Upsurge of Chlamydial Reinfection in a Large Canadian City: An Indication of Suboptimal Chlamydia Screening Practices?

Objectives: Given the limited knowledge on chlamydial reinfection (CR) in Canada, we examined the extent and predictors of CR in Montréal, a large Canadian city. Methods: We retrospectively studied all Montréal residents aged ≥10 years for whom ≥1 laboratory-confirmed chlamydial infection was report...

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Bibliographic Details
Published in:Canadian journal of public health 2010-09, Vol.101 (5), p.420-424
Main Authors: Généreux, Mélissa, Leclerc, Pascale, Bédard, Lucie, Allard, Robert
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Adult
Age groups
Bacterial diseases
Bacterial diseases of the genital system
Biological and medical sciences
Child
Chlamydia
Chlamydia infections
Chlamydia Infections - diagnosis
Chlamydia Infections - epidemiology
Chlamydia Infections - prevention & control
Chlamydia trachomatis
Clinical medicine
Diagnosis
Female
Geography
Health hazards
Health services
Human bacterial diseases
Humans
Incidence
Infections
Infectious diseases
Male
Medical research
Medical sciences
Medicine
Medicine & Public Health
Medicine, Experimental
Miscellaneous
Notifiable diseases
Prevention and actions
Public Health
Public health. Hygiene
Public health. Hygiene-occupational medicine
QUANTITATIVE RESEARCH
Quebec - epidemiology
Recurrence
Reinfection
Reproductive health
Retrospective Studies
Sex Distribution
Sexual Behavior
Sexually transmitted diseases
Social aspects
Statistics
STD
Studies
Young Adult
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Summary:Objectives: Given the limited knowledge on chlamydial reinfection (CR) in Canada, we examined the extent and predictors of CR in Montréal, a large Canadian city. Methods: We retrospectively studied all Montréal residents aged ≥10 years for whom ≥1 laboratory-confirmed chlamydial infection was reported to the public health department between 1988 and 2007 (n=44,580). Each person was passively followed for two years after baseline infection or until reinfection. Socio-demographic factors and histories of other notifiable diseases were examined as potential predictors. Cox multivariate regression was used to model the time to CR. Survival analyses were stratified by age group (
ISSN:0008-4263
1920-7476
DOI:10.1007/BF03404865