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  • Title: Prevalence of Chlamydia trachomatis in women seeking termination of pregnancy.
    Author: Lee ST, Chaudhuri P, Tay BL.
    Journal: Singapore Med J; 1991 Feb; 32(1):31-3. PubMed ID: 2017702.
    Abstract:
    Fifty consecutive unmarried women seeking termination of pregnancy in Toa Payoh Hospital were analysed to determine the prevalence of Chlamydia trachomatis infection as compared to gonococcal infection. Cases harbouring chlamydial infection were followed up to exclude postabortal pelvic infection. Incidence of positive cultures were also compared among the various ethnic groups in the population. Results from the data analysed showed that chlamydial infection was significantly more prevalent than gonorrhoea in our local women seeking therapeutic abortion. However, further research to define the exact size of the problem is indicated. Chlamydia and gonorrhea infections were quantitated in 50 consecutive abortion clients at the Toa Payoh Hospital in Singapore. The patients were 15-28 years old, mean 21.5 years, unmarried, and all in 1st trimester except 1, all treated by dilatation and vacuum aspiration. Chlamydia, demonstrated by culture, occurred in 14% of the series, while gonorrhea was detected in none. 71% of the cases were Chinese, 1 was a Malay, and 1 a Filipina. While follow-up was scheduled at 6 weeks, 42% defaulted. 1 patient developed post-abortal pelvic inflammatory disease. Thus chlamydia is a more serious problem in this population than gonorrhea. Whether to screen for chlamydia in all abortion candidates in problematical, since viral culture is very expensive, but simpler screening tests are not as sensitive.
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