Diagnosis of Chlamydia trachomatis infections in a sexually transmitted disease clinic: evaluation of a urine sample tested by enzyme immunoassay and polymerase chain reaction in comparison with a cervical and/or a urethral swab tested by culture and polymerase chain reaction

Jensen, Inge Panum; Fogh, Hanne; Prag, Jørgen

doi:10.1046/j.1469-0691.2003.00483.x

Cited by 23 publications

(11 citation statements)

References 38 publications

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“…We found a prevalence rate of CTI of 15.4% among the members of the SAF. This CTI prevalence is higher than previously reported in the most of other studies conducted within the military population, noting the prevalence ranging from 2.5%-9.5% 13,15,19,20 . Our results were similar to a large survey among female military recruits conducted in the United States of America in 1997.…”

Section: Discussioncontrasting

confidence: 66%

“…Also, the prevalence of CTI among males is underestimated since there was no regular screening on CTI among males worldwide. With the increased availability of the urine testing, men are increasingly being tested for CTI in the last several years 20 . During 2010-2014, the CTI in men increased for 22%, compared with 6% increase in women during this period 6 .…”

Section: Discussionmentioning

confidence: 99%

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Prevalence and risk factors of Chlamydia trachomatis genital infection among military personnel of the Armed Forces of Serbia: A cross-sectional study

et al. 2019

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Background/Aim. Chlamydia trachomatis infection (CTI) is an increasing public health problem worldwide and is the most frequent sexually transmitted infection. Studies conducted in many armed forces worldwide showed that CTI is common within military population and generate significant healthcare costs. The aim of this study was to estimate the prevalence of CTI among members of the Serbian Armed Forces (SAF) and to determine risk factors for this infection. Methods. The study was designed as a cross-sectional survey and consisted of completing a questionnaire and chlamydial testing. The questionnaire was divided into two question groups: one was about demographic/service related characteristics and the other was about behavioral patterns/habits. Chlamydia trachomatis real time polymerase chain reaction (Real-TM PCR) was used for detection of pathogen genome specific sequence in the male urethral swabs and in the female endocervical swabs. All data collected were used to compare military personnel with and without CTI. Risk factors independently associated with CTI were identified by the stepwise multivariate logistic regression analysis (MLRA) of variables selected by the univariate logistic regression analysis (ULRA), with a limit for entering and removing variables from the model at 0.05. Results. The overall prevalence of CTI was 55 of 356 respondents (15.4%; 95% CI 0.5-2.7%). The ULRA identified that CTI was significantly associated with several characteristics: number of sexual partners during previous year (p = 0.008), knowledge about symptoms of CTI (p = 0.035), tattooing (p = 0.035) and married or in stable relationship (p = 0.022). The MLRA revealed that number of different sexual partners during last year was independent risk factor of CTI (p = 0.026; OR : 0.344; 95% CI: 0.13-0.88). Conclusion. CTI is significant problem in male and female military personnel in the SAF. The number of different sexual partners during previous year was independently associated with CTI. These finding indicates that screening for CTI should be undertaken in the SAF, to reduce rates of CTI in the SAF and to prevent morbidity due to this infection.

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Section: Discussioncontrasting

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors of Chlamydia trachomatis genital infection among military personnel of the Armed Forces of Serbia: A cross-sectional study

et al. 2019

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“…Although endocervical chlamydial infection is asymptomatic in the majority of cases [7], a strong association between the symptoms of vaginitis and endocervical CT infection was found in the present population. Our data are consistent with those of Sipkin et al, who found that symptoms of genital infection were a risk factor for endocervical CT infection [8].…”

Section: Discussioncontrasting

confidence: 47%

Chlamydia Prevalence and Correlates Among Female Adolescents in Hungary

Ujházy¹,

Csaba²,

Máté³

et al. 2007

Journal of Adolescent Health

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“…Considering the role of Chlamydia and Mycoplasma in urogenital infections, NGU, and infertility, it is very apparent that an early diagnosis and proper treatment of these infections can prevent fertility-threatening condition. Urine screening offers an excellent alternative method for detection of these infections (2, 18, 19). It should be noted that there has been less attention in the case of the bacterial causes of male infertility in Iran.…”

Section: Discussionmentioning

confidence: 99%

A Survey on the Prevalence of Chlamydia Trachomatis and Mycoplasma Genitalium Infections in Symptomatic and Asymptomatic Men Referring to Urology Clinic of Labbafinejad Hospital, Tehran, Iran

Yeganeh¹,

Jeddi-Tehrani²,

Yaghmaie³

et al. 2013

Iran Red Crescent Med J

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BackgroundChlamydia trachomatis and Mycoplasma genitalium infections are the most prevalent sexually transmitted bacterial infections in the world that cause urogenital infections in both men and women. It appears that infertility is a complication of these infections.ObjectiveThis study was designed to estimate the prevalence of Chlamydia trachomatis and Mycoplasma genitalium in symptomatic and asymptomatic men and to assess risk factors associated with infection.Patients and MethodsUrine specimens were collected from 200 men; 100 of them were symptomatic and 100 asymptomatic. Samples were examined by PCR to detect the infections.ResultsC. trachomatis was detected in 20% of symptomatic and in 4% of asymptomatic men (P < 0.001). The prevalence of M. genitalium was revealed to be 12% and 2% in symptomatic and asymptomatic men, respectively (P < 0.01). Four of 100 men in the symptomatic group were infected with both organisms. C. trachomatis infection was associated with dysuria, urethral discharge, testicular swelling, and genital ulcer (P < 0.05). M. genitalium infection was related with dysuria, testis inflammation, pelvic pain and low educational level (P < 0.05). Furthermore, the prevalence of infections at ages 30-39 years was more than other ages.ConclusionsConsidering the role of these bacteria in urogenital infections, a screening test is recommended. Since the PCR assay is a highly sensitive and specific assay for the detection of these bacteria in male urine specimens, it provides a noninvasive technique for routine screening.

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Diagnosis of Chlamydia trachomatis infections in a sexually transmitted disease clinic: evaluation of a urine sample tested by enzyme immunoassay and polymerase chain reaction in comparison with a cervical and/or a urethral swab tested by culture and polymerase chain reaction

Abstract: The use of urine samples for the diagnosis of C. trachomatis infections was effective, but urine samples should be additional to conventional swab(s) instead of replacing. Partner notification and a confirmation of cure is recommended.

Cited by 23 publications

References 38 publications

Prevalence and risk factors of Chlamydia trachomatis genital infection among military personnel of the Armed Forces of Serbia: A cross-sectional study

Prevalence and risk factors of Chlamydia trachomatis genital infection among military personnel of the Armed Forces of Serbia: A cross-sectional study

Chlamydia Prevalence and Correlates Among Female Adolescents in Hungary

A Survey on the Prevalence of Chlamydia Trachomatis and Mycoplasma Genitalium Infections in Symptomatic and Asymptomatic Men Referring to Urology Clinic of Labbafinejad Hospital, Tehran, Iran

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