"Prevalence of and risk factors for chlamydia in female outpatients with genital tract infections: a nationwide multi-center, cross-sectional study in China"

作者全名："Li, Ting; Liu, Zhaohui; Zhang, Dai; Liao, Qinping; Fan, Shangrong; Hao, Min; Hong, Ying; Huang, Xiufeng; Wang, Huilan; Xiong, Zhengai; Xu, Hong; Xue, Fengxia; Xue, Min; Yang, Xingsheng; Zhang, Jianqing"

作者地址："[Li, Ting; Liu, Zhaohui] Capital Med Univ, Beijing Obstet & Gynecol Hosp, Beijing Maternal & Child Hlth Care Hosp, Dept Gynecol, Beijing, Peoples R China; [Zhang, Dai] Peking Univ First Hosp, Dept Obstet & Gynecol, Beijing, Peoples R China; [Liao, Qinping] Tsinghua Univ, Beijing Tsinghua Changgung Hosp, Sch Clin Med, Dept Obstet & Gynecol, Beijing, Peoples R China; [Fan, Shangrong] Peking Univ, Shenzhen Hosp, Dept Obstet & Gynecol, Shenzhen, Guangdong, Peoples R China; [Hao, Min] Shanxi Med Univ, Hosp 2, Dept Obstet & Gynecol, Taiyuan, Peoples R China; [Hong, Ying] Nanjing Univ, Nanjing Drum Tower Hosp, Med Sch, Dept Obstet & Gynecol, Nanjing, Peoples R China; [Huang, Xiufeng] Zhejiang Univ, Womens Hosp, Sch Med, Dept Obstet & Gynecol, Hangzhou, Peoples R China; [Wang, Huilan] Hebei Med Univ, Hosp 2, Dept Obstet & Gynecol, Shijiazhuang, Peoples R China; [Xiong, Zhengai] Chongqing Med Univ, Affiliated Hosp 2, Dept Obstet & Gynecol, Chongqing, Peoples R China; [Xu, Hong] Guangxi Med Univ, Affiliated Hosp 1, Dept Obstet & Gynecol, Nanning, Peoples R China; [Xue, Fengxia] Tianjin Med Univ, Gen Hosp, Dept Obstet & Gynecol, Tianjin, Peoples R China; [Xue, Min] Cent South Univ, Xiangya Hosp 3, Dept Obstet & Gynecol, Changsha, Peoples R China; [Yang, Xingsheng] Shandong Univ, Qilu Hosp, Dept Obstet & Gynecol, Jinan, Peoples R China; [Zhang, Jianqing] Qinghai Red Cross Hosp, Dept Obstet & Gynecol, Xining, Peoples R China"

通信作者："Liu, ZH (通讯作者)，Capital Med Univ, Beijing Obstet & Gynecol Hosp, Beijing Maternal & Child Hlth Care Hosp, Dept Gynecol, Beijing, Peoples R China.; Zhang, D (通讯作者)，Peking Univ First Hosp, Dept Obstet & Gynecol, Beijing, Peoples R China."

来源：FRONTIERS IN PUBLIC HEALTH

ESI学科分类：SOCIAL SCIENCES, GENERAL

WOS号：WOS:001018708000001

JCR分区：Q2

影响因子：3

年份：2023

卷号：11

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：Chlamydia trachomatis; genital tract infection; risk factor; bacterial vaginosis; China

摘要："IntroductionChlamydia trachomatis is the etiological agent of the commonest sexually transmitted bacterial infection. This study aimed to examine the prevalence of genital chlamydia and associated risk factors in Chinese female outpatients with genital tract infections. MethodsA prospective, multicenter epidemiological study of genital chlamydia prevalence in 3008 patients with genital tract infections in 13 hospitals in 12 provinces of China was performed between May 2017 and November 2018. Vaginal secretion specimens were collected for the clinical diagnosis of vaginitis, whereas cervical secretion specimens were tested for Chlamydia trachomatis and Neisseria gonorrhoeae. All patients participated in a one-on-one cross-sectional questionnaire interview. ResultsTotally 2,908 participants were included. The prevalence rates of chlamydia and gonococcal infections in women with genital tract infections were 6.33% (184/2908) and 0.01% (20/2908), respectively. Multivariate analysis showed high risk factors for chlamydia were premarital sex behavior, first sexual intercourse before the age of 20 and bacterial vaginosis. DiscussionGiven that most chlamydia cases are asymptomatic and no vaccine is currently available, chlamydia prevention strategies should include behavioral interventions as well as early screening programs to identify and treat individuals with genital tract infections, especially those with the above identified risk factors."

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