title: The prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae in the endocervical swab specimens of symptomatic, asymptomatic and infertile women in Turkey.
abstract: OBJECTIVE
  To investigate C. trachomatis and N. gonorrhoeae prevalence in three different female populations in Turkey.
  
  
  METHODS
  A total of 370 women, 170 symptomatic, 100 asymptomatic, and 100 infertile, were included. Of the endocervical specimens collected from all women using a Dacron swab, the first one was taken to Stuart's transport medium to culture, while the second one was transferred onto slides to perform direct fluorescent antibody test (DFA) and Gram staining, and the third specimen was used for Becton Dickinson BDProbeTec ET system (BDPT).
  
  
  RESULTS
  C. trachomatis was detected in 5.16% of symptomatic, 1.11% of asymptomatic, and 2.15% of infertile women with BDPT. Sensitivity and specificity of the DFA test were 72.73 and 97.85%, respectively. N. gonorrhoeae was detected in 2.42% of symptomatic and in 1.02% of infertile women. N. gonorrhoeae was not detected in any asymptomatic women. In N. gonorrhoeae-positive patients, sensitivity and specificity of culture were 60 and 100%, respectively, while they were 80 and 100% for BDPT.
  
  
  CONCLUSIONS
  Prevalence of N. gonorrhoeae and C. trachomatis was detected to be low in Turkish women, and the difference between the groups was not significant. Both agents were more prevalent in subjects over 25 years of age.
authors.affiliation: Department of Medical Microbiology, Gaziantep University, Faculty of Medicine, Universite Bulvari, Gaziantep 27310, Turkey. eksi@gantep.edu.tr
authors.forename: Fahriye
authors.initials: F
authors.lastname: Eksi
authors.forename: Ebru
authors.initials: E
authors.lastname: Dikensoy
authors.forename: Efgan Dogan
authors.initials: ED
authors.lastname: Gayyurhan
authors.forename: Iclal
authors.initials: I
authors.lastname: Balci
authors.forename: Ozcan
authors.initials: O
authors.lastname: Balat
authors.forename: Tekin
authors.initials: T
authors.lastname: Karsligil
authors.forename: Aysen
authors.initials: A
authors.lastname: Bayram
authors.forename: Ozge
authors.initials: O
authors.lastname: Komurcu
mesh_terms: D000293:Adolescent; D000328:Adult; D002690:Chlamydia Infections / Q000175:diagnosis / Q000453:epidemiology* / Q000382:microbiology; D002692:Chlamydia trachomatis / Q000302:isolation & purification*; D003430:Cross-Sectional Studies; D003906:Developing Countries; D005260:Female; D006069:Gonorrhea / Q000175:diagnosis / Q000453:epidemiology* / Q000382:microbiology*; D006801:Humans; D015994:Incidence; D007247:Infertility, Female / Q000175:diagnosis / Q000453:epidemiology* / Q000382:microbiology*; D008875:Middle Aged; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification*; D014421:Turkey; D014626:Vaginal Smears; D055815:Young Adult