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Chlamydia trachomatis infection in a sample of northern Brazilian pregnant women: prevalence and prenatal importance
Borborema-Alfaia, Ana Paula B. de; Freitas, Norma Suely de Lima; Astolfi Filho, Spartaco; Borborema-Santos, Cristina Maria.
  • Borborema-Alfaia, Ana Paula B. de; Hospital Universitário Getúlio Vargas. Manaus. BR
  • Freitas, Norma Suely de Lima; Hospital Universitário Getúlio Vargas. Manaus. BR
  • Astolfi Filho, Spartaco; Hospital Universitário Getúlio Vargas. Manaus. BR
  • Borborema-Santos, Cristina Maria; Hospital Universitário Getúlio Vargas. Manaus. BR
Braz. j. infect. dis ; 17(5): 545-550, Sept.-Oct. 2013. tab
Article in English | LILACS | ID: lil-689879
ABSTRACT
There are limited data regarding prevalence of Chlamydia trachomatis infection among northern Brazilian pregnant women.

OBJECTIVE:

The purpose of this study was to estimate the prevalence of chlamydial infection among pregnant women in their third trimester and to determine the repercussion of this infection on their offspring.

METHODS:

In the first phase of this study 100 pregnant women receiving prenatal care in a local public university hospital were examined to assess the prevalence of genital C. trachomatis infection by polymerase chain reaction technique. In the second phase, 88 pregnant women were prospectively evaluated for premature rupture of membranes, puerperal consequences associated with chlamydial infection, and neonates were checked for low-birth weight.

RESULTS:

The prevalence rate of chlamydial infection was 11%, and 72.7% of the positive participants were predominantly less than 30 years of age (p = 0.1319). A total of 36.4% of the participants had premature rupture of membranes (p = 0.9998). Neither low-birth weight infants nor preterm delivery were observed. A cohort of 16 newborn babies were followedup up to 60 days of life to ascertain

outcome:

50% had respiratory symptoms. Neonates born to infected mothers had a higher risk to develop respiratory symptoms in the first 60 days of life.

CONCLUSION:

The scarcity of data about the effects of chlamydial infection on pregnancy and neonatal outcomes justified this study. Diagnosing and treating chlamydial infection during the third trimester of pregnancy may prevent neonate infection. Therefore, preventive screening should be seen as a priority for early detection of asymptomatic C. trachomatis infection as part of local public health strategies.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Pregnancy Complications, Infectious / Prenatal Diagnosis / Chlamydia Infections / Chlamydia trachomatis Type of study: Diagnostic study / Prevalence study / Risk factors / Screening study Limits: Adult / Female / Humans / Infant, Newborn / Pregnancy Country/Region as subject: South America / Brazil Language: English Journal: Braz. j. infect. dis Journal subject: Communicable Diseases Year: 2013 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Universitário Getúlio Vargas/BR

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Full text: Available Index: LILACS (Americas) Main subject: Pregnancy Complications, Infectious / Prenatal Diagnosis / Chlamydia Infections / Chlamydia trachomatis Type of study: Diagnostic study / Prevalence study / Risk factors / Screening study Limits: Adult / Female / Humans / Infant, Newborn / Pregnancy Country/Region as subject: South America / Brazil Language: English Journal: Braz. j. infect. dis Journal subject: Communicable Diseases Year: 2013 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Universitário Getúlio Vargas/BR