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The overall agreement of proposed definitions of mucopurulent cervicitis in women at high risk of chlamydia infection
Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre for Medicine, Department of Dermatology and Venerology in Östergötland. Östergötlands Läns Landsting, Local Health Care Services in the West of Östergötland, Unit of Research and Development in Local Health Care, County of Östergötland.ORCID iD: 0000-0001-8336-9767
2010 (English)In: Acta Dermato-Venereologica, ISSN 0001-5555, E-ISSN 1651-2057, ISSN 0001-5555, Vol. 90, 506-511 p.Article in journal (Refereed) Published
Abstract [en]

The overall agreement between different criteria for cervicitis in women infected with Chlamydia trachomatis and/or Mycoplasma genitalium, and in women who tested negative was examined. Women attending a clinic for sexually transmitted diseases were enrolled because of sexual partners’ suspected chlamydia infection. M. genitalium was tested in a sample of first-catch urine and an endocervical specimen, whereas specimens from four different sites were used for detection of C. trachomatis. Signs of friability and purulent endocervical discharge were documented at gynaecological examination. Specimens for microscopy were taken from the endocervix and urethra as well as the vaginal discharge, and bacterial vaginosis was examined for. The criteria being evaluated included cervical friability and/or pus; polymorphonuclear leukocytes (PMNL)/epithelium cell ratio in the vaginal discharge; and more than 30 PMNL per high-power field in the endocervical smear. The overall agreement of the indicators of cervicitis in women infected with C. trachomatis and/or M. genitalium was 40.5% (15/37), and for those women with negative tests 35.3% (12/34). The criteria for cervicitis require further evaluation, including study of a control group of women at low risk of having a sexually transmitted infection.

Place, publisher, year, edition, pages
2010. Vol. 90, 506-511 p.
Keyword [en]
Mycoplasma genitalium, chlamydia, women, cervicitis, urethritis, bacterial vaginosis
National Category
Dermatology and Venereal Diseases
URN: urn:nbn:se:liu:diva-59296DOI: 10.2340/00015555-0924OAI: diva2:351091
Available from: 2010-09-13 Created: 2010-09-13 Last updated: 2015-09-22

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Falk, Lars
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Department of Clinical and Experimental MedicineFaculty of Health SciencesDepartment of Dermatology and Venerology in ÖstergötlandUnit of Research and Development in Local Health Care, County of Östergötland
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Acta Dermato-Venereologica
Dermatology and Venereal Diseases

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