Hospital-diagnosed late sequelae after female Chlamydia trachomatis infections in 1990-2006 in Turku, Finland

Gynecol Obstet Invest. 2012;73(4):299-303. doi: 10.1159/000334822. Epub 2012 Mar 29.

Abstract

Background: Rather little is known about the late sequelae of previously detected female Chlamydia infections.

Methods: The late sequelae of previous female Chlamydia infections detected during a 15-year period in a south-western Finnish university hospital were surveyed. Hospital records of women with positive laboratory diagnoses of Chlamydia trachomatis as a sign of genital infection were collected from the years 1990-2006 and subsequently linked to known or suspected in-hospital-treated late Chlamydia complications.

Results: The annual number of late complications has increased in proportion to the increasing trend of detected Chlamydia cases. 239 late complications of the total of 4,920 previously detected Chlamydia-positive infections were observed. The most frequent in-hospital-treated complications were disturbances in early pregnancy (n = 72) and low abdominal pain (n = 67). The others were 45 genital tract or pelvic infections, 34 cases of tubal or unknown infertility and 21 complications of late pregnancy and delivery.

Conclusion: The late sequelae of Chlamydia infections need increasing attention in hospitals.

MeSH terms

  • Abdominal Pain
  • Abortion, Spontaneous / microbiology
  • Adult
  • Chlamydia Infections / complications*
  • Chlamydia Infections / epidemiology
  • Chlamydia trachomatis*
  • Female
  • Finland / epidemiology
  • Genital Diseases, Female / microbiology
  • Humans
  • Infertility, Female / microbiology
  • Pelvic Infection / microbiology
  • Pregnancy
  • Pregnancy Complications, Infectious / diagnosis
  • Pregnancy Complications, Infectious / epidemiology
  • Pregnancy, Ectopic / microbiology
  • Premature Birth / microbiology
  • Recurrence