ID Design 2012/DOOEL Skopje, Republic of
Macedonia
Open Access Macedonian Journal of Medical Sciences.
http://dx.doi.org/10.3889/oamjms.2016.077
eISSN: 1857-9655
Clinical Science
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Role and Importance of Chlamydia
Trachomatis in Pregnant Patients
Mariya Angelova1*, Emil Kovachev2,
Veselina Tsankova1, Iliana Koleva1, Silvia Mangarova1
1Department of Obstetrics and Gynecology, Trakia University,
Faculty of Medicine, Stara Zagora, Bulgaria; 2Department of
Obstetrics and Gynecology, Paraskev Stoyanov Medical University, Varna,
Bulgaria
AIM: The aim of this study was to assess the prevalence of chlamydial
infection among pregnant women and to determine the role of this infection
in the fetus.
MATERIAL AND METHODS: In the first phase of this study were reported
58 pregnant women with a positive test for active chlamydial infection by
applying immunofluorescence. In the second phase of the study were reported
pregnant with premature burst membranes (PBM), postnatal complications
associated with chlamydial infection as puerperal endometritis, and newborns
are monitored for low birth weight and growth retardation at birth.
RESULTS: With a positive test are 58 patients in the first trimester
or pregnancy registration in our consultation. After regimen with Sumamed (2
x 500 mg for three days and after 10 days again same scheme for them and
their partner) at the beginning of the third trimester, the PCR test was
made again. Of these, 5 were positive again, participants are between 20 and
30 years old. With premature rupture of OM are 20 patients. There was no
increased incidence of premature births. Infants born to infected mothers
have a higher risk of developing respiratory symptoms in the first 60 days
of life. 3 of them have low for his age bodyweight.
CONCLUSIONS: The scarcity of data on manifestations of chlamydial
infection during pregnancy and neonatal outcomes justifies this study. Early
diagnosis for registration of pregnancy and timely treatment of chlamydial
infection as well as scrutinising the infection during the third trimester
of pregnancy can prevent infection of the newborn. Therefore, preventive
examinations should be considered as a priority for early detection of
asymptomatic chlamydial infection in the conduct of antenatal care.
..................
Citation: Angelova M, Kovachev E, Tsankova V,
Koleva I, Mangarova S. Role and Importance of Chlamydia Trachomatis in
Pregnant Patients. Open Access Maced J Med Sci. http://dx.doi.org/10.3889/oamjms.2016.077
Keywords: Chlamydia trachomatis; pregnancy; neonatal infections;
respiratory symptoms; polymerase chain reaction.
*Correspondence: Mariya Angelova. Department of Obstetrics and
Gynecology, Trakia University, Faculty of Medicine, Stara Zagora, Bulgaria.
E-mail: angelova70@abv.bg
Received: 27-Apr-2016; Revised: 25-May-2016; Accepted: 05-Jul-2016; Online
first: 05-Aug-2016
Copyright: © 2016 Mariya Angelova, Emil Kovachev, Veselina Tsankova,
Iliana Koleva, Silvia Mangarova
This is an open access article distributed under the terms of the Creative
Commons Attribution License, which permits unrestricted use, distribution,
and reproduction in any medium, provided the original author and source are
credited.
Competing Interests: The authors have declared that no competing
interests exist.
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Angelova M
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Kovachev E
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Tsankova V
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Koleva I
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Mangarova S
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- Angelova M
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- Tsankova V
- Koleva I
- Mangarova S
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