n Obstetrics and Gynaecology Forum - Prevalence of chlamydia trachomatis in patients attending the termination of pregnancy clinic at Kalafong hospital : research article




<I>Study objective:&lt;/I&gt; 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:&lt;/I&gt; 155 consenting consecutive patients attending the Termination of Pregnancy clinic at Kalafong Hospital. &lt;br&gt;&lt;I&gt; Methods and specimens:&lt;/I&gt; 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. &lt;br&gt;&lt;I&gt;Results:&lt;/I&gt; The prevalence of Chlamydia trachomatis infection in the tested patients was 25.8%(40/155). <br><I>Conclusions and suggestions:&lt;/I&gt; 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.


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