Background: Chlamydia trachomatis
and
Neisseria gonorrhoeae
are the most
prevalent bacterial sexually transmitted diseases in women.
Objective: The purpose of this study was to investigate the prevalence of gonorrheal
and chlamydial infections and determination of related risk factors in married
women with vaginal discharge attending gynecological outpatient department (OPD)
in Zanjan in 2013-2014.
Materials and Methods: In this cross sectional study, 100 married women aged 18-
49 years with vaginal discharge were evaluated for signs and symptoms of
gonococcal and chlamydial infections. Then cervical discharge samples and blood
samples were collected from each subject for the detection of
Nisseria gonorrhea
and
Chlamydia trachomatis by bacterial culture and serological tests, respectively.
Results: The overall prevalence of
Chlamydia trachomatis and
Nisseria
gonorrhoeae were 16% and 4%, respectively. There was no significant relationship
between the contraception methods, previous history of vaginal infections, previous
history of urinary tract infections, number of coitus per week and self-reported
symptoms (itching, burning, abdominal pain) with prevalence of
Nisseria
gonorrhoeae and
Chlamydia trachomatis.
Conclusion: According to our results, the prevalence of gonococci infection in
Zanjan was remarkable and relatively was higher than other parts of Iran, therefore it
is necessary to put emphasis on education and further preventive and therapeutic
programs.