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    Chlamydia trachomatis detection in cervical PreservCyt specimens from an Irish urban female population.

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    Authors
    Keegan, H
    Ryan, F
    Malkin, A
    Griffin, M
    Lambkin, H
    Affiliation
    Department of Pathology, Coombe Women's Hospital, Dublin, Ireland., keeganh28@gmail.com
    Issue Date
    2012-02-01T10:58:09Z
    MeSH
    Adolescent
    Adult
    Aged
    Chlamydia Infections/*diagnosis/epidemiology
    Chlamydia trachomatis/*genetics
    Female
    Humans
    Ireland/epidemiology
    Mass Screening/methods
    Middle Aged
    Smoking
    *Urban Population
    *Vaginal Smears/instrumentation/methods
    Young Adult
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    Citation
    Cytopathology. 2009 Apr;20(2):111-6. Epub 2007 Dec 18.
    Journal
    Cytopathology : official journal of the British Society for Clinical Cytology
    URI
    http://hdl.handle.net/10147/208029
    DOI
    10.1111/j.1365-2303.2007.00534.x
    PubMed ID
    18093220
    Abstract
    OBJECTIVE: The aim of this study was to determine the prevalence of cervical Chlamydia trachomatis infection by polymerase chain reaction (PCR) in urban women undergoing routine cervical cytological screening and to investigate the relationship with age, cytology, smoking status and concurrent human papillomavirus (HPV) infection. METHODS: A total of 996 women (age range 16-69 years) attending general practitioners for routine liquid-based cervical smear screening in the Dublin area were recruited in the study of prevalence of C. trachomatis. Informed consent was obtained and liquid-based cytology (LBC) specimens were sent for cytological screening. DNA was extracted from residual LBC and tested for C. trachomatis by PCR using the highly sensitive C. trachomatis plasmid (CTP) primers and for HPV infection using the MY09/11 primers directed to the HPV L1 gene in a multiplex format. RESULTS: The overall prevalence of C. trachomatis was 5.4%. Prevalence was highest in the <25 years age group (10%). Coinfection with HPV and C. trachomatis occurred in 1% of the screening population. A higher rate of smoking was observed in women positive for C. trachomatis, HPV infections or those with abnormal cervical cytology. Chlamydia trachomatis infection was not associated with abnormal cytology. CONCLUSIONS: Women (5.4%) presenting for routine cervical screening are infected with C. trachomatis. Opportunistic screening for C. trachomatis from PreservCyt sample taken at the time of cervical cytological screening may be a possible strategy to screen for C. trachomatis in the Irish female population.
    Language
    eng
    ISSN
    1365-2303 (Electronic)
    0956-5507 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1111/j.1365-2303.2007.00534.x
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    Coombe Women & Infants University Hospital

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