Pelvic inflammatory disease associated with Chlamydia trachomatis infection after therapeutic abortion. A prospective study.

Qvigstad, Erik; Skaug, Kjell; Jerve, F; Fylling, Petter; Ulstrup, Jan C.

doi:10.1136/sti.59.3.189

Cited by 19 publications

(16 citation statements)

References 11 publications

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“…In accordance with previous investigations [16][17][18][19][20][21], we found in our randomized study [3], that C. trachomatis most frequently occurred among women below the age of 26. Therefore, if medical resources are limited, they should be directed towards the screening of these women.…”

Section: It Is Important To Prevent Pid Caused By An Ascendingsupporting

confidence: 94%

“…In the original double-blind study, of the 34 women harbouring C. trachomatis 16 were randomized to erythromycin, and 18 to placebo. In the period from January to March 1988 (i. e., 2 to 24 months after the abortion) we recontacted these 34 women (median 12 months after the abortion for women receiving erythromycin and 11 months for women not receiving erythromycin).…”

Section: Methodsmentioning

confidence: 99%

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Early- and late-onset pelvic inflammatory disease among women with cervicalChlamydia trachomatis infection at the time of induced abortion — A follow-up study

et al. 1994

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After termination of a double-blind, randomized study on erythromycin in the prevention of post-abortion infection, 34 women (14 treated with erythromycin, 20 not treated with erythromycin) harbouring Chlamydia trachomatis were followed up within 6 weeks and again 2 to 24 months after the abortion in order to detect an early- and late-onset pelvic inflammatory disease (PID). For statistical analysis survival analysis by Kaplan-Meir estimates and Mantel-Cox test were carried out. Untreated women with C. trachomatis infection at the time of abortion had a cumulative risk of 72% of developing early and/or late PID, if observed for 24 months. This cumulative risk was significantly reduced to 8% if the C. trachomatis infection was treated at the time of the abortion. Screening for and treatment of C. trachomatis is warranted, especially in women < or = 25 years old, to avoid early and late-onset PID after induced first trimester abortion.

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Section: It Is Important To Prevent Pid Caused By An Ascendingsupporting

confidence: 94%

Section: Methodsmentioning

confidence: 99%

Early- and late-onset pelvic inflammatory disease among women with cervicalChlamydia trachomatis infection at the time of induced abortion — A follow-up study

et al. 1994

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show abstract

“…Several authors have reported frequencies of postabortal salpingitis above 20% among chlamydia-positive women who were not treated during the 30-day postabortal period (1)(2)(3)6). In the present study, specimens for C. trachomatis were collected the day before the operation.…”

Section: Discussionmentioning

confidence: 99%

“…trachomatis with salpingitis without symptoms has already been established (3,7,10). Nearly 85% of abortion-seeking women in Norway consult their general practitioners before going to the hospital (13).…”

Section: Discussionmentioning

confidence: 99%