<I>Study objective:</I> To determine the prevalence of Chlamydia trachomatis infection in patients presenting for termination of pregnancy.
Chlamydia trachomatis is associated with severe morbidity and determining the prevalence would be a big step forward towards
possible instituting a screening process or a universal prophylaxis program at Kalafong Hospital.
<br><I>Patients and setting:</I> 155 consenting
consecutive patients attending the Termination of Pregnancy clinic at Kalafong Hospital.
<br><I> Methods and specimens:</I> Each patient was asked to fill in a specifically designed form. A first voided urine sample was collected from each patient, a speculum examination
was performed as well as a transvaginal ultrasound investigation to determine gestation.
<br><I>Results:</I> The prevalence of Chlamydia
trachomatis infection in the tested patients was 25.8%(40/155).
<br><I>Conclusions and suggestions:</I> Patients presenting for termination of
pregnancy have a very high prevalence of Chlamydia trachomatis infection. In a setting with limited resources, a universal prophylaxis
regimen for patients presenting for termination of pregnancy should be implemented. This could possibly be expanded to patients
presenting with spontaneous abortions.