Prevalence of chlamydia trachomatis in patients attending the termination of pregnancy clinic at Kalafong hospital: research article

  • R Joubert

Abstract

Study objective: 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.

Patients and setting: 155 consenting consecutive patients attending the Termination of Pregnancy clinic at Kalafong Hospital.

Methods and specimens: 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.

Results: The prevalence of Chlamydia trachomatis infection in the tested patients was 25.8%(40/155).

Conclusions and suggestions: 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.

O & G Forum Vol.14(1) 2004: 19-22
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eISSN: 1027-9148