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  • Title: Chlamydia trachomatis: is it possible to reduce the number of infections after abortions?
    Author: Skjeldestad FE, Dalen A.
    Journal: Scand J Prim Health Care; 1988 May; 6(2):125-8. PubMed ID: 3387707.
    Abstract:
    In a study at the University Hospital in Trondheim during 1983, the frequency of Chlamydia trachomatis among women terminating their pregnancies was 8.2%. Younger women were infected by C. trachomatis at a more frequent rate than older women (p less than 0.001). Treatment of chlamydia-positive women was initiated within the first two weeks after the abortion. However, among women readmitted to the hospital, chlamydia-positive women showed a higher frequency of salpingitis than chlamydia-negative women (p less than 0.08). Preabortion examination for C. trachomatis and treatment of chlamydia-positive women by practitioners before the abortion is carried out, may reduce the postabortal frequency of salpingitis. A study was conducted at the University Hospital in Trondheim, Norway, in 1983 to investigate the routines for sampling of "C. trachomatis" and treatment of chlamydia-positive women in relation to abortion during the 1st trimester. 823 abortions were performed during the 1st trimester in 1983. The patients were examined the day prior to the operation and specimens for "C. trachomatis" and "N. gonorrhea" were collected from the cervix uteri. 769 women were included in the final analysis. The number of women infected with "C. trachomatis" at the time of abortion was 60 (8.2%). This did not include 37 cultures which were inconclusive due to nonspecific cytopathogenic effects. The highest frequencies were found in the younger age groups. After age standardization, nulliparous women (9.8%) had a higher infection rate than women (5.0%) with 1 or more previous pregnancies. The prevalence of "N. gonorrhea" was 0.6%. 2 women were positive for both "C. trachomatis" and "N. gonorrhea." Of 37 patients who were readmitted to the hospital, 6 were chlamydia-positive and 30 chlamydia-negative, representing 10% and 4.5%, respectively. 1 patient, who was readmitted, had inconclusive chlamydia culture. Postabortal salpingitis was confirmed at readmission among 5% of the chlamydia-positive women; 1.2% of the chlamydia-negative women were treated in the hospital for salpingitis.
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