[Clinical characteristics and possibilities of early diagnosis of Chlamydia trachomatis infection in adolescent girls].

UNLABELLED: Genital Chlamydia trachomatis infection is the most frequently found sexually transmitted disease among sexually active adolescent girls aged 15-19 years. In general, C. trachomatis infection tends to be less abrupt in onset, clinical course is usually asymptomatic or with mild symptoms. Infection results in changes of inner genitalia and can be the reason of serious late complications (pelvic inflammatory disease and infertility). Purpose of the study was to evaluate complaints, clinical peculiarities, results of gynecologic examination and possibilities of early diagnosis of C. trachomatis infection among adolescent girls.

METHODS: Anonymous questionnaire was used in the study, in which 487 girls aged 15-19 years participated. All 240 sexually active girls were advised to perform tests for STD in Kaunas University of Medicine Hospital. Gynecologic examination, CT/NG DNA hybridisation test from vagina and PCR from cervix for detection C. trachomatis infection were performed.

RESULTS: Eighteen percent of examined girls were infected with C. trachomatis. Complaints of fool odor discharge from vagina, non-specific changes of vagina and cervix let us suspect for C. trachomatis infection with statistical significance.

CONCLUSIONS: The high prevalence of C. trachomatis infection among adolescent girls was found; the C. trachomatis infection could be suspected with non-specific changes of vagina and cervix and complaints of fool odor discharge from vagina, which helps us to prescribe early and adequate treatment.