Prevalence of genital chlamydia infection in urban women of reproductive age, Nairobi, Kenya

Ruchika Kohli, Walter P. Konya, Timona Obura, William Stones, Gunturu Revathi

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Chlamydia trachomatis is one of the major causes of sexually transmitted infections throughout the world. Most infections are asymptomatic and remain undetected. Burden of disease in the Kenyan population is not well characterised. This study was done to define the prevalence of genital Chlamydia infection in a representative female population.
Findings: A cross-sectional study design was employed. All women attending out-patient clinics (antenatal, gynaecology, family planning) and accident and emergency departments at two study sites over a five month period were invited to consent to completion of a questionnaire and vaginal swab collection. A rapid point-of-care immunoassay based test was performed on the swabs. Women who tested positive for Chlamydia were offered treatment, together with their partner(s), and advised to come for a follow-up test.
A total of 300 women were tested. The prevalence of genital Chlamydia trachomatis was found to be 6% (95% CI 3.31% - 8.69%). The prevalence was higher in women who represented a higher socioeconomic level, but this difference was not significant (p=0.061). Use of vaginal swabs was observed to be a more acceptable form of sample collection.
Conclusion: The prevalence of genital Chlamydia is significant in our female population. There is a justifiable need to institute opportunistic screening programs to reduce the burden of this disease. Rapid and low cost point-of-care testing as a potential component of sexually transmitted infection (STI) screening can be utilised.
Original languageEnglish
Article number44
Number of pages5
JournalBMC Research Notes
Volume6
DOIs
Publication statusPublished - 4 Feb 2013

Keywords

  • Prevalence
  • Chlamydia
  • Reproductive age
  • Vaginal swab
  • Asymptomatic

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