CHLAMYDIA TRACHOMATIS INFECTION IN PELVIC INFLAMMATORY DISEASE PATIENTS – A SNAP SHOT

Abstract

Background: Chlamydia trachomatis is a sexually transmitted infection which due to its asymptomatic nature remains undiagnosed and presents as pelvic inflammatory disease in females. The objective of the study is to find prevalence and risk factors associated with positive testing of Chlamydia trachomatis infection in women suffering from pelvic inflammatory disease visiting a tertiary care hospital in Pakistan.

Material and Methods: This cross-sectional study was carried out at Department of Microbiology, Army Medical College/ National University of Medical Sciences from March 2019 to September 2019. This cross-sectional study was conducted among women presenting with pelvic inflammatory disease over a period of seven months. Socio-demographic and behavioral data were collected and real-time PCR diagnostic method was used to detect the presence of Chlamydia trachomatis infection in urine samples. Samples were collected by non-probability convenient sampling technique; Samples were analyzed for risk factors identification and association with Chlamydia trachomatis infection was determined.

Results: The prevalence of Chlamydia trachomatis was 12 (20%) out of total 60 participants. Maximum positive cases were seen in 20-24 years of age group. Risk factors i.e., age, number of sexual partners, gross monthly income, level of education, place of residence and past sexual history were evaluated. Positive association p =0.046 was found between number of sexual partners and Chlamydia trachomatis infection.

Conclusion: Chlamydia trachomatis a sexually transmitted infection is deadly infection because of its wide range of complications. Therefore, it should be diagnosed promptly and treated effectively. Due to its asymptomatic nature individuals having risk factors should be screened as early possible to avoid complications. Information about Chalamydia trachomatis risk factors and education about how to avoid infection should be given to individuals on large scale.

Keywords: Chlamydia trachomatis, Pelvic inflammatory disease, Polymerase chain reaction