0%) and 19 (23.5%) among the cases and the pregnant controls respectively (P-value < 0.001). The results showed statistically significant associations between tubal infertility and early age at sexual debut, three or more sexual partners, nulliparity and positive Chlamydia trachomatis antibody titre (P-values < 0.001).Conclusions: The prevalence of Chlamydia trachomatis antibody titre was higher among women with infertility compared to the pregnant controls. The findings suggest that tubal infertility is associated with exposure to Chlamydial trachomatis infection.

scholarly journals Denominators count: supplementing surveillance data for genital Chlamydia trachomatis infection with testing data, Norway, 2007 to 2013

2015 ◽  
Vol 20 (36) ◽  
Author(s):  
Hilde Kløvstad ◽  
Preben Aavitsland
Keyword(s):  
Chlamydia Trachomatis ◽  
Age Distribution ◽  
Age Groups ◽  
Surveillance Data ◽  
Chlamydia Infection ◽  
Age Group ◽  
Aggregated Data ◽  
Chlamydia Trachomatis Infection ◽  
Testing Data ◽  
Testing Coverage

As genital Chlamydia trachomatis (chlamydia) infection is often asymptomatic, surveillance of diagnosed cases is heavily influenced by the rate and distribution of testing. In 2007, we started supplementing case-based surveillance data from the Norwegian Surveillance System for Communicable Diseases (MSIS) with aggregated data on age group and sex of individuals tested. In this report, annual testing rates, diagnosis rates and proportion positive for chlamydia in Norway between 1990 and 2013 are presented. From 2007, rates are also stratified by age group and sex. The annual testing rate for chlamydia culminated in the early 1990s, with 8,035 tested per 100,000 population in 1991. It then declined to 5,312 per 100,000 in 2000 after which it remained relatively stable. Between 1990 and 2013 the annual rate of diagnosed cases increased 1.5 times from ca 300 to ca 450 per 100,000 population. The proportion of positive among the tested rose twofold from ca 4% in the 1990s to 8% in 2013. Data from 2007 to 2013 indicate that more women than men were tested (ratio: 2.56; 95% confidence interval (CI): 2.56–2.58) and diagnosed (1.54; 95% CI: 1.52–1.56). Among tested individuals above 14 years-old, the proportion positive was higher in men than women for all age groups. Too many tests are performed in women aged 30 years and older, where 49 of 50 tests are negative. Testing coverage is low (15%) among 15 to 24 year-old males. Information on sex and age-distribution among the tested helps to interpret surveillance data and provides indications on how to improve targeting of testing for chlamydia. Regular prevalence surveys may address remaining limitations of surveillance.

scholarly journals POINT OF CARE RAPID DIAGNOSTIC SCREENING FOR CHLAMYDIA TRACHOMATIS AMONG SEXUALLY ACTIVE ASYMPTOMATIC FEMALES IN OKADA, SOUTH-SOUTH NIGERIA

2021 ◽  
Vol 4 (1) ◽  
pp. 4-7
Author(s):  
Obhioze Augustine Akpoka ◽  
E. J. Okafor-Elenwo ◽  
C. C. Nwadukwe ◽  
M. U. Okwu
Keyword(s):  
Chlamydia Trachomatis ◽  
Point Of Care ◽  
Age Groups ◽  
Previous History ◽  
Public Health Intervention ◽  
Rapid Test ◽  
University Teaching ◽  
Chlamydia Infection ◽  
Chlamydia Screening ◽  
Sexually Active

Introduction: Chlamydia is transmitted through sexual contact with the penis, vagina, mouth, or anus of an infected partner. It can be transmitted or acquired even without ejaculation. It can also be transmitted perinatally from an untreated mother to her baby during childbirth, resulting in ophthalmia neonatorum or pneumonia in some exposed infants. Objective: The objective of this study was to screen for and determine the prevalence of Chlamydia trachomatis in asymptomatic sexually active women aged 16-33 years with the aid of a point of care rapid test kits within a resource-limited setting. Methods: In this study endocervical swab of a total of 170 female subjects between the ages of 16 to 33 were screened for Chlamydia trachomatis with two types of rapid test kits (Diaspot and Abon Rapid test kits for chlamydia). The subjects consisted of 140 study subjects and 30 control subjects attending the gynecological unit in Igbinedion University Teaching Hospital (IUTH) for other reasons, all subjects were random, sexually active, asymptomatic females and residents in Okada and its environs. Results: A total of 11 subjects tested positive to chlamydia (7.85 %). The samples that tested positive for Chlamydia were from patients that were unmarried and students. The age groups with the highest prevalence were 22-28 (5.71 %) and 16-21 (2 %). 23.63 % have had a previous history of STD and 26.47 % had awareness of chlamydia infection. The ages group (22 - 27) had the highest level of awareness. The prevalence of Chlamydia trachomatis was consistent with their sexual lifestyles. Conclusion: Chlamydia screening should be a continuous public health intervention and screening programmes should ensure regular chlamydia screening for a high proportion of the target population. The methods for monitoring and ways to ensure standards are met should be adopted.

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