title: Mycoplasma genitalium in cervicitis and pelvic inflammatory disease among women at a gynecologic outpatient service.
abstract: OBJECTIVE
  We sought to analyze the prevalence and clinical manifestations of Mycoplasma genitalium infection in a heterogeneous population of women.
  
  
  METHODS
  The study was designed as a cross-sectional case-control study. Women attending a gynecological outpatient service from 2003 through 2008 were invited to participate.
  
  
  RESULTS
  The prevalence of M genitalium was 2.1% and of Chlamydia trachomatis was 2.8% among 5519 tested women. A total of 679 women were included. Both pelvic inflammatory disease (PID) and cervicitis were independently associated with M genitalium (odds ratio, 9.00; 95% confidence interval, 1.62-49.89 and odds ratio, 3.80; 95% confidence interval, 2.06-7.03, respectively). Women with C trachomatis had a higher frequency of both PID (18.3% vs 4.9%, P < .001) and cervicitis (33.4% vs 22.3%, P < .001) than women with M genitalium.
  
  
  CONCLUSIONS
  M genitalium was an independent and strong risk factor for both cervicitis and PID although, compared to C trachomatis, clinical manifestations were less frequent.
authors.affiliation: Department of Obstetrics and Gynecology, Institute of Clinical Sciences, University Hospital of Skane, Malmö, Sweden. carina.bjartling@skane.se
authors.forename: Carina
authors.initials: C
authors.lastname: Bjartling
authors.forename: Stellan
authors.initials: S
authors.lastname: Osser
authors.forename: Kenneth
authors.initials: K
authors.lastname: Persson
mesh_terms: D000293:Adolescent; D000328:Adult; D000554:Ambulatory Care Facilities; D016022:Case-Control Studies; D002690:Chlamydia Infections / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology; D002692:Chlamydia trachomatis / Q000302:isolation & purification; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D009175:Mycoplasma Infections / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology; D045704:Mycoplasma genitalium / Q000302:isolation & purification*; D016017:Odds Ratio; D000292:Pelvic Inflammatory Disease / Q000382:microbiology*; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis / Q000453:epidemiology / Q000382:microbiology; D015995:Prevalence; D012307:Risk Factors; D013548:Sweden / Q000453:epidemiology; D002575:Uterine Cervicitis / Q000382:microbiology*; D014932:Women's Health Services; D055815:Young Adult