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Chlamydia trachomatis prevalence in North-West Italy
1Unit B of Gynecology, Department of Obstetrics and Gynecology, University of Turin, Azienda Ospedaliera Materno Infantile, OIRM Sant'Anna, Turin, Italy.
Minerva Ginecologica
|November 9, 2004
Summary
This study found Chlamydia trachomatis prevalence at 1.23% in sexually active women in Piedmont, Italy. Key risk factors included early intercourse, multiple partners, and lack of contraception, highlighting the need for targeted screening.
Area of Science:
- Public Health
- Infectious Diseases
- Gynecology
Background:
- Chlamydia trachomatis is the most prevalent sexually transmitted infection (STI) among young, sexually active individuals in Europe.
- Understanding local prevalence and risk factors is crucial for effective public health interventions.
Purpose of the Study:
- To determine the prevalence of Chlamydia trachomatis in sexually active women in Piedmont, Italy.
- To identify correlations between C. trachomatis infection and various risk factors.
Main Methods:
- A cohort of 31,419 sexually active women (aged 12-55) were screened for C. trachomatis using ligase chain reaction (LCR) from 1997-2001.
- Data collection included cervical swabs and a detailed questionnaire on demographics and sexual behavior.
Main Results:
- The overall prevalence of C. trachomatis infection was 1.23%, with an average age of infection at 36.98 years.
- Significant correlations were observed with age at first intercourse, number of sexual partners, presence of symptoms, lower education levels, and specific foreign citizenships.
- No significant difference was found based on contraceptive method, but unprotected intercourse markedly increased risk.
Conclusions:
- Frequent microbiological screening is recommended for individuals with risk factors for STIs.
- Early detection and treatment of Chlamydia trachomatis are essential to prevent long-term complications, especially given asymptomatic infections.