Relationship between serum Chlamydia trachomatis antibody titer and tubal block in infertile Egyptian women

Objective: This study aimed to investigate the relationship between serum Chlamydia trachomatis antibody titer and tubal block in infertile women. Patients and methods: The study included 80 infertile women scheduled for diagnostic laparoscopy. Using ELISA, the C. trachomatis IgG antibody titer (CAT...

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Main Authors: Ahmed Khairy Makled, Osama Saleh Elkady, Khaled Hassan Swedan, Hazem Mohamed Sammour, Elsayed Abdellatif Mohamed
Format: Article
Language:English
Published: SpringerOpen 2013-03-01
Series:Middle East Fertility Society Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S111056901200101X
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author Ahmed Khairy Makled
Osama Saleh Elkady
Khaled Hassan Swedan
Hazem Mohamed Sammour
Elsayed Abdellatif Mohamed
author_facet Ahmed Khairy Makled
Osama Saleh Elkady
Khaled Hassan Swedan
Hazem Mohamed Sammour
Elsayed Abdellatif Mohamed
author_sort Ahmed Khairy Makled
collection DOAJ
description Objective: This study aimed to investigate the relationship between serum Chlamydia trachomatis antibody titer and tubal block in infertile women. Patients and methods: The study included 80 infertile women scheduled for diagnostic laparoscopy. Using ELISA, the C. trachomatis IgG antibody titer (CAT) was determined in a venous blood sample (5 cc) obtained during laparoscopy. Results: The CAT was positive in 30 patients (23 had tubal block and 7 had patent tubes) and negative in 48 patients (44 had patent tubes and 4 had tubal block). The mean CAT was significantly high (41.7 ± 9.0 U/L) in the infertile patients with tubal block and peritubal adhesion as compared to patients with tubal block only (13.3 ± 3.9 U/L). The latter group had a significantly higher titer than did the women with patent tubes (6.2 ± 3.6 U/L). The CAT values of >8.8 U/L had a sensitivity and specificity of 85.7% and 84.6%, respectively, for tubal occlusion prediction. Conclusion: ELISA can be used as a simple, noninvasive screening test for C. trachomatis IgG antibodies, with a high predictive value for tubal occlusion in infertile Egyptian women, however larger studies are needed to confirm our results.
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spelling doaj.art-d7cca40eac3f47948f7ba711f3d0d1b92022-12-22T00:19:56ZengSpringerOpenMiddle East Fertility Society Journal1110-56902013-03-01181384110.1016/j.mefs.2012.09.007Relationship between serum Chlamydia trachomatis antibody titer and tubal block in infertile Egyptian womenAhmed Khairy MakledOsama Saleh ElkadyKhaled Hassan SwedanHazem Mohamed SammourElsayed Abdellatif MohamedObjective: This study aimed to investigate the relationship between serum Chlamydia trachomatis antibody titer and tubal block in infertile women. Patients and methods: The study included 80 infertile women scheduled for diagnostic laparoscopy. Using ELISA, the C. trachomatis IgG antibody titer (CAT) was determined in a venous blood sample (5 cc) obtained during laparoscopy. Results: The CAT was positive in 30 patients (23 had tubal block and 7 had patent tubes) and negative in 48 patients (44 had patent tubes and 4 had tubal block). The mean CAT was significantly high (41.7 ± 9.0 U/L) in the infertile patients with tubal block and peritubal adhesion as compared to patients with tubal block only (13.3 ± 3.9 U/L). The latter group had a significantly higher titer than did the women with patent tubes (6.2 ± 3.6 U/L). The CAT values of >8.8 U/L had a sensitivity and specificity of 85.7% and 84.6%, respectively, for tubal occlusion prediction. Conclusion: ELISA can be used as a simple, noninvasive screening test for C. trachomatis IgG antibodies, with a high predictive value for tubal occlusion in infertile Egyptian women, however larger studies are needed to confirm our results.http://www.sciencedirect.com/science/article/pii/S111056901200101XChlamydia trachomatisTubal blockInfertile Egyptian women
spellingShingle Ahmed Khairy Makled
Osama Saleh Elkady
Khaled Hassan Swedan
Hazem Mohamed Sammour
Elsayed Abdellatif Mohamed
Relationship between serum Chlamydia trachomatis antibody titer and tubal block in infertile Egyptian women
Middle East Fertility Society Journal
Chlamydia trachomatis
Tubal block
Infertile Egyptian women
title Relationship between serum Chlamydia trachomatis antibody titer and tubal block in infertile Egyptian women
title_full Relationship between serum Chlamydia trachomatis antibody titer and tubal block in infertile Egyptian women
title_fullStr Relationship between serum Chlamydia trachomatis antibody titer and tubal block in infertile Egyptian women
title_full_unstemmed Relationship between serum Chlamydia trachomatis antibody titer and tubal block in infertile Egyptian women
title_short Relationship between serum Chlamydia trachomatis antibody titer and tubal block in infertile Egyptian women
title_sort relationship between serum chlamydia trachomatis antibody titer and tubal block in infertile egyptian women
topic Chlamydia trachomatis
Tubal block
Infertile Egyptian women
url http://www.sciencedirect.com/science/article/pii/S111056901200101X
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