Infección por Chlamydia trachomatis en hombres chilenos asintomáticos y con uretritis: utilidad de la orina de primer chorro / Chlamydia trachomatis infection in asymtomatic men with urethritis: usefulness of first catch urine samples
Rev. méd. Chile
; 125(10): 1165-71, oct. 1997. tab
Article
en Es
| LILACS
| ID: lil-210539
Biblioteca responsable:
CL1.1
ABSTRACT
Background:
Chlamydia trachomatis is responsible for 30 to 50 percent of genital tract infections and is present, without symptoms, in 20 percent of men and 60 percent of women. We have little information in Chile about the prevalence of ths infection.Aim:
to assess the prevalence of Chlamydia trachomatis in men, using first catch urine samples. Subjects andmethods:
three hundred and fifty one first catch urine samples of asymptomatic men and 50 samples coming from men with a primary urethritis, were analyzed. Urethral discharge samples from the latter were simultaneously studied. Analysis was performed using an enzyme immunoanalysis (MicroTrak Chlamydia EIA, Syva Co.) and a nested polymerase chain reaction towards the gene that codifies MOMP (PCR/OMP).Results:
amoung asymptomatic men, two of 154 teenagers aged 18 to 19 years old (1.3 percent), 10 of 100 university students (10 percent) and eight of 97 adults over 30 years old (8.2 percent), were infected. The global prevalence of infection in these men was 5.7 percent. The prevalence of infection i men with urethritis was 12 percent. Urine EIA had a higher detection frequency than PCR/OMP, but according to another PCR assay, these results were false positives. EIA in first catch urine, had a sensitivity, specificity, positive and negative predictive value of 83.3, 75, 31.3 and 97 percent respectively, for the detection of Chlamydia trachomatis. The figures for PCR/OMP were 100 percent for all these parameters.Conclusions:
the prevalence of Chlamydia trachomatis infection in Chilean men is similar to that reported in developed countries. Enzyme immuno assay in first catch urine had a good diagnostic accuracy and could be used in epidemiological studies in asymptomatic men
Buscar en Google
Colección:
01-internacional
Base de datos:
LILACS
Asunto principal:
Uretritis
/
Infecciones por Chlamydia
/
Chlamydia trachomatis
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Adult
/
Humans
/
Male
País/Región como asunto:
America do sul
/
Chile
Idioma:
Es
Revista:
Rev. méd. Chile
Asunto de la revista:
MEDICINA
Año:
1997
Tipo del documento:
Article
/
Project document