Monitoring of Chlamydia Trachomatis Genitourinary Infection in Women - Analytical Comparative Study Using Public Health Records from Two Balkan Countries

Dragutin Arsić; Dragan R Milovanović; Arbresa Bedzeti Ferati; Zoran Prokić; Vladan Vlajković; Kenan Ferati; Jovana Arsić

doi:10.21101/cejph.a4088

Monitoring of Chlamydia Trachomatis Genitourinary Infection in Women - Analytical Comparative Study Using Public Health Records from Two Balkan Countries

Cent Eur J Public Health. 2016 Mar;24(1):16-21. doi: 10.21101/cejph.a4088.

Authors

Dragutin Arsić¹, Dragan R Milovanović², Arbresa Bedzeti Ferati³, Zoran Prokić⁴, Vladan Vlajković¹, Kenan Ferati³, Jovana Arsić⁵

Affiliations

¹ Institute for Public Health Ćuprija Pomoravlje, Ćuprija, Serbia.
² Clinical Centre Kragujevac, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.
³ Faculty of Medicine, University of Tetovo, Tetovo, FYR of Macedonia.
⁴ Polyclinic Alba, Paracin, Serbia.
⁵ Faculty of Business-Civil Security, International University of Brčko District, Brčko, Bosnia and Herzegovina.

PMID: 27070965
DOI: 10.21101/cejph.a4088

Abstract

Aim: This study investigated the cumulative incidence of Chlamydia trachomatis infection in women treated in gynaecology departments of healthcare facilities in two towns in Serbia and one town in the Former Yugoslav Republic (FYR) of Macedonia, including their medical records in public health reports.

Methods: A cross-sectional observational research design with retrospective data collection during a five-year period (2008-2012) originated from women treated as in- and out-patients. The data included the results of cervical and urethral swab testing on Chlamydia trachomatis infection and women's gynaecological diagnoses in Pomoravlje County (the Institute of Public Health Cuprija "Pomoravlje" in Cuprija, Alba outpatient clinic, Paracin) and in Skopje (Clinic for Obstetrics and Gynaecology, "Mikrolab" laboratory).

Results: The incidence of positive ELISA assay from samples from the Institute of Public Health "Pomoravlje" Cuprija and polyclinic Alba was 6.5% and 12.5%, respectively (p<0.01). The incidence of positive DFA test from samples from the Clinic for Obstetrics and Gynaecology, Skopje and "Mikrolab" laboratory was 18.8% and 15.2%, respectively (p=0.20). In Pomoravlje County and in Skopje 7.5% and 17.6% of urethral swab samples were positive for Chlamydia trachomatis, respectively (p<0.01). The rate of microbiological samples tested for Chlamydia trachomatis in Pomoravlje County and Skopje was 48.4% and 21.2%, respectively (p<0.01). One-year incidences of Infectio sexuales chlamydiales (A56) from 2007-2011 were significantly different among three data settings relating to Serbia, the FYR of Macedonia and Pomoravlje County (p<0.001).

Conclusions: The incidence of Chlamydia trachomatis positive cervical and urethral swabs in our study were highly variable between countries and within individual hospitals and caused by many factors.

Keywords: chlamydia trachomatis; enzyme-linked immunosorbent assay; female urogenital diseases; fluorescent antibody technique direct; infertility.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adult
Chlamydia Infections / epidemiology*
Chlamydia Infections / microbiology*
Chlamydia trachomatis / isolation & purification*
Cross-Sectional Studies
Enzyme-Linked Immunosorbent Assay
Female
Female Urogenital Diseases / epidemiology*
Female Urogenital Diseases / microbiology*
Humans
Incidence
Republic of North Macedonia / epidemiology
Retrospective Studies
Serbia / epidemiology