Prevalence of and risk factors for chlamydia in female outpatients with genital tract infections: a nationwide multi-center, cross-sectional study in China
IntroductionChlamydia trachomatis is the etiological agent of the commonest sexually transmitted bacterial infection. This study aimed to examine the prevalence of genital chlamydia and associated risk factors in Chinese female outpatients with genital tract infections.MethodsA prospective, multicen...
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| Format: | Article |
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Frontiers Media S.A.
2023-06-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1182108/full |
| _version_ | 1797803741937664000 |
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| author | Ting Li Zhaohui Liu Dai Zhang Qinping Liao Shangrong Fan Min Hao Ying Hong Xiufeng Huang Huilan Wang Zhengai Xiong Hong Xu Fengxia Xue Min Xue Xingsheng Yang Jianqing Zhang |
| author_facet | Ting Li Zhaohui Liu Dai Zhang Qinping Liao Shangrong Fan Min Hao Ying Hong Xiufeng Huang Huilan Wang Zhengai Xiong Hong Xu Fengxia Xue Min Xue Xingsheng Yang Jianqing Zhang |
| author_sort | Ting Li |
| collection | DOAJ |
| description | IntroductionChlamydia trachomatis is the etiological agent of the commonest sexually transmitted bacterial infection. This study aimed to examine the prevalence of genital chlamydia and associated risk factors in Chinese female outpatients with genital tract infections.MethodsA prospective, multicenter epidemiological study of genital chlamydia prevalence in 3008 patients with genital tract infections in 13 hospitals in 12 provinces of China was performed between May 2017 and November 2018. Vaginal secretion specimens were collected for the clinical diagnosis of vaginitis, whereas cervical secretion specimens were tested for Chlamydia trachomatis and Neisseria gonorrhoeae. All patients participated in a one-on-one cross-sectional questionnaire interview. ResultsTotally 2,908 participants were included. The prevalence rates of chlamydia and gonococcal infections in women with genital tract infections were 6.33% (184/2908) and 0.01% (20/2908), respectively. Multivariate analysis showed high risk factors for chlamydia were premarital sex behavior, first sexual intercourse before the age of 20 and bacterial vaginosis.DiscussionGiven that most chlamydia cases are asymptomatic and no vaccine is currently available, chlamydia prevention strategies should include behavioral interventions as well as early screening programs to identify and treat individuals with genital tract infections, especially those with the above identified risk factors. |
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| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-13T05:25:28Z |
| publishDate | 2023-06-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj.art-912baa43f9e74eee918b5641cf5959b62023-06-15T05:58:15ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-06-011110.3389/fpubh.2023.11821081182108Prevalence of and risk factors for chlamydia in female outpatients with genital tract infections: a nationwide multi-center, cross-sectional study in ChinaTing Li0Zhaohui Liu1Dai Zhang2Qinping Liao3Shangrong Fan4Min Hao5Ying Hong6Xiufeng Huang7Huilan Wang8Zhengai Xiong9Hong Xu10Fengxia Xue11Min Xue12Xingsheng Yang13Jianqing Zhang14Department of Gynecology, Beijing Obstetrics and Gynecology Hospital, Beijing Maternal and Child Health Care Hospital, Capital Medical University, Beijing, ChinaDepartment of Gynecology, Beijing Obstetrics and Gynecology Hospital, Beijing Maternal and Child Health Care Hospital, Capital Medical University, Beijing, ChinaDepartment of Obstetrics and Gynecology, Peking University First Hospital, Beijing, ChinaDepartment of Obstetrics and Gynecology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, ChinaDepartment of Obstetrics and Gynecology, Peking University Shenzhen Hospital, Shenzhen, Guangdong, ChinaDepartment of Obstetrics and Gynecology, Second Hospital of Shanxi Medical University, Taiyuan, ChinaDepartment of Obstetrics and Gynecology, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, ChinaDepartment of Obstetrics and Gynecology, Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaDepartment of Obstetrics and Gynecology, The Second Hospital of Hebei Medical University, Shijiazhuang, ChinaDepartment of Obstetrics and Gynecology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China0Department of Obstetrics and Gynecology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China1Department of Obstetrics and Gynecology, Tianjin Medical University General Hospital, Tianjin, China2Department of Obstetrics and Gynecology, Third Xiangya Hospital of Central South University, Changsha, China3Department of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, China4Department of Obstetrics and Gynecology, Qinghai Red Cross Hospital, Xining, ChinaIntroductionChlamydia trachomatis is the etiological agent of the commonest sexually transmitted bacterial infection. This study aimed to examine the prevalence of genital chlamydia and associated risk factors in Chinese female outpatients with genital tract infections.MethodsA prospective, multicenter epidemiological study of genital chlamydia prevalence in 3008 patients with genital tract infections in 13 hospitals in 12 provinces of China was performed between May 2017 and November 2018. Vaginal secretion specimens were collected for the clinical diagnosis of vaginitis, whereas cervical secretion specimens were tested for Chlamydia trachomatis and Neisseria gonorrhoeae. All patients participated in a one-on-one cross-sectional questionnaire interview. ResultsTotally 2,908 participants were included. The prevalence rates of chlamydia and gonococcal infections in women with genital tract infections were 6.33% (184/2908) and 0.01% (20/2908), respectively. Multivariate analysis showed high risk factors for chlamydia were premarital sex behavior, first sexual intercourse before the age of 20 and bacterial vaginosis.DiscussionGiven that most chlamydia cases are asymptomatic and no vaccine is currently available, chlamydia prevention strategies should include behavioral interventions as well as early screening programs to identify and treat individuals with genital tract infections, especially those with the above identified risk factors.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1182108/fullChlamydia trachomatisgenital tract infectionrisk factorbacterial vaginosisChina |
| spellingShingle | Ting Li Zhaohui Liu Dai Zhang Qinping Liao Shangrong Fan Min Hao Ying Hong Xiufeng Huang Huilan Wang Zhengai Xiong Hong Xu Fengxia Xue Min Xue Xingsheng Yang Jianqing Zhang Prevalence of and risk factors for chlamydia in female outpatients with genital tract infections: a nationwide multi-center, cross-sectional study in China Frontiers in Public Health Chlamydia trachomatis genital tract infection risk factor bacterial vaginosis China |
| title | Prevalence of and risk factors for chlamydia in female outpatients with genital tract infections: a nationwide multi-center, cross-sectional study in China |
| title_full | Prevalence of and risk factors for chlamydia in female outpatients with genital tract infections: a nationwide multi-center, cross-sectional study in China |
| title_fullStr | Prevalence of and risk factors for chlamydia in female outpatients with genital tract infections: a nationwide multi-center, cross-sectional study in China |
| title_full_unstemmed | Prevalence of and risk factors for chlamydia in female outpatients with genital tract infections: a nationwide multi-center, cross-sectional study in China |
| title_short | Prevalence of and risk factors for chlamydia in female outpatients with genital tract infections: a nationwide multi-center, cross-sectional study in China |
| title_sort | prevalence of and risk factors for chlamydia in female outpatients with genital tract infections a nationwide multi center cross sectional study in china |
| topic | Chlamydia trachomatis genital tract infection risk factor bacterial vaginosis China |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1182108/full |
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