A prevalence study of Chlamydia infections in Turkish population

Köse, Şükran; Ersan, Gürsel; Sender, Süheya Serin; Devrim, İlker; İnal, Mehmet Murat

doi:10.1016/j.bjid.2012.07.020

Cited by 1 publication

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“…The wide variation of Chlamydia prevalence rates in these studies might be due to factors, such as different population studied, socioeconomic status, and different techniques employed. In Turkey, the rates of Chlamydia positivity in women were ranged from less than 5.0% to more than 25% in symptomatic cases ( 33 , 34 ). In Saudi Arabia, using ELISA method on endocervical/vaginal swabs, C. trachomatis antigen was detected in 10.5% (10/95) of pregnant women and 34.4% (35/102) of women with genital tract infection ( 35 ).…”

Section: Discussionmentioning

confidence: 99%

Comparison of clinical performance of antigen basedenzyme immunoassay (EIA) and major outer membrane protein (MOMP)-PCR for detection of genital Chlamydia trachomatis infection

Rostami

Rashidi

Aghsaghloo³

et al. 2016

IJRM

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Background: Chlamydia trachomatis is the most common sexually transmitted bacterial pathogen worldwide. Early detection and treatment of C.trachomatis genital infection prevent serious reproductive complications. Objective:Performances of enzyme immunoassay (EIA) and major outer membrane protein (MOMP)-polymerase chain reaction (PCR) for diagnosis of genital C.trachomatis infection in women were compared.Materials and Methods:In this cross sectional study a total of 518 women volunteers were included (33.67±8.3 yrs) who had been referred to Gynecology clinics of Qom province, Iran, were included. Endocervical swab specimens were collected to detect lipopolysaccharide (LPS) antigen in EIA and to amplify MOMP gene of C.trachomatis in PCR. Results were confirmed using ompI nested-PCR. Sensitivity, specificity, positive (PPV) and negative predictive values (NPV) were calculated for performance of the tests. Odds ratios were determined using binary logistic regression analysis.Results:In total, 37 (7.14%) cases were positive by EIA and/or MOMP-PCR. All discrepant results were confirmed by nested-PCR. Sensitivity, specificity, PPV and NPV values of EIA were 59.46%, 100%, 100% and 96.98%, and those of MOMP-PCR were 97.30%, 100%, 100%, 99.79%, respectively. Reproductive complications including 2.7% ectopic pregnancy, 5.4% stillbirth, 5.4% infertility, and 10.8% PROM were recorded. The risk of developing chlamydiosis was increased 4.8-fold in volunteers with cervicitis (p<0.05; OR 4.80; 95% CI 1.25-18.48).Conclusion: C.trachomatis infection should be regarded in women of reproductive ages especially those with cervicitis. Primary screening of women by using the low cost antigen-EIA is recommended; however, due to the low sensitivity of Ag-EIA, verification of the negative results by a DNA amplification method is needed.

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Section: Discussionmentioning

confidence: 99%