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Forward Genetic Approaches in Chlamydia trachomatis
Published on: October 23, 2013
Association of Chlamydia trachomatis infections with preterm delivery; a systematic review and meta-analysis
Amjad Ahmadi1,2, Rashid Ramazanzadeh3,4, Koroush Sayehmiri5
1Cellular and Molecular Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Pasdaran Street, Sanandaj, 66177-13446, Iran. microbiology90@gmail.com.
Insights
Chlamydia trachomatis (CT) infection is linked to a higher risk of preterm birth. This meta-analysis confirms a significant association between CT colonization and increased odds of premature delivery.
Area of Science:
- Reproductive Health
- Infectious Diseases
- Perinatal Epidemiology
Background:
- Premature birth is a leading cause of infant mortality globally.
- Etiology of preterm birth varies significantly across different countries.
- Chlamydia trachomatis (CT) is a prevalent sexually transmitted infection.
Purpose of the Study:
- To conduct a meta-analysis investigating the association between Chlamydia trachomatis infections and preterm birth.
- To quantify the risk of preterm delivery in women with CT infections.
Main Methods:
- Systematic literature search across multiple databases (PubMed, Scopus, Google Scholar, etc.) for studies published between 1998-2014.
- Analysis of 24 relevant articles using a random effects model.
- Meta-regression used to examine relationships with data collection years, sample size, and CT prevalence; heterogeneity assessed using I² index.
Main Results:
- The overall pooled prevalence of CT infections associated with preterm delivery was 0.13% (CI 95%: 0.11-0.16).
- Prevalence varied by diagnostic method: PCR (0.06%), culture (0.17%), and serology (0.23%).
- Women with CT infections had 2.28 times higher odds of preterm delivery (OR = 2.28, 95% CI: 1.64-3.16).
Conclusions:
- A clear association exists between Chlamydia trachomatis colonization and preterm delivery.
- CT infections significantly increase the risk of premature birth.
- Findings are consistent across studies from multiple continents.
Background:
Premature birth is a primary cause of infant mortality and its etiology varies in different countries. Chlamydia trachomatis (CT) is a common infectious agent transmitted through sexual contact. The purpose of this study is to investigate the connection between CT infections and preterm birth by meta-analysis.
Methods:
All articles published in literature databases including Google Scholar, PubMed, ISI (Web of Science), Biological Abs, IranMedex, SID, and Scopus were investigated. Twenty-four relevant articles, authored betweenm 1998-2014 were analyzed through a random effects model. Heterogeneity of the studies was evaluated by I2 index. The relationship between years of data collection, sample size, and CT infections with preterm delivery prevalence was examined by meta-regression. Data were analyzed with R and STATA [Ver. 12].
Results:
The overall prevalence of CT infections leading to preterm deliveries was estimated to be 0.13% (CI 95%: 0.11-0.16). The prevalence of CT infections leading to preterm deliveries were calculated based on the study method including PCR [0.06 (CI 95%: 0.04-0.09)], serology [0.23 (CI 95%: 0.10-0.35)] and culture [0.17 (CI 95%: 0.10-0.24)]. Analysis indicates that women with chlamydia infections were 2.28 more likely to deliver pre-term in comparison with those who were not infected. It can be concluded that chlamydia infections increase the risks of preterm delivery, OR = 2.28 (95% CI:1.64-3.16).
Conclusions:
In regard to the results in numerous studies performed on different continents, this meta- analysis showed a clear association between preterm delivery and prior CT colonization.
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