الفهرس 
Introduction and aim of the work
Chlamydia trachomatisOnly 14 pages are availabe for public view
 |  | from | 142 |  |  |
| | | from | 142 | | |
Abstract
PID is an inflammatory disorder of the uterus, fallopian tubes, and adjacent pelvic structures. A delay in diagnosis or treatment can result in long term reproductive suquelae. PID is a frequent complication of two of the most common STDs, Chlamydia trachomatis and Neisseria gonorrhoeae. trachomatis is a frequent cause of PID. So, identifying, testing and treating women at increased risk for cervical chlamydial infection can reduce the incidence of PID. The current study extended over a period of 13 months, from September 2002 until September 2003. The work was carried out to determine the prevalence of N. gonorrhceae and C. trachomatis and to explore the association between methods of contraception (IUD and DMPA) and PID.The prevalence of C. trachomatis and N. gonorrhoeae were 6% and 0% respectively. To assess PID risk, we measured the prevalence of cervical gonorrhea and Chlamydia at baseline, the prevalence at each womans final visit. trachomatis was acquired by 10% of enrolled females; While no cases acquired gonococcal infection. The incidence of C. trachomatis infection was more in IUD users (18%) than in DMPA users (2%). Acquisition of C. trachomatis infection was associated with certain risk factors; Age below 28 years Low level of education Low pariVaginal douches High frequency of intercourse Inconsistent condom use by sex partner IUD use as a method of contraception. Our study showed that a population based approach to identifying and testing women at increased risk for cervical C. trachomatis infection can reduce the risk of PID.C. trachomatis is more prevalent than N. gonorrhoeae in females attending family planning unit in MUH. . trachomatis is a frequent cause of PID. IUD is associated with increased risk of acquiring chlamydial infection. IUD users are at a greater risk for PID. DMPA was not associated with a significantly increased risk of cervical infection. Yong age, low level of education, low parity, vaginal douches, frequency of intercourse, inconsistent use of condom are risk factors for C. trachomatis infection and subsequent PID. Screening and treating women with cervical infection to reduce the likelihood of PID. Contraceptive counseling for women initiating or continuing DMPA, IUD especially in high STI prevalence areas. IUD use can be restricted in areas of high STI prevalence or where safe insertion under aseptic condition can not be assured. Antibiotic at the time of IUD insertion to reduce the risk of PID. Use of barriers method (e.g. condom) either as a primary contraceptive method or as a second method provide protection against C. trachomatis and N. gonerrhoeae Avoid vaginal douches. Health education and counseling about risk of acquiring STD and its relation to PID,encourage the patients to seek early treatment and avoid self medication.