title: Prevalence and distribution of Chlamydia trachomatis genovars in Indian infertile patients: a pilot study.
abstract: To determine the prevalence and distribution of Chlamydia trachomatis genovars in patients with infertility by PCR-RFLP and ompA gene sequencing. Prevalence of other etiological agents (viz., Ureaplasma spp. and Mycoplasma hominis) were also assessed. Endocervical swabs were collected from 477 women and urine was collected from 151 men attending the Infertility Clinic. The samples were screened for C. trachomatis by cryptic plasmid, ompA gene and nested ompA gene PCR. Genotyping was performed by PCR-RFLP and sequencing. Samples were screened for Ureaplasma spp. and M. hominis. The prevalence of C. trachomatis in infertile women and their male partners were 15.7% (75 of 477) and 10.0% (15 of 151) respectively. Secondary infertility was significantly associated with chlamydial infection. Genovar E was the most prevalent followed by genovar D and F. Twenty-four C. trachomatis strains were selected for ompA gene sequencing. No mixed infection was picked. Variability in ompA sequences was seen in 50.0%. Both PCR-RFLP and ompA gene sequencing showed concordant results. High prevalence of C. trachomatis in infertile couples warrants routine screening for C. trachomatis infection in all infertile couples. Genotyping of the ompA gene of C. trachomatis may be a valuable tool in understanding the natural history of C. trachomatis infection.
authors.affiliation: Department of Microbiology, AIIMS, New Delhi, India.
authors.forename: Jyoti
authors.initials: J
authors.lastname: Rawre
authors.affiliation: Department of Microbiology, AIIMS, New Delhi, India.
authors.forename: Benu
authors.initials: B
authors.lastname: Dhawan
authors.affiliation: Department of Gynecology and Obstetrics, AIIMS, New Delhi, India.
authors.forename: Neena
authors.initials: N
authors.lastname: Malhotra
authors.affiliation: Department of Biostatistics, AIIMS, New Delhi, India.
authors.forename: Vishnubhatla
authors.initials: V
authors.lastname: Sreenivas
authors.affiliation: Department of Microbiology, SGT Medical College, Gurgaon, India.
authors.forename: Shobha
authors.initials: S
authors.lastname: Broor
authors.affiliation: Department of Microbiology, AIIMS, New Delhi, India.
authors.forename: Rama
authors.initials: R
authors.lastname: Chaudhry
mesh_terms: D000328:Adult; D001425:Bacterial Outer Membrane Proteins / Q000235:genetics; D002690:Chlamydia Infections / Q000453:epidemiology*; D002692:Chlamydia trachomatis / Q000145:classification* / Q000235:genetics / Q000302:isolation & purification*; D005260:Female; D005838:Genotype; D060005:Genotyping Techniques; D006801:Humans; D007194:India / Q000453:epidemiology; D007246:Infertility / Q000209:etiology*; D008297:Male; D009175:Mycoplasma Infections / Q000453:epidemiology; D019535:Mycoplasma hominis / Q000302:isolation & purification; D010865:Pilot Projects; D016133:Polymerase Chain Reaction; D012150:Polymorphism, Restriction Fragment Length; D015995:Prevalence; D017422:Sequence Analysis, DNA; D014509:Ureaplasma / Q000302:isolation & purification; D016869:Ureaplasma Infections / Q000453:epidemiology; D055815:Young Adult
chemical_list: D001425:Bacterial Outer Membrane Proteins; C078167:OMPA outer membrane proteins
keywords: 
  Chlamydia trachomatis
  ; Infertility; PCR-RFLP; ompA gene; sequencing