Chlamydial infection in a high risk population: association with vaginal flora patterns

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dc.contributor.authorMarconi, Camila [UNESP]
dc.contributor.authorDonders, Gilbert G. G.
dc.contributor.authorMartin, Laura F. [UNESP]
dc.contributor.authorRamos, Bruna R. A. [UNESP]
dc.contributor.authorDuarte, Marli Terezinha Cassamassimo [UNESP]
dc.contributor.authorParada, Cristina Maria Garcia de Lima [UNESP]
dc.contributor.authorTristao, Andrea R.
dc.contributor.authorSilva, Marcia Guimarães da [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionFemicare Clin Res Women
dc.contributor.institutionUniv Hosp Gasthuisberg
dc.contributor.institutionBauru State Hosp
dc.date.accessioned2014-05-20T13:34:52Z
dc.date.available2014-05-20T13:34:52Z
dc.date.issued2012-04-01
dc.description.abstractThis study aimed to determine the frequency of Chlamydia trachomatis (CT) infection among high risk Brazilian women and evaluate its association with vaginal flora patterns.This was a cross-sectional study, performed in an outpatient clinic of Bauru State Hospital, So Paulo, Brazil. A total of 142 women were included from 2006 to 2008. Inclusion criteria was dyspareunia, pain during bimanual exam, presence of excessive cervical mucus, cervical ectopy or with three or more episodes of abnormal vaginal flora (AVF) in the previous year before enrollment. Endocervical CT testing was performed by PCR. Vaginal swabs were collected for microscopic assessment of the microbial flora pattern. Gram-stained smears were classified in normal, intermediate or bacterial vaginosis (BV), and recognition of Candida sp. morphotypes. Wet mount smears were used for detection of Trichomonas vaginalis and aerobic vaginitis (AV).Thirty-four of 142 women (23.9%) tested positive for CT. AVF was found in 50 (35.2%) cases. The most frequent type of AVF was BV (17.6%). CT was strongly associated with the presence of AV (n = 7, 4.9%, P = 0.018), but not BV (n = 25, 17.6%, P = 0.80) or intermediate flora (n = 18, 12.7%, P = 0.28).A high rate of chlamydial infection was found in this population. Chlamydia infection is associated with aerobic vaginitis.en
dc.description.affiliationSão Paulo State Univ UNESP, Dept Pathol, Botucatu Med Sch, BR-18618970 São Paulo, Brazil
dc.description.affiliationFemicare Clin Res Women, Tienen, Belgium
dc.description.affiliationUniv Hosp Gasthuisberg, B-3000 Louvain, Belgium
dc.description.affiliationSão Paulo State Univ UNESP, Botucatu Med Sch, Dept Nursing, BR-18618970 São Paulo, Brazil
dc.description.affiliationBauru State Hosp, São Paulo, Brazil
dc.description.affiliationUnespSão Paulo State Univ UNESP, Dept Pathol, Botucatu Med Sch, BR-18618970 São Paulo, Brazil
dc.description.affiliationUnespSão Paulo State Univ UNESP, Botucatu Med Sch, Dept Nursing, BR-18618970 São Paulo, Brazil
dc.format.extent1013-1018
dc.identifierhttp://dx.doi.org/10.1007/s00404-011-2085-5
dc.identifier.citationArchives of Gynecology and Obstetrics. Heidelberg: Springer Heidelberg, v. 285, n. 4, p. 1013-1018, 2012.
dc.identifier.doi10.1007/s00404-011-2085-5
dc.identifier.issn0932-0067
dc.identifier.lattes4940791909535775
dc.identifier.lattes3321951631983020
dc.identifier.urihttp://hdl.handle.net/11449/11960
dc.identifier.wosWOS:000301543300019
dc.language.isoeng
dc.publisherSpringer Heidelberg
dc.relation.ispartofArchives of Gynecology and Obstetrics
dc.relation.ispartofjcr2.236
dc.relation.ispartofsjr0,956
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.subjectChlamydia trachomatisen
dc.subjectBacterial vaginosisen
dc.subjectAerobic vaginitisen
dc.subjectVaginal floraen
dc.subjectPCRen
dc.titleChlamydial infection in a high risk population: association with vaginal flora patternsen
dc.typeArtigo
dcterms.licensehttp://www.springer.com/open+access/authors+rights?SGWID=0-176704-12-683201-0
dcterms.rightsHolderSpringer Heidelberg
unesp.author.lattes4940791909535775
unesp.author.lattes3321951631983020
unesp.author.orcid0000-0001-9890-6254[2]
unesp.author.orcid0000-0001-7742-1186[1]
unesp.author.orcid0000-0002-9597-3635[6]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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