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Prevalence of genital chlamydia infection in urban women of reproductive age, Nairobi, Kenya

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Stones_2013_BMCRN_UrbanWomen_CC.pdf (330.2Kb)
Date
04/02/2013
Author
Kohli, Ruchika
Konya, Walter P.
Obura, Timona
Stones, William
Revathi, Gunturu
Keywords
Prevalence
Chlamydia
Reproductive age
Vaginal swab
Asymptomatic
RG Gynecology and obstetrics
RA0421 Public health. Hygiene. Preventive Medicine
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Abstract
Background: Chlamydia trachomatis is one of the major causes of sexually transmitted infections throughout the world. Most infections are asymptomatic and remain undetected. Burden of disease in the Kenyan population is not well characterised. This study was done to define the prevalence of genital Chlamydia infection in a representative female population. Findings: A cross-sectional study design was employed. All women attending out-patient clinics (antenatal, gynaecology, family planning) and accident and emergency departments at two study sites over a five month period were invited to consent to completion of a questionnaire and vaginal swab collection. A rapid point-of-care immunoassay based test was performed on the swabs. Women who tested positive for Chlamydia were offered treatment, together with their partner(s), and advised to come for a follow-up test. A total of 300 women were tested. The prevalence of genital Chlamydia trachomatis was found to be 6% (95% CI 3.31% - 8.69%). The prevalence was higher in women who represented a higher socioeconomic level, but this difference was not significant (p=0.061). Use of vaginal swabs was observed to be a more acceptable form of sample collection. Conclusion: The prevalence of genital Chlamydia is significant in our female population. There is a justifiable need to institute opportunistic screening programs to reduce the burden of this disease. Rapid and low cost point-of-care testing as a potential component of sexually transmitted infection (STI) screening can be utilised.
Citation
Kohli , R , Konya , W P , Obura , T , Stones , W & Revathi , G 2013 , ' Prevalence of genital chlamydia infection in urban women of reproductive age, Nairobi, Kenya ' , BMC Research Notes , vol. 6 , 44 . https://doi.org/10.1186/1756-0500-6-44
Publication
BMC Research Notes
Status
Peer reviewed
DOI
https://doi.org/10.1186/1756-0500-6-44
Type
Journal article
Rights
© Kohli et al.; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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  • Medicine Research
  • University of St Andrews Research
URI
http://hdl.handle.net/10023/9563

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