Genital tract infections in sexually active women in Barbados

Ninety-eight women attending three different clinics were prospectively studied for the presence of genital tract infections, including Chlamydia trachomatis. Of these 98 women, 35 were presenting to a polyclinic with symptoms of genital tract infection, 55 were attending an antenatal clinic for their first visit, and 8 referred to a colposcopy clinic because of an abnormal Papanicolaou smear were included. Gonorrhoea was detected in one patient, syphilis in two, and Trichomonas vaginalis in six. Candida albicans and Chlamydia trachomatis were each detected in 18 patients, while the most common condition was bacterial vaginosis, detected in 35 patients. The prevalence of these infections was lowest in patients referred for colposcopy and highest in the women attending the antenatal clinic, Chlamydia trachomatis was the most common sexually-transmitted pathogen detected in this population. These data emphasise the need for an aggressive approach to the diagnosis and treatment of chlamydial infection in females (AU)

Genital tract infections in sexually active women in Barbados

Ninety-eight women attending three different clinics were prospectively studied for the presence of genital tract infections, including Chlamydia trachomatis. Of these 98 women, 35 were presenting to a polyclinic with symptoms of genital tract infection, 55 were attending an antenatal clinic for their first visit, and 8 referred to a colposcopy clinic because of an abnormal Papanicolaou smear were included. Gonorrhoea was detected in one patient, syphilis in two, and Trichomonas vaginalis in six. Candida albicans and Chlamydia trachomatis were each detected in 18 patients, while the most common condition was bacterial vaginosis, detected in 35 patients. The prevalence of these infections was lowest in patients referred for colposcopy and highest in the women attending the antenatal clinic, Chlamydia trachomatis was the most common sexually-transmitted pathogen detected in this population. These data emphasise the need for an aggressive approach to the diagnosis and treatment of chlamydial infection in females

Chlamydia serology in women with ectopic pregnancy in Barbados - abstract

A study on antichlamydial antibodies in women with ectopic pregnancy was carried out at the Queen Elizabeth Hospital, Barbados, between January and June 1991. The incidence of ectopic pregnancy at QEH during this period was 26.5/1,000. It has been shown that there is a close association between ectopic pregnancy and pelvic inflammatory disease (PID). Since chlamydia trachomatis is related to PID, the prevalence of antichlamydial IgG and IgA in the 35 women who had ectopic pregnancy was assessed. This was compared with the prevalence of antichlamydial antibodies in 76 women attending antenatal clinic. Eighty-two per cent of women with ectopic pregnancy showed serological evidence of previous exposure to chlamydia trachomatis. Two women with ectopic pregnancy had had a previous history of acute PID. The prevalence of IgG antichlamydial antibodies in women with ectopic pregnancy was significantly higher than in the control group (X2ý 11.7 with Yates correction). This indicates that both groups had previous exposure to chlamydia trachomatis, but there was evidence of recent reinfection in the women with ectopic pregnancy (AU)