Sultanah Bahiyah Hospital, Dermatology Department, Alor Setar, Kedah, Malaysia.
Penang Hospital, Dermatology Department, Penang, Malaysia.
Med J Malaysia. 2020 Mar;75(2):103-109.
Chlamydia trachomatis is one of the most common sexually transmitted diseases (STDs) globally. However, data on its prevalence and risk factors in Malaysia is still scarce.
We aimed to identify the prevalence and risk factors of genitourinary C.trachomatis infection among patients attending STD clinics in northern Peninsular Malaysia.
A hospital-based cross-sectional study was conducted in STD clinics of Hospital Pulau Pinang and Hospital Sultanah Bahiyah, Kedah from January to November 2014. Participants were individually interviewed using a structured data collection form followed by a physical examination and laboratory tests. Nucleic Acid Amplification Test (NAAT) was used to detect C.trachomatis infection. Analysis was carried out using SPSS Version 15.
Eighty-three sexually active patients were enrolled, consisting of 51 males and 32 females. The median age was 28.0 years. In general, 32.5% patients were asymptomatic, the remaining presented with genital discharge (41.0%), genital warty lesion (25.3%), genital ulcer (13.3%), dysuria (13.3%), dyspareunia (2.4%), urine hesistancy (1.2%) and genital swelling (1.2%). The prevalence of genitourinary C.trachomatis infection was 21.7% in the study population; 17.6% in males and 28.1% in females. Among the infected females, 44.4% were pregnant. Of those infected 56.6% did not show any symptoms of genital infection, and 77.8% were aged between 18 and 30 years, of which most were females. Among newly diagnosed HIV patients, the prevalence was 14.3%. From multivariable logistic regression analysis, age under 28 years, being married and engagement in oral sex had significantly increased odds of C.trachomatis infection.
C.trachomatis infection was common among patients attending STD clinics in northern Penisular Malaysia especially in the younger age groups. Majority of the infected patients were asymptomatic.
沙眼衣原体是全球最常见的性传播疾病（STD）之一。然而，马来西亚关于其流行率和危险因素的数据仍然很少。
我们旨在确定北马来半岛性病诊所就诊患者的泌尿生殖道沙眼衣原体感染的流行率和危险因素。
2014 年 1 月至 11 月，在槟城医院和吉打州苏丹娜巴哈利亚医院的性病诊所进行了一项基于医院的横断面研究。参与者使用结构化数据收集表进行单独访谈，随后进行体格检查和实验室检查。核酸扩增检测（NAAT）用于检测沙眼衣原体感染。使用 SPSS 版本 15 进行分析。
共纳入 83 名活跃性患者，其中包括 51 名男性和 32 名女性。中位年龄为 28.0 岁。一般来说，32.5%的患者无症状，其余患者出现生殖器分泌物（41.0%）、生殖器疣状病变（25.3%）、生殖器溃疡（13.3%）、尿痛（13.3%）、性交痛（2.4%）、尿踌躇（1.2%）和生殖器肿胀（1.2%）。研究人群中泌尿生殖道沙眼衣原体感染的流行率为 21.7%；男性为 17.6%，女性为 28.1%。在感染的女性中，44.4%怀孕。感染的 56.6%没有任何生殖器感染症状，77.8%年龄在 18 至 30 岁之间，其中大多数为女性。在新诊断的 HIV 患者中，患病率为 14.3%。多变量逻辑回归分析显示，年龄小于 28 岁、已婚和口交与沙眼衣原体感染的几率显著增加。
北马来半岛性病诊所就诊患者的沙眼衣原体感染很常见，尤其是在年轻人群中。大多数感染患者无症状。
