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.
Abstract

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