Mise au point sur le dépistage de Chlamydia trachomatis dans les CeGIDD d’Auvergne Rhône Alpes

Abstract : Chlamydiae trachomatis (CT) infections are the most common sexually transmitted diseases (STD) in Europe. They can cause severe genital lesions in women, real burden on fertility. Sexual habits evolve, as oral and anal sex becomes more and more common, multipartner sex as well. Despite these facts, CT screening methods remain heterogeneous. Our study was led to determine CT infections prevalence in persons attending STD clinics in Auvergne Rhone Alpes (ARA). We also looked over STD clinic’s methods for CT screening. It is a descriptive, multicentre, retrospective prevalence study. ARA’s STD clinics were recruited to determine CT’s prevalence among their consultants from January to December 2017. CT infection prevalence was 7.84% in ARA’s STD’s consultant between January and December 2017. CT’s genitourinary prevalence was 7.55%, 10.27% anal, 1.56% pharyngeal, 10.88% in the three sites. Extra genital CT screening would be especially offered to men who have sex with men. Reluctantness to offer a systematic extragenital screening was due to economic difficulties. CT infections ‘s prevalence found by our study was 7.84%, which is similar to literature’s data. Extragenital CT infections was highlighted, constituting a way to spread the epidemy. Further studies would be interesting to look for extragenital CT holding risk factors, this to enhance CT’s screening and though contain the epidemy spreading.
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Master Thesis
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Clément Bouëxière. Mise au point sur le dépistage de Chlamydia trachomatis dans les CeGIDD d’Auvergne Rhône Alpes. Médecine humaine et pathologie. 2019. ⟨dumas-02168432⟩

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