Mitike Getnet, Genetu Abebe, Kassu Afework, Aseffa Abraham, Woldemichael Kindu, Kebede Yenew, Melesse Tadelle, Dubisso Berry, Admassu Rahel, Debebe Andinet
Department of Community Health, Faculty of Medicine, Addis Ababa University, Addis Ababa.
Ethiop Med J. 2002 Jul;40(3):251-7.
Chlamydia trachomatis is one of the most common causes of sexually transmitted diseases in sexually active males and females. Infertility is one of the serious complications of urogenital chlamydial infections. This study was carried out in Chuwahit town and the surrounding village, which is located southwest of Gondar town. The main objective was to estimate the prevalence of urogenital Chlamydia trachomatis among males aged fifteen years and above. The design used was a cross sectional survey. First catch urine was collected from males 15 years and above and interviews were made using a questionnaire. The urine samples were tested with an Enzyme Immuno-Assay (EIA), which is useful in rapid detection of chlamydia antigen. Among 199 males included in the study, thirty-three (16.6%) had laboratory evidence of urogenital Chlamydia trachomatis. The mean (SD) age of the study subjects was 29.3 (+/- 9) years. Students (8 out of 21, 38%) had the highest prevalence of urogenital Chlamydia compared to the other groups (OR = 4.10, 95% CI = 1.12, 14.48). The magnitude of urogenital chlamydia infection in males was high in the study area. Health professionals need to consider genital Chlamydial infections in the management and control of sexually transmitted diseases. Increasing the awareness of students towards urogenital Chlamydial trachomatis and teaching them about the benefits of using condoms is recommended.
沙眼衣原体是性活跃男女中最常见的性传播疾病病因之一。不孕是泌尿生殖系统衣原体感染的严重并发症之一。本研究在位于贡德尔镇西南部的楚瓦希特镇及其周边村庄开展。主要目的是估计15岁及以上男性泌尿生殖系统沙眼衣原体的患病率。采用的设计是横断面调查。收集了15岁及以上男性的首次晨尿,并使用问卷进行访谈。尿液样本采用酶免疫测定法(EIA)检测,该方法有助于快速检测衣原体抗原。在纳入研究的199名男性中,33名(16.6%)有泌尿生殖系统沙眼衣原体的实验室证据。研究对象的平均(标准差)年龄为29.3(±9)岁。与其他组相比,学生(21名中的8名,38%)泌尿生殖系统沙眼衣原体的患病率最高(比值比=4.10,95%置信区间=1.12,14.48)。研究地区男性泌尿生殖系统衣原体感染率较高。卫生专业人员在性传播疾病的管理和控制中需要考虑生殖器衣原体感染。建议提高学生对泌尿生殖系统沙眼衣原体的认识,并向他们传授使用避孕套的益处。