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  • Title: Chlamydial infection in female prostitutes in Singapore.
    Author: Lim KB, Srivasin V, Gan SL, Thirumoorthy T, Nadarajah M, Sng EH, Yuen WS.
    Journal: Singapore Med J; 1989 Jun; 30(3):263-4. PubMed ID: 2588018.
    Abstract:
    Three studies conducted in 1982, 1985 and 1988 investigated chlamydial infections in female prostitutes. In 1982, 115 prostitutes with culture-positive gonorrhoea were studied; 8% were coinfected with Chlamydia trachomatis. In 1985, 86 female prostitutes and in 1988, 100 female prostitutes attending for routine tests were examined. Chlamydia trachomatis was isolated in 12% and 9% of the cases, respectively. Gonorrhoea was detected in 10% and 11% of the cases. In the 1988 study, one (9%) of the 11 women with gonorrhoea had concomitant chlamydial infection. Syphilis was diagnosed in 3% of the female prostitutes investigated in 1988. Our findings indicate that concomitant chlamydial infection occurs in about 8-9% of female prostitutes with gonorrhoea and that 9-12% of the female prostitutes screened harboured Chlamydia trachomatis in their endocervices. A chlamydial control programme in prostitutes is desirable. Studies conducted in 1982, 1985, and 1988 among female prostitutes in Singapore documented the need for a chlamydial control program in this population. In the 1982 study, which included 115 prostitutes infected with gonorrhea, Chlamydia trachomatis was recovered from 8%. In 1985 and 1988, the prevalence of endocervical chlamydia infection in prostitutes presenting for routine testing was 12% and 9%, respectively. The prevalence of gonorrhea in 1985 and 1988 was 10% and 11%, respectively. In the 1988 study, 1 of the 11 prostitutes with gonorrhea also harbored chlamydia. The prevalence of syphilis, ascertained only in the 1988 study, was 3%. These findings suggest that 8-9% of prostitutes with gonorrhea are co-infected with chlamydia. At present, prostitutes in Singapore are screened only for gonorrhea and syphilis. The high rate of C trachomatis infection recorded in this study indicates that chlamydia infection--on the increase in the West--should be added to this list. In addition, health education efforts are needed to stress the need for additional anti-chlamydial treatment. Currently utilized regimens for the treatment of gonorrhea are ineffective against C trachomatis.
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