Analysis of laboratory testing results for Chlamydia trachomatis infection in an STI clinic in India: Need for extragenital screening
Background: Extragenital sites are believed to serve as hidden reservoirs for ongoing transmission of infection. In addition, treatment for rectal Chlamydia infection is different from that of genital Chlamydia infection. Many cases may be missed if only genital testing is performed. Methods: Betwee...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2017-04-01
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| Series: | International Journal of Infectious Diseases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1201971217300073 |
| _version_ | 1819274805381169152 |
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| author | Nazneen Arif Deepak Juyal Sujeesh Sebastian Neena Khanna Benu Dhawan |
| author_facet | Nazneen Arif Deepak Juyal Sujeesh Sebastian Neena Khanna Benu Dhawan |
| author_sort | Nazneen Arif |
| collection | DOAJ |
| description | Background: Extragenital sites are believed to serve as hidden reservoirs for ongoing transmission of infection. In addition, treatment for rectal Chlamydia infection is different from that of genital Chlamydia infection. Many cases may be missed if only genital testing is performed.
Methods: Between September 2015 and August 2016, all male and female attendees at an STI clinic of a tertiary care hospital with genital and or extragenital discharge were screened for CT infection. Samples included endocervical swabs in women, urethral swabs and urine samples in men. Rectal and pharyngeal samples were collected wherever indicated.
Results: Of total of 439 samples collected from 417 patients (245 women and 172 men), samples from women had a high positivity rate than men. (13.6% and 11%). High rates of rectal CT was detected nearly 30.43%. All rectal positive cases except one had no concomitant genital infection.
Conclusions: Prevalence of extragenital Chlamydia is increasing in men as well as women. What needs to be stressed on is the sexual behaviour of an individual and not the sexual identity. Further studies are needed to help formulate guidelines and recommendations for extragenital screening in a population. |
| first_indexed | 2024-12-23T23:14:16Z |
| format | Article |
| id | doaj.art-acc2cf3ad7614c8f8cbef0bca4b3cf7e |
| institution | Directory Open Access Journal |
| issn | 1201-9712 1878-3511 |
| language | English |
| last_indexed | 2024-12-23T23:14:16Z |
| publishDate | 2017-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Infectious Diseases |
| spelling | doaj.art-acc2cf3ad7614c8f8cbef0bca4b3cf7e2022-12-21T17:26:34ZengElsevierInternational Journal of Infectious Diseases1201-97121878-35112017-04-0157C1210.1016/j.ijid.2017.01.004Analysis of laboratory testing results for Chlamydia trachomatis infection in an STI clinic in India: Need for extragenital screeningNazneen Arif0Deepak Juyal1Sujeesh Sebastian2Neena Khanna3Benu Dhawan4Department of Microbiology, All India Institute of Medical Sciences, New Delhi − 110029Department of Microbiology, All India Institute of Medical Sciences, New Delhi − 110029Department of Microbiology, All India Institute of Medical Sciences, New Delhi − 110029Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi − 110029Department of Microbiology, All India Institute of Medical Sciences, New Delhi − 110029Background: Extragenital sites are believed to serve as hidden reservoirs for ongoing transmission of infection. In addition, treatment for rectal Chlamydia infection is different from that of genital Chlamydia infection. Many cases may be missed if only genital testing is performed. Methods: Between September 2015 and August 2016, all male and female attendees at an STI clinic of a tertiary care hospital with genital and or extragenital discharge were screened for CT infection. Samples included endocervical swabs in women, urethral swabs and urine samples in men. Rectal and pharyngeal samples were collected wherever indicated. Results: Of total of 439 samples collected from 417 patients (245 women and 172 men), samples from women had a high positivity rate than men. (13.6% and 11%). High rates of rectal CT was detected nearly 30.43%. All rectal positive cases except one had no concomitant genital infection. Conclusions: Prevalence of extragenital Chlamydia is increasing in men as well as women. What needs to be stressed on is the sexual behaviour of an individual and not the sexual identity. Further studies are needed to help formulate guidelines and recommendations for extragenital screening in a population.http://www.sciencedirect.com/science/article/pii/S1201971217300073ExtragenitalChlamydia trachomatisGenital ScreeningRectal infections |
| spellingShingle | Nazneen Arif Deepak Juyal Sujeesh Sebastian Neena Khanna Benu Dhawan Analysis of laboratory testing results for Chlamydia trachomatis infection in an STI clinic in India: Need for extragenital screening International Journal of Infectious Diseases Extragenital Chlamydia trachomatis Genital Screening Rectal infections |
| title | Analysis of laboratory testing results for Chlamydia trachomatis infection in an STI clinic in India: Need for extragenital screening |
| title_full | Analysis of laboratory testing results for Chlamydia trachomatis infection in an STI clinic in India: Need for extragenital screening |
| title_fullStr | Analysis of laboratory testing results for Chlamydia trachomatis infection in an STI clinic in India: Need for extragenital screening |
| title_full_unstemmed | Analysis of laboratory testing results for Chlamydia trachomatis infection in an STI clinic in India: Need for extragenital screening |
| title_short | Analysis of laboratory testing results for Chlamydia trachomatis infection in an STI clinic in India: Need for extragenital screening |
| title_sort | analysis of laboratory testing results for chlamydia trachomatis infection in an sti clinic in india need for extragenital screening |
| topic | Extragenital Chlamydia trachomatis Genital Screening Rectal infections |
| url | http://www.sciencedirect.com/science/article/pii/S1201971217300073 |
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