Chlamydia trachomatis infection in antenatal and gynecological patients in Kirkuk city. | ||
| Medical Journal of Tikrit | ||
| Article 1, Volume 19, Issue 1, June 2013, Pages 1-9 | ||
| Author | ||
| Ayla Khedher Ghalib | ||
| Abstract | ||
| Context:- In spite of the wide-ranging literature on prevalence of Chlamydia trachomatis infection in women, there are few studies on the relationship between Chlamydia infection, infertility & using of different methods of contraception. Objective:-To analyze the frequency of infection by Chlamydia trachomatis among fertile & infertile women & to assess role of using contraception in causing chlamydial infection. Design study: - Cross sectional study. Setting:- Gynecological & antenatal clinics in both Kirkuk general hospital & Azadi general hospital and also from private clinics. Sample :- An analysis of 600 swabs from 300 women was carried on during the period between 1st of October 2007 to 31st of December 2008. Main measurements:- The diagnosis of Chlamydia trachomatis infection was made by using rapid lateral immuno-chromatography device test. Results: 83(27.66 %) had Chlamydia trachomatis infection. Chlamydia co-infection with other microorganisms was significant P<0.05 specially with Candida sPP, Gardnerella vaginalis & Trichomonas vaginalis. Relationship between Chlamydia trachomatis infection & age was not significant P > 0.05 although the infection rate was higher in women aging from (15 to 25) years, ( 35.45 %). significant relationship P<0.05 was obtained between women using contraception & Chlamydia infection, the rate was( 31.48) %& women using intrauterine contraceptive device (IUCD) shows high rate( 46,80%) infection . Women in third trimester of pregnancy shows high rate (36.6 %) of chlamydial infection than women in first & second trimesters. abdominal pain 33% &vaginal discharge (31.63%) were more frequent symptoms of women with chlamydial infection comparing to other clinical presentations P<0.05. Chlamydia trachomatis highly occurred (15.33%) in specimen with pH ranging from7 to 8 than acidic pH, P<0.05. Relationship between Chlamydia distribution, type of genital swab & women infertility was not significant. Conclusion: The all rate of Chlamydia infection among women in Kirkuk city was high. Young aged women were more susceptible for getting chlamydial infection than elderly women. Contraception using especially IUCD shows high incidence of Chlamydia infection than other methods. Relationship | ||
| Keywords | ||
| Chlamydia; Infertility; contraception; Pregnancy | ||
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