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Am J Obstet Gynecol. 2012 Jun;206(6):476.e1-8. doi: 10.1016/j.ajog.2012.02.036. Epub 2012 Mar 7.

Mycoplasma genitalium in cervicitis and pelvic inflammatory disease among women at a gynecologic outpatient service.

Author information

1
Department of Obstetrics and Gynecology, Institute of Clinical Sciences, University Hospital of Skane, Malmö, Sweden. carina.bjartling@skane.se

Abstract

OBJECTIVE:

We sought to analyze the prevalence and clinical manifestations of Mycoplasma genitalium infection in a heterogeneous population of women.

STUDY DESIGN:

The study was designed as a cross-sectional case-control study. Women attending a gynecological outpatient service from 2003 through 2008 were invited to participate.

RESULTS:

The prevalence of M genitalium was 2.1% and of Chlamydia trachomatis was 2.8% among 5519 tested women. A total of 679 women were included. Both pelvic inflammatory disease (PID) and cervicitis were independently associated with M genitalium (odds ratio, 9.00; 95% confidence interval, 1.62-49.89 and odds ratio, 3.80; 95% confidence interval, 2.06-7.03, respectively). Women with C trachomatis had a higher frequency of both PID (18.3% vs 4.9%, P < .001) and cervicitis (33.4% vs 22.3%, P < .001) than women with M genitalium.

CONCLUSION:

M genitalium was an independent and strong risk factor for both cervicitis and PID although, compared to C trachomatis, clinical manifestations were less frequent.

PMID:
22483084
DOI:
10.1016/j.ajog.2012.02.036
[Indexed for MEDLINE]

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