Detection of Chlamydia Trachomatis infection among symptomatic women of reproductive age group attending the gynaecology OPD in a tertiary care centre and risk factors associated with the infection

Abstract

Chlamydia trachomatis infection is the most common sexually transmitted bacterial infection worldwide, affecting women more than men. Majority being asymptomatic, this infection goes unnoticed and will have a major impact on the reproductive health of women resulting in morbidity. It also increases the risk of HIV. Objective:To detect the Chlamydial infection in symptomatic women of reproductive age group and to identify the possible risk factors. Materials and Methods: An endocervical swabs were collected from 100 symptomatic patients of reproductive age group and subjected to direct fluorescent antibody test (DFA). Results: The C.trachomatis infection was 20%, with a higher positivity in the age group of 26- 30 years. The most presenting complaint was vaginal discharge. A significant past history of PID, coppet T insertion, IUD/still birth was noted. A 20% coinfection with candiadiasis was also observed. Conclusion: As the occurence of Chlamydia trachomatis was substantially high in our study, effective strategies to implement screening programmes should be initiated as a routine diagnostic test for all women of reproductive age group, thereby preventing severe sequelae by providing timely management. Keywords: Chlamydia trachomatis, Percentage, occurrence, Direct fluorescent antibody test, Risk factors