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Journal of Clinical Microbiology, January 2000, p. 138-145, Vol. 38, No. 1
Department of Immunology and Infectious
Diseases, Harvard School of Public Health and Harvard AIDS Institute,
Boston, Massachusetts1; and Laboratoire
de Bactériologie-Virologie, Faculté Mixte de Médecine
et de Pharmacie, Université Cheikh Anta
Diop,2 and Institut Hygiène
Sociale,3 Dakar, Senegal; and Division
of Biostatistics and Epidemiology, University of Massachusetts Cancer
Center, Worcester, Massachusetts4
Received 26 July 1999/Returned for modification 14 September
1999/Accepted 4 October 1999
The prevalence and heterogeneity of Chlamydia
trachomatis infections in a cohort of female sex workers in Dakar
(Senegal) were determined by using endocervical-swab-based PCR DNA
amplification assays. The overall prevalence of cervical chlamydial
infection was 28.5% (206 of 722), and most of these infections were
asymptomatic. An increased number of sexual partners was significantly
associated with infection (adjusted odds ratio [AOR] = 1.37;
95% confidence interval [CI] = 1.06 to 1.77), while the presence of
a yeast infection was negatively associated with chlamydial infection
(AOR = 0.28; 95% CI = 0.10 to 0.83). Six different C. trachomatis genotypes were identified based on phylogenetic
analysis of the omp1 gene sequences. Interestingly,
genotype E predominated (47.6%) and was not associated with visible
signs of cervical inflammation compared to non-E genotypes
(P < 0.05). Overall, the high rate of asymptomatic
C. trachomatis infection by genotype E may suggest genotype-specific properties that confer a transmission advantage in
this high risk population.
0095-1137/0/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Molecular Epidemiology of Genital Chlamydia
trachomatis Infection in High-Risk Women in Senegal, West
Africa
*
Corresponding author. Mailing address: Department of
Immunology and Infectious Diseases, Harvard School of Public Health, 651 Huntington Ave., Boston, MA 02115. Phone: (617) 432-1267. Fax:
(617) 432-3575. E-mail: pkanki{at}hsph.harvard.edu.
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