Title Chlamydia trachomatis - uzročnik ginekoloških infekcija i infekcija novorođenčadi
Title (english) Chlamydia trachomatis AS CAUSATIVE AGENT OF GYNECOLOGICAL AND NEONATAL INFECTION
Author Margarita Kuštera
Mentor Vanja Kaliterna (mentor)
Committee member Vanja Kaliterna (član povjerenstva)
Committee member Diana Aranza (član povjerenstva)
Committee member Merica Carev (predsjednik povjerenstva)
Granter University of Split (University Department of Health Studies) Split
Defense date and country 2018-09-21, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences
Abstract Klamdije su sićušne, okrugle gram negativne bakterije čija je vrsta Chlamydia trachomatis (CT) patogena za ljude te izaziva bolesti spolnog sustava, a može se prenijeti na novorođenčad. C. trachomatis je spolno prenosiva bakterija čija se infekcija očituje inracitoplazmatskim inkluzijama u cilindričnim stanicama ne samo spolnog sustava nego i mokraćnog, respiratornog te konjunktive.
Najveći problem klamidijskih infekcija je taj što su u većini slučajeva asimptomatske, pa su nepoznate i neliječene. Neliječena infekcija može dovesti do komplikacija s razvojem neželjenih posljedica: zdjelična upalna bolest, vanmaterična trudnoća, sterilitet, problemi u trudnoći i neonatalne komplikacije (konjunktivitis i pneumonija). Danas se klamidija jednostavno dijagnosticira molekularnim testovima amplifikacije nukleinske kiseline. Testovi imaju visoku osjetljivost, a moguće ih je raditi iz invazivnih i neinvazvnih uzoraka poput samouzetog obriska rodnice i prvog mlaza urina. Liječenje se uobičajeno provodi samo jednom dozom azitromicina ili doksiciklinom 7 dana (terapija se provodi kod svih pozitivnih spolnih partnera).
U sadašnjem istraživanju utvrđeno je da se značajno rjeđe pregledavaju na klamidiju mlađi od 25 godina, bilo ih je samo 12,4% od ukupnog broja testiranih (987/7984). To nas navodi na zaključak da treba promovirati testiranje na klamidiju u adolescentnoj dobi, jer je i u sadašnjem istraživanju potvrđeno da je bilo statistički značajno više pozitivnih u skupini mlađih od 25 njih 5,7% (56/987) u odnosu na 1,56% (109/6997) u skupini testiranih starijih od 25 godina (p<0.05). Pravodobnom dijagnostikom i liječenjem klamidijske infekcije može se spriječiti razvoj komplikacija te na taj način sačuvati reproduktivno zdravlje mladih, kao i spriječiti nastanak neonatalnih infekcija.
Dijagnoza infekcije klamidijom se često postavi tek kad nastupe neželjene posljedice zato je potrebno uvesti probir („screening“) na klamidiju. Neke zemlje već provode testiranje na klamidiju u sklopu standardne preventivne obrade. Probir žena mlađih od 25 godina na C. trachomatis je svrstano u 10 najkorisnijih i najisplativijih preventivnih strategija jer je jeftiniji za zdravstveni sustav od liječenja posljedica same infekcije.
Abstract (english) Chlamydiae are very tiny, round and gram-negative bacteria. Chlamydia trachomatis species is pathogen for humans, which causes the disease of the reproductive tract and the newborns. Chlamydia trachomatis is sexually transmitted bacteria, and its infection is manifested by intracytoplasmic inclusions in endocervical cells. C. trachomatis bacteria attacks squamous columnar epithelium that attacks not only reproductive tract, but also urinary tract, respiratory tract as well as conjunctiva.
The most significant problem of Chlamydial infection is that they are typically asymptomatic, and are often unknown and untreated. Left untreated, infection can lead to complications with serious consequences such as pelvic inflammatory disease, ectopic pregnancy, infertility, pregnancy problems and neonatal complications (conjunctivitis and pneumonia) At the present time the tests of choice or the new golden standard of CT urogenital infection diagnosis are nucleic acid amplification molecular tests, because of their high sensitivity, as well as their performance feasibility in invasive and noninvasive specimens, such as self-collected vaginal swab or first urinal flow. The recommended treatment is a single-dose of azithromycin, or 1-week treatment by doxycycline (on all positive sexual partners).
The present study shows that Chlamydia is less common tested in people younger than 25 years of age, only 12.4% of the total number tested for Chlamydia belong to the younger than 25 years old (987/7984). This suggests that Chlamydia testing should be promoted at the adolescent age, because in the present study it was confirmed that there were statistically significant more positive test results in the age group younger than 25 in compare to 1.56% (109/6997) in the age group older than 25 years of age. By timely diagnosis and treatment of Chlamydial infections, it is possible to prevent the development of complications and thus to preserve the reproductive health of young people and to prevent neonatal infections.
Chlamydial infection diagnosis is often determined when it comes to unwanted consequences and so it is necessary to perform Chlamydial screening. Some countries already perform the Chlamydial screening as a standard preventive procedure. Screening female population younger than 25 years of age is ranked as one of the 10 most beneficial and most cost effective prevention strategies because it is less expensive than the cost of caring after the infected population.
Keywords
infekcija
chlamydia trachomatis
infekcija novorođenčadi (ključne riječi unio urednik)
Keywords (english)
infection
chlamydia trachomatis
neonatal infections (ključne riječi unio urednik)
Language croatian
URN:NBN urn:nbn:hr:176:911296
Study programme Title: Midwifery (university/undergraduate) Study programme type: university Study level: undergraduate Academic / professional title: sveučilišni prvostupnik/prvostupnica (baccalaureus/baccalaurea) primaljstva (sveučilišni prvostupnik/prvostupnica (baccalaureus/baccalaurea) primaljstva)
Type of resource Text
File origin Born digital
Access conditions Open access
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Created on 2020-05-25 10:25:30