Sero Prevalence of C.trachomatis in Patient of Bad Obstetric History (BOH)

Sero Prevalence of C.trachomatis in Patient of Bad Obstetric History

Authors

  • Dharsandia MV
  • Mangukiya JD
  • Patel KD
  • Soni ST
  • Vegad MM

Abstract

Background : Bad obstetric history (BOH) implies previous unfavorable fetal outcome. Causes of BOH may be genetic, hormonal, abnormal maternal immune response and maternal infection. C.trachomatis is the most common bacterial sexually transmitted infection worldwide. Also it has been associated with adverse outcomes of pregnancy. The identification of C. trachomatis during pregnancy and its early treatment prior to delivery would therefore be an important strategy to prevent multiple complications in mother. Serology might act as a convenient tool for diagnosis. Methods:139 pregnant patients having history of BOH as study group and 30 normal pregnant as control group were tested by Indirect ELISA for detection of anti C.trachomatis IgM and IgG. Results: Anti C.trachomatis IgM was detected in 21 (15.11%) patients and anti C.trachomatis IgG was detected in 33 (23.74%) patients. Interpretation and Conclusion: Higher numbers of positive patients were found among younger age group. Statistical analysis shows that serological detection of anti C.trachomatis IgM and IgG antibodies for detection of current and past infection by C.trachomatis is significant in BOH patients.

References

1. D Turbadkar, M Mathur, M Rele. Seroprevalence of torch infection in bad obstetric history. Indian Journal of Medical Microbiology. 2003; Vol. 21(2) : 108-10.
2. Rema D, N. Sreenivas, Sayee R. Bad Obstetric History and Infectious Causes. Int J Hum Gene. 2002;vol. 2(4): 269-71.
3. A.Bakhtiari, A.Firoozjahi. Chlamydia trachomatis infection in women attending health centres in Babol: prevalence and risk factors. Eastern Mediterranean Health journal. 2007; 13(5):1124-31.
4. S Singh, N singh, C Singh. Seroprevalence of Chlamydia Trachomatis Antibodies in school going girls VIS-À-VIS women with bad obstetric history and Secondary infertility. Indian Journal of Medical Microbiol. 1999; 17(5):142-5.
5. Abida M, S. Jain, S. Hakim et al. Chlamydia trachomatis infection and female infertility. Indian J Med Res. 2006;123:770-75.
6. P Yasodhara, BF Ramalakshmi, L Raman et al. Chlamydia trachomatis serology in abortions. Indian Journal of Medical Microbiol. 1998 ; 16(2): 69-71.
7. C Bax, J Mutsaers, C Jansen et al. Comparison of Serological Assays for Detection of Chlamydia trachomatis Antibodies in Different Groups of Obstetrical and Gynecological Patients. Clinical And Diagnostic Laboratory Immunology, Jan. 2003, Vol. 10(1), p. 174–6.
8. P Yasodhara, BA Ramalakshmi, AN Naidu et al. Prevalence of specific IGM due to toxoplasma, rubella, CMV and c.trachomatis infections during pregnancy. Indian Journal of Medical Microbiol. 2001; vol.19 (2): 52-6.
9. Chernesky M, Luinstra K, Sellors J et al. Can serology diagnose upper genital tract Chlamydia trachomatis infections? Studies on women with pelvic pain, with or without chlamydial plasmid DNA in endometrial biopsy tissue. Sex Transm Dis. 1998 Jan;25(1):14-9.
10. R Malenie, PJ Joshi, MD Mathur.Chlamydia Trachomatis Antigen Detection In Pregnancy And Its Verification By Antibody Blocking Assay. Indian Journal of Medical Microbiol. 2006 ; vol.24 (2) : 97-100.
11. Bustos LH, Barron VJ, Garcia MB et al. Use of a diagnostic prospective algoritham for patients with recurrent miscarriage. Ginecol Obstet Mex.1995;63:96-101.
12. Meenakshi M, Manuj B, Sumathi M et al.Prevalence of Chlamydia trachomatis and itsassociation with other sexually transmitted infections in a tertiary care centre in North India. Indian Journal of Sexually Transmitted Diseases and AIDS,2008;vol.29(2) : 82-85.
13. Farhad B, Babak P, Javad Z. Frequency of Chlamydia trachomatis in Women with Cervicitis in Tehran, Iran. Infectious Diseases in Obstetrics and Gynecology Volume 2007, Article ID 67014, 4 pages.
14. Kei N.Serological Tests for Chlamydia trachomatis Infections.Clinical Microbiology Reviews,Jan.1998;11(1):228-9.
15. Marivyl JL, Rebecca S, Lolita T et al. The Prevalence of Chlamydia trachomatis Cervicitis in Pregnant Females. Phil J Microbiol Infect Dis 1990; 19(1):1-6.

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Published

2012-12-31

How to Cite

MV, D., JD, M., KD, P., ST, S., & MM, V. (2012). Sero Prevalence of C.trachomatis in Patient of Bad Obstetric History (BOH): Sero Prevalence of C.trachomatis in Patient of Bad Obstetric History. National Journal of Integrated Research in Medicine, 3(5), 69–73. Retrieved from https://www.nicpd.ac.in/ojs-/index.php/njirm/article/view/2103

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