title: Prevalence and correlates of antibody to chlamydial heat shock protein in women attending sexually transmitted disease clinics and women with confirmed pelvic inflammatory disease.
abstract: A cross-sectional study of 306 women was done to correlate antibody to the chlamydial hsp60 (Chsp60) with epidemiologic, serologic, and laparoscopic findings of women with and without pelvic inflammatory disease (PID). Of the 306 women, 150 had confirmed PID by laparoscopic (n = 69) or histologic (n = 81) criteria, and 156 sexually transmitted disease clinic attendees without clinical PID did (n = 94) or did not (n = 62) have chlamydia. In multivariate analyses, Chsp60 antibody was independently associated with confirmed PID, age > 20 years, nonwhite race, > 10 lifetime sex partners, current oral contraceptive use, and IgG antibody titers; it was not associated with a positive Chlamydia trachomatis culture. Among the 69 women with laparoscopic evidence of PID, the highest level of Chsp60 antibody (optical density > 1.0) was found in 8 (80%) of 10 women with occluded tubes, compared with 11 (19%) of 58 with patent tubes (P < .001). We conclude that antibody to Chsp60 was significantly correlated with risk factors for PID, confirmed PID, and occluded fallopian tubes but not with acute C. trachomatis infection without PID.
authors.affiliation: Department of Obstetrics-Gynecology, University of Washington, Seattle 98104, USA.
authors.forename: L O
authors.initials: LO
authors.lastname: Eckert
authors.forename: S E
authors.initials: SE
authors.lastname: Hawes
authors.forename: P
authors.initials: P
authors.lastname: Wölner-Hanssen
authors.forename: D M
authors.initials: DM
authors.lastname: Money
authors.forename: R W
authors.initials: RW
authors.lastname: Peeling
authors.forename: R C
authors.initials: RC
authors.lastname: Brunham
authors.forename: C E
authors.initials: CE
authors.lastname: Stevens
authors.forename: D A
authors.initials: DA
authors.lastname: Eschenbach
authors.forename: W E
authors.initials: WE
authors.lastname: Stamm
mesh_terms: D000208:Acute Disease; D000328:Adult; D000554:Ambulatory Care Facilities; D000907:Antibodies, Bacterial / Q000097:blood*; D018834:Chaperonin 60 / Q000276:immunology*; D002690:Chlamydia Infections / Q000150:complications / Q000453:epidemiology / Q000276:immunology* / Q000382:microbiology; D002692:Chlamydia trachomatis / Q000276:immunology*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy; D016017:Odds Ratio; D000292:Pelvic Inflammatory Disease / Q000150:complications / Q000276:immunology*; D012488:Salpingitis / Q000150:complications; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases
chemical_list: D000907:Antibodies, Bacterial; D018834:Chaperonin 60