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Archives of Gynecology and Obstetrics
Published in: Archives of Gynecology and Obstetrics 1/2009

01-01-2009 | Original Article

Molecular identification of endocervical Chlamydia trachomatis infection among gestations at risk for preterm birth in Ecuador

Authors: Marcela Medina, Walter Moya, Luis Hidalgo, Andres Calle, Enrique Terán, Peter Chedraui

Published in: Archives of Gynecology and Obstetrics | Issue 1/2009

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Abstract

Aim and method

To identify Chlamydia trachomatis (CT) endocervical infection among gestations at risk for preterm birth by means of DNA amplification.

Results

One hundred fifty eight (n = 158) gestations of Guayaquil (63.3%) and Quito (36.7%) Ecuador, at risk for preterm birth: threatened preterm labor (TPL, 60.8%) and preterm premature rupture of membranes (PPROM, 39.2%) were recruited. CT infection was presented in 8.2% of cases (TPL: 10.4% and PPROM: 4.8%). No significant difference was observed in this frequency in regard to city or diagnosis.

Conclusion

Although the causative role of CT infection for these antenatal complications cannot be completely ruled out, its presence may justify an antenatal routine screening program in order to provide appropriate therapy.
Literature
1.
Claman P, Toye B, Peeling RW et al (1995) Serologic evidence of Chlamydia trachomatis infection and risk of preterm birth. CMAJ 153:259–262PubMed
2.
Dong ZW, Li Y, Zhang LY et al (1998) Detection of Chlamydia trachomatis intrauterine infection using polymerase chain reaction on chorionic villi. Int J Gynaecol Obstet 61:29–32PubMedCrossRef
3.
Matthews-Greer JM, McRae KL, LaHaye EB et al (2001) Validation of the Roche COBAS Amplicor system for Chlamydia trachomatis. Clin Lab Sci 14:82–84PubMed
4.
Paavonen J, Eggert-Kruse W (1999) Chlamydia trachomatis: impact on human reproduction. Hum Reprod Update 5:433–447PubMedCrossRef
5.
Park KH, Chaiworapongsa T, Kim YM et al (2003) Matrix metalloproteinase 3 in parturition, premature rupture of the membranes, and microbial invasion of the amniotic cavity. J Perinat Med 31:12–22PubMedCrossRef
Metadata
Title
Molecular identification of endocervical Chlamydia trachomatis infection among gestations at risk for preterm birth in Ecuador
Authors
Marcela Medina
Walter Moya
Luis Hidalgo
Andres Calle
Enrique Terán
Peter Chedraui
Publication date
01-01-2009
Publisher
Springer-Verlag
Published in
Archives of Gynecology and Obstetrics / Issue 1/2009
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-008-0647-y

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