Routine screening of gynaecological and obstetric patients for Chlamydia trachomatis

Area of Science:

• Gynecology
• Obstetrics
• Infectious Diseases

Background:

• Cervical Chlamydia trachomatis infection is a significant concern in women's health.
• Understanding prevalence and risk factors is crucial for effective management.

Purpose of the Study:

• To determine the prevalence of Chlamydia trachomatis cervical infection in gynecological and obstetric patients.
• To identify associated risk factors and clinical presentations.
• To evaluate the utility of enzyme immunoassay for diagnosis.

Main Methods:

• A cross-sectional study involving 221 gynecological and obstetric patients.
• Diagnosis of Chlamydia trachomatis infection using enzyme immunoassay.
• Data collection on patient demographics, symptoms, and medical history.

Main Results:

• Overall prevalence of cervical Chlamydia trachomatis infection was 9%.
• Obstetric patients had a higher prevalence (12.6%) compared to gynecological patients (5.5%).
• Risk factors included excessive vaginal discharge, premature rupture of membranes (obstetric), previous pelvic infection, and menstrual disorders (gynecological). No infections were detected in intrauterine device users.

Conclusions:

• Chlamydia trachomatis is prevalent in cervical infections among gynecological and obstetric patients.
• Specific symptoms and history are associated with higher infection risk.
• Enzyme immunoassay is a practical diagnostic tool for genital chlamydial infections.