title: Monitoring of Chlamydia Trachomatis Genitourinary Infection in Women - Analytical Comparative Study Using Public Health Records from Two Balkan Countries.
abstract: OBJECTIVE
  This study investigated the cumulative incidence of Chlamydia trachomatis infection in women treated in gynaecology departments of healthcare facilities in two towns in Serbia and one town in the Former Yugoslav Republic (FYR) of Macedonia, including their medical records in public health reports.
  
  
  METHODS
  A cross-sectional observational research design with retrospective data collection during a five-year period (2008-2012) originated from women treated as in- and out-patients. The data included the results of cervical and urethral swab testing on Chlamydia trachomatis infection and women's gynaecological diagnoses in Pomoravlje County (the Institute of Public Health Cuprija "Pomoravlje" in Cuprija, Alba outpatient clinic, Paracin) and in Skopje (Clinic for Obstetrics and Gynaecology, "Mikrolab" laboratory).
  
  
  RESULTS
  The incidence of positive ELISA assay from samples from the Institute of Public Health "Pomoravlje" Cuprija and polyclinic Alba was 6.5% and 12.5%, respectively (p<0.01). The incidence of positive DFA test from samples from the Clinic for Obstetrics and Gynaecology, Skopje and "Mikrolab" laboratory was 18.8% and 15.2%, respectively (p=0.20). In Pomoravlje County and in Skopje 7.5% and 17.6% of urethral swab samples were positive for Chlamydia trachomatis, respectively (p<0.01). The rate of microbiological samples tested for Chlamydia trachomatis in Pomoravlje County and Skopje was 48.4% and 21.2%, respectively (p<0.01). One-year incidences of Infectio sexuales chlamydiales (A56) from 2007-2011 were significantly different among three data settings relating to Serbia, the FYR of Macedonia and Pomoravlje County (p<0.001).
  
  
  CONCLUSIONS
  The incidence of Chlamydia trachomatis positive cervical and urethral swabs in our study were highly variable between countries and within individual hospitals and caused by many factors.
authors.affiliation: Institute for Public Health Ćuprija Pomoravlje, Ćuprija, Serbia.
authors.forename: Dragutin
authors.initials: D
authors.lastname: Arsić
authors.affiliation: Clinical Centre Kragujevac, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.
authors.forename: Dragan R
authors.initials: DR
authors.lastname: Milovanović
authors.affiliation: Faculty of Medicine, University of Tetovo, Tetovo, FYR of Macedonia.
authors.forename: Arbresa Bedzeti
authors.initials: AB
authors.lastname: Ferati
authors.affiliation: Polyclinic Alba, Paracin, Serbia.
authors.forename: Zoran
authors.initials: Z
authors.lastname: Prokić
authors.affiliation: Institute for Public Health Ćuprija Pomoravlje, Ćuprija, Serbia.
authors.forename: Vladan
authors.initials: V
authors.lastname: Vlajković
authors.affiliation: Faculty of Medicine, University of Tetovo, Tetovo, FYR of Macedonia.
authors.forename: Kenan
authors.initials: K
authors.lastname: Ferati
authors.affiliation: Faculty of Business-Civil Security, International University of Brčko District, Brčko, Bosnia and Herzegovina.
authors.forename: Jovana
authors.initials: J
authors.lastname: Arsić
mesh_terms: D000328:Adult; D002690:Chlamydia Infections / Q000453:epidemiology* / Q000382:microbiology*; D002692:Chlamydia trachomatis / Q000302:isolation & purification*; D003430:Cross-Sectional Studies; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D052776:Female Urogenital Diseases / Q000453:epidemiology* / Q000382:microbiology*; D006801:Humans; D015994:Incidence; D018843:Republic of North Macedonia / Q000453:epidemiology; D012189:Retrospective Studies; D055771:Serbia / Q000453:epidemiology
keywords: chlamydia trachomatis; enzyme-linked immunosorbent assay; female urogenital diseases; fluorescent antibody technique direct; infertility