[The current prevalence of Chlamydia trachomatis infection among teenagers and young asymptomatic Chilean women justifies the periodic surveillance].
BACKGROUND
Chlamydia trachomatis infection constitutes the most common sexual transmitted disease (STD) among young women. International studies demonstrate that prevalence changes over time and also according to places.


OBJECTIVE
To estimate the prevalence of this infection among asymptomatic Chilean women (15 to 24 years old) and correlating with risk factor occurrence.


METHODS
Transversal cohort study to identify C. trachomatis infection through a diagnostic kit designed to detect and amplify cryptic plasmid DNA by quantitative PCR from endocervical sample.


RESULTS
181 women were screened during the period of study. The overall prevalence estimate was 5.5% and founding significant estimate variations (0% to 14.6%) between recruiting centers. There was difference in number of sexual partners (4.1 vs 2.5; p<0.05) between positive and negative women. No difference was observed in age of first coitus, STD history, the use of barrier method or socioeconomic level. However, the probability of being carrier increases as greater is the number of sexual partners, especially when the use of barrier method is low. The latest is not related to the socioeconomic level.


CONCLUSIONS
One of 12 to 18 women at this age range will have asymptomatic infection. The current prevalence and its variability substantiates the C. trachomatis screening and periodic surveillance.
Departamento de Laboratorios Clínicos, División de Obstetricia y Ginecología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Chile, mzamboni@uc.cl.
Milena
M
Zamboni
Departamento de Laboratorios Clínicos, División de Obstetricia y Ginecología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Chile.
Constanza
C
Ralph
Departamento de Laboratorios Clínicos, División de Obstetricia y Ginecología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Chile.
Patricia
P
García
Departamento de Laboratorios Clínicos, División de Obstetricia y Ginecología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Chile.
Mauricio
M
Cuello
D000293:Adolescent; D000328:Adult; D058345:Asymptomatic Infections / Q000453:epidemiology*; D002677:Chile / Q000453:epidemiology; D002690:Chlamydia Infections / Q000175:diagnosis / Q000453:epidemiology*; D002692:Chlamydia trachomatis / Q000302:isolation & purification*; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008403:Mass Screening; D016133:Polymerase Chain Reaction; D015995:Prevalence; D012307:Risk Factors; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D055815:Young Adult