Cribado oportunista y diagnóstico precoz de la infección por Chlamydia trachomatis en mujeres sexualmente activas de un área rural del País Vasco

IF 2.2 4区医学 Q3 INFECTIOUS DISEASES

Enfermedades infecciosas y microbiologia clinica Pub Date : 2026-10-01 Epub Date: 2026-01-08 DOI:10.1016/j.eimc.2025.503063

Amaia Cuñado, Iratxe Ocerin, Josune Mendiola, Maitane Arrastia, Luis Piñeiro

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引用次数: 0

Abstract

Introduction

The incidence of Chlamydia trachomatis (CT) infection has increased in recent years, especially in young women, and can have significant consequences for their sexual and reproductive health.

Methods

Between February/2017-June/2017, screening for CT infection was offered to women aged 18–35 years who attended the Midwife/Gynecology clinic at Mendaro Hospital (Gipuzkoa), and it was extended between September/2017-February/2021 in those aged 18-25. After providing consent, a clinical-epidemiological survey was completed and a genital sample was obtained. CT was detected using a commercial PCR technique.

Results

A total of 558 women were studied: 412 aged 18–25 years and 146 aged 26–35 years. The prevalence of infection was 7.3% (95%CI 5.4–9.9%), 9.0% in those aged ≤ 25 years and 2.7% in those older than 25 (p = 0.013). The prevalence was higher in symptomatic women, with more sexual partners, and inconsistent condom use.

Conclusion

The high prevalence of CT infection in women aged ≤ 25 years indicates the need to implement screening strategies to prevent the consequences of infection and its transmission.

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在巴斯克地区农村地区性活跃妇女中进行机会性筛查和早期诊断沙眼衣原体感染

近年来，沙眼衣原体（CT）感染的发病率有所增加，特别是在年轻女性中，并可能对她们的性健康和生殖健康产生重大影响。方法在2017年2月至2017年6月期间，对Mendaro医院（Gipuzkoa）助产士/妇科诊所就诊的18-35岁女性进行CT感染筛查，并在2017年9月至2021年2月期间对18-25岁女性进行筛查。在获得同意后，完成临床流行病学调查并获得生殖器样本。CT检测采用商业PCR技术。结果共纳入558例女性，其中18-25岁412例，26-35岁146例。感染率为7.3% (95%CI为5.4 ~ 9.9%)，25岁以下感染率为9.0%，25岁以上感染率为2.7% （p = 0.013）。在有症状、性伴侣较多、不一致使用避孕套的妇女中，患病率较高。结论≤25岁女性CT感染率较高，需要实施筛查策略，预防感染后果及其传播。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Enfermedades infecciosas y microbiologia clinica 医学-传染病学

CiteScore

2.10

自引率

8.00%

发文量

194

审稿时长

29 days

期刊介绍： Hoy está universalmente reconocida la renovada y creciente importancia de la patología infecciosa: aparición de nuevos agentes patógenos, de cepas resistentes, de procesos con expresión clínica hasta ahora desconocida, de cuadros de una gran complejidad. Paralelamente, la Microbiología y la Infectología Clínicas han experimentado un gran desarrollo como respuesta al reto planteado por la actual patología infecciosa. Enfermedades Infecciosas y Microbiología Clínica es la Publicación Oficial de la Sociedad Española SEIMC. Cumple con la garantía científica de esta Sociedad, la doble función de difundir trabajos de investigación, tanto clínicos como microbiológicos, referidos a la patología infecciosa, y contribuye a la formación continuada de los interesados en aquella patología mediante artículos orientados a ese fin y elaborados por autores de la mayor calificación invitados por la revista.