Hostname: page-component-8448b6f56d-m8qmq Total loading time: 0 Render date: 2024-04-25T05:22:35.623Z Has data issue: false hasContentIssue false
  • English
  • Français

A Prospective study of genital infections in a family planning clinic: 2. Chlamydia infection - the identification of a high-risk group

Published online by Cambridge University Press:  15 May 2009

M. E. Macaulay ,
T. Riordan ,
J. M. James ,
P. A. Leventhall ,
E. M. Morris ,
B. R. Neal  and
D. A. Ellis
M. E. Macaulay
Affiliation:
Public Health Laboratory, Withington Hospital, Manchester M20 8LR
T. Riordan
Affiliation:
Public Health Laboratory, Withington Hospital, Manchester M20 8LR
J. M. James
Affiliation:
Community Health Services, Central Manchester Health Authority, Darbishire House, 293a Upper Brook Street, Manchester M13 OFW
P. A. Leventhall
Affiliation:
Community Health Services, Central Manchester Health Authority, Darbishire House, 293a Upper Brook Street, Manchester M13 OFW
E. M. Morris
Affiliation:
Community Health Services, Central Manchester Health Authority, Darbishire House, 293a Upper Brook Street, Manchester M13 OFW
B. R. Neal
Affiliation:
Community Health Services, Central Manchester Health Authority, Darbishire House, 293a Upper Brook Street, Manchester M13 OFW
D. A. Ellis
Affiliation:
Central Serology Laboratory, Withington Hospital, Manchester M20 8LR
Rights & Permissions [Opens in a new window]

Summary

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

During a study of genital infection in inner-city family-planning patients we examined 452 women for Chlamydia trachomatis. The prevalence of infection was 7·3%. There was no significant difference between patients attending because of genital symptoms and those who were attending for routine family-planning advice. Infection was found to be correlated with five main demographic parameters; age less than 25, no stable partnership, hormonal contraception, nulliparity and West Indian Ethnic origin. Using these parameters a simple scoring system was devised which allowed a high-risk population to be defined in whom screening would be economically justified.

Type
Research Article
Information
Epidemiology & Infection , Volume 104 , Issue 1 , February 1990 , pp. 55 - 61
Copyright
Copyright © Cambridge University Press 1990

References

REFERENCES

1.Rahm, VA, Belsheim, J, Gleerup, A, Gnarpe, H, Rosen, G.Asymptomatic carriage of Chlamydia trachomatis - a study of 109 teenage girls. Eur J Sex Transm Dis 1986: 3: 91–4.Google Scholar
2.Schachter, J, Grossman, M, Sweet, RL, Holt, J, Jordan, C, Bishop, E.Prospective study of perinatal transmission of Chlamydia trachomatis. JAMA 1986; 255: 3374–87.CrossRefGoogle ScholarPubMed
3.Public Health Laboratory Service Communicable Disease Surveillance Centre. Sexually transmitted disease in Britain: 1985–1986. Genitourin Med 1989; 65. 117–21.Google Scholar
4.Chlamydia trachomatis infections-policy guidelines for prevention and control. MMWR 1985; 34; ES: 53S–74S.Google Scholar
5.Phillips, RS, Aronson, MD, Taylor, WC, Safran, C.Should tests for Chlamydia trachomatis cervical infection be done during routine gynecological visits. Ann Int Med 1987; 107: 188–94.CrossRefGoogle Scholar
6.Southgate, LJ, Treharne, JD, Forsey, T.Chlamydia trachomatis and Neisseria gonorrhoeae infections in women attending inner city general practices. Br Med J 1983; 287: 879–81.CrossRefGoogle Scholar
7.Wood, PL, Hobson, D, Rees, E.Genital infections with Chlamydia trachomatis in women attending an antenatal clinic. Br J Obstet Gynec 1984; 91: 1171–6.CrossRefGoogle ScholarPubMed
8.Riordan, T, Macaulay, ME, James, JM, Leventhall, PA, Morris, EM, Neal, BR, Rowland, J, Evans, BM.A prospective study of genital infections in a family planning clinic. I Microbiological findings and their association with vaginal symptoms. Epidemiol Infect 1990; 104: 47–53.CrossRefGoogle Scholar
9.Richmond, SJ.The isolations of chlamydia subgroup A (Chlamydia trachomatis) in irradiated McCoy cells. Med Lab Technol 1974; 31: 7–9.Google ScholarPubMed
10.Washington, AE, Johnson, RE, Sanders, LL.Chlamydia trachomatis infections in the United States. What are they costing us? JAMA 1987; 257: 2070–2.Google ScholarPubMed
11.Handsfield, HH, Jasman, LL, Roberts, PL, Hanson, VW, Kothenbeutal, RL, Stamm, WE.Criteria for selective screening for Chlamydia trachomatis infection in women attending family planning clinics. JAMA 1986; 255: 1730–4.CrossRefGoogle ScholarPubMed
12.Louv, WC, Austin, H, Perlman, J, Alexander, WJ.Oral contraceptive use and the risk of chlamydia and gonococcal infections. Am J Obstet Gynecol 1989; 160: 396–402.CrossRefGoogle ScholarPubMed
13.Harrison, HR, Costin, M, Meder, JB, Bownds, LM, Sim, DA, Lewis, M, Alexander, ER.Cervical Chlamydia trachomatis infection in university women: relationship to history, contraception, ectopy, and cevicitis. Am J Obstet Gynecol 1985; 153: 244–51.CrossRefGoogle Scholar
14.Gall, SA.Oral contraceptives and chlamydia infection. JAMA 1986; 255: 38.CrossRefGoogle Scholar