Not again! Effect of previous test results, age group and reason for testing on (re-)infection with Chlamydia trachomatis in Germany

BMC Infectious Diseases
Alexandra Sarah LangChlamydia trachomatis laboratory sentinel team

Abstract

Infection with Chlamydia trachomatis (Ct) is the most commonly reported sexually transmitted infection in Europe. In Germany, Ct screening is offered free of charge to pregnant women since 1995 and to women < 25 years of age since 2008. For symptomatic individuals, testing is covered by statutory health insurance. Study results have shown that repeat Ct infection occurs in 10-20% of previously infected women and men. Our aim was to describe persons tested for Ct and to investigate the determinants of (repeat) Ct infection in women and men in Germany. We analysed Ct test results from men and women tested between 2008 and 2014 in laboratories participating in the German Chlamydia trachomatis Laboratory Sentinel surveillance. Reinfection was defined as at least 2 positive laboratory tests within more than 30 days. We performed logistic regression stratified by sex and, for women, reason for testing to determine the effect of previous test results and age group on subsequent test results. In total, 2,574,635 Ct tests could be attributed to 1,815,494 women and 123,033 men. 5% of women and 14% of men tested positive at least once. 15-19- and 20-24-year-old women tested positive at least once respectively in 6.8 and 6.0%, while men re...Continue Reading

References

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Citations

May 23, 2020·Sexually Transmitted Diseases·Melissa S NolanDesmond Kelly
Jan 13, 2021·Gynécologie, Obstétrique, Fertilité & Sénologie·C DebonnetC Robin
Dec 22, 2021·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Hye-Jee ParkKyoung-Ryul Lee

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Methods Mentioned

BETA
nucleic acid amplification

Software Mentioned

STATA
SQL

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