Chlamydia: Prevelance study of Turkish population

Chlamydia: Prevelance study of Turkish population

M.M. Inal1, S.

Kose2, K. Ertopcu1, F. Demirci1, A. Donmez1, D. Oztekin1, I. Ozelmas1, S. Tinar1

1Aegean Obst&Gyn Teaching and Research Hospital, Family Planning Department,

Izmir, Turkey, and 2Tepecik Teaching and Research Hospital, Department of

Microbiology, Izmir, Turkey

Objective To establish the prevalence of Chlamydial

infection in Turkish population by investigation of Chlamydia trachomatis and

Chlamydia pneumoniae DNAs in cervical specimens by using non-amplified nucleic

acid hybridization assay.

Design and setting In between March 2003 and August

2004, 1353 women applied to Family Planning Department of our hospital, because

of routine follow-up of contraceptive method use, were randomly enrolled into

the study. Cervical smears and swabs for Chlamydial DNA study were obtained from

all of the cases. Chlamydial DNA in cervical specimens were investigated by Pace

2 system (Gen-Probe Incorporated, SanDiego, CA, USA) and also the cytologic

specimens were studied simultaneously.

Results The mean age of 1353 cases was 34.69 ± 8.16 with a range in between 17 and 73 years. The overall

Chlamydial DNA

positivity was 2.66% (36 cases) enrolling both Chlamydia trachomatis and

Chlamydia pneumoniae. Immunoglobulins IgG and IgM of C.trachomatis and


were also studied A statistical significant difference was also observed in

between Chlamydia-DNA (+) and Chlamydia-DNA (-) cases with cervical pathologies.

A strong correlation of Chlamydia-DNA positivity with cervical erosions was


Conclusion The strong correlation in between Chlamydia-DNA positivity

and cervical erosions and cervicitis reveals that Chlamydial testing should be

performed in order to prevent long term adverse effects of Chlamydial infections.

KEY WORDS Chlamydia infection, Chlamydia-DNA,

Prevalence, Cervical pathology

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