دورية أكاديمية

Chlamydia trachomatis seropositivity among women with tubal factor infertility and fertile controls: a comparative study.

التفاصيل البيبلوغرافية
العنوان: Chlamydia trachomatis seropositivity among women with tubal factor infertility and fertile controls: a comparative study.
المؤلفون: Odelola OI; Department of Obstetrics and Gynaecology, Olabisi Onabanjo University Teaching Hospital Sagamu, Ogun State, Nigeria., Akadri AA; Department of Obstetrics and Gynaecology, Babcock University, Ilishan-Remo, Ogun State, Nigeria.
المصدر: The Pan African medical journal [Pan Afr Med J] 2023 Apr 14; Vol. 44, pp. 178. Date of Electronic Publication: 2023 Apr 14 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: African Field Epidemiology Network Country of Publication: Uganda NLM ID: 101517926 Publication Model: eCollection Cited Medium: Internet ISSN: 1937-8688 (Electronic) NLM ISO Abbreviation: Pan Afr Med J Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Kampala, Uganda : African Field Epidemiology Network
مواضيع طبية MeSH: Infertility, Female*/etiology , Chlamydia Infections*/complications , Chlamydia Infections*/epidemiology , Chlamydia Infections*/diagnosis, Pregnancy ; Humans ; Female ; Male ; Chlamydia trachomatis ; Cross-Sectional Studies ; Fertility ; Antibodies, Bacterial
مستخلص: Introduction: Chlamydia trachomatis is the most reported bacterial sexually transmitted infection and if not properly treated may lead to tubal blockage. Tubal factor infertility is the most common form of infertility in Nigeria. This study was designed to determine the usefulness of chlamydia antibody testing in diagnosis of tubal factor infertility.
Methods: this was a comparative cross-sectional study conducted in Olabisi Onabanjo University Teaching Hospital Sagamu. One hundred and forty-seven women with tubal blockage on hysterosalpingography and confirmed with laparoscopy, and pregnant control were recruited using convenience sampling method. Information obtained and chlamydia assay results were entered into a computer and analyzed using SPSS version 21. Chi-square was used to determine association between categorical variables. Logistic regression analysis was used to determine the risk factors associated with chlamydia infection.
Results: ninety-four (63.9%) of the women with tubal factor infertility were positive for chlamydia IgG antibodies while 37(25.2%) women in the control group had positive results for IgG antibody. This was statistically significant (P=0.001). Analysis using multivariate logistic regression shows early age of coitarche, presence of multiple sexual partners and previous sexually transmitted infection were significantly associated with chlamydia infection (P=0.001).
Conclusion: there was a strong association between chlamydia seropositivity and tubal blockage. Early age at coitarche, previous sexually transmitted infection and multiple sexual partners are significant risk factors for chlamydial infection. Chlamydia trachomatis antibody testing could be used as marker for tubal blockage when evaluating infertile patient.
Competing Interests: The authors declare no competing interests.
(Copyright: Oluwaseyi Isaiah Odelola et al.)
References: Am J Obstet Gynecol. 2017 Jan;216(1):1-9. (PMID: 28007229)
Fertil Steril. 2009 Jan;91(1):91-5. (PMID: 18635168)
Am J Obstet Gynecol. 2010 Nov;203(5):494.e7-494.e14. (PMID: 20643392)
Fertil Steril. 2009 Nov;92(5):1520-4. (PMID: 19828144)
BMC Complement Altern Med. 2014 Jan 16;14:27. (PMID: 24433549)
Int J Gynaecol Obstet. 2016 Jul;134(1):33-6. (PMID: 27177510)
Ned Tijdschr Geneeskd. 2007 Sep 8;151(36):1981-5. (PMID: 17953171)
Hum Reprod. 2003 Sep;18(9):1841-7. (PMID: 12923136)
J Obstet Gynaecol Res. 2007 Oct;33(5):688-95. (PMID: 17845331)
Afr J Reprod Health. 2015 Sep;19(3):9-17. (PMID: 26897908)
Best Pract Res Clin Obstet Gynaecol. 2002 Dec;16(6):789-99. (PMID: 12473282)
J Infect Dis. 2008 Aug 1;198(3):349-58. (PMID: 18588484)
Niger J Clin Pract. 2009 Mar;12(1):47-50. (PMID: 19562921)
Afr J Reprod Health. 2013 Dec;17(4):150-66. (PMID: 24558791)
West Afr J Med. 2007 Oct-Dec;26(4):298-301. (PMID: 18705430)
J Low Genit Tract Dis. 2011 Jan;15(1):20-4. (PMID: 21192172)
BMC Womens Health. 2015 Jun 02;15:45. (PMID: 26031715)
Indian J Psychol Med. 2013 Apr;35(2):121-6. (PMID: 24049221)
J Infect Dis. 2010 Jun 15;201 Suppl 2:S134-55. (PMID: 20470050)
PLoS Med. 2012;9(12):e1001356. (PMID: 23271957)
Int J Biomed Sci. 2011 Jun;7(2):120-4. (PMID: 23675227)
Br J Health Psychol. 2016 May;21(2):302-17. (PMID: 27059275)
فهرسة مساهمة: Keywords: Chlamydia trachomatis; antibody titre; hysterosalpingography; laparoscopy; tubal factor infertility
المشرفين على المادة: 0 (Antibodies, Bacterial)
تواريخ الأحداث: Date Created: 20230717 Date Completed: 20230718 Latest Revision: 20230718
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10349630
DOI: 10.11604/pamj.2023.44.178.29443
PMID: 37455888
قاعدة البيانات: MEDLINE
الوصف
تدمد:1937-8688
DOI:10.11604/pamj.2023.44.178.29443