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Genital Chlamydial Infection in South Australia

Genital chlamydial Infection 
01/04/01 - 30/06/01

Between 1 April and 30 June 2001, STD Services received 365 notifications of genital chlamydial infection. This compares with a range of 241 to 330 cases for the same period 1996 to 2000. A greater than expected number of reports were received from Clinic 275 and other metropolitan medical officers. One hundred and forty seven cases (40%) occurred in males and 218 (60%) in females (Table 4.1).

Seventy six percent of cases in males occurred in men aged less than 30 years, with a peak incidence in the age group 20 to 24 years. In females, women aged less than 25 years accounted for 72% of cases. (Table 4.1). The racial origin of 286 cases (78%) was reported as Caucasian (Table 4.2). Infection was acquired in South Australia in 310 cases (92%). Data for this quarter on the age group and racial origin of affected persons, and the likely location of disease acquisition, is consistent with data for the years 1996 to 2000.

Four males (3%) with urethral chlamydial infection reported male-to-male sex. Additionally, chlamydia trachomatis was detected by PCR testing of rectal swabs in six males reporting male sexual partners. The sensitivity and specificity of PCR testing of rectal swabs for chlamydia trachomatis has not been validated.

The number of laboratory tests for genital chlamydia performed during this quarter is shown in Table 4.3.

Table 4.1 Genital chlamydial infection in South Australia, 01/04/01 - 30/06/01 and year to date. Age group by sex.

Age group

(years)

2nd Quarter

01/04/01 - 30/06/01

Year to date

01/01/01 - 30/06/01

 

Male

Female

Male

Female

Total

< 20

25

76

46

154

200

20 - 24

63

80

115

158

273

25 - 29

23

27

71

58

129

30 - 34

19

18

36

32

68

35 - 39

7

8

17

13

30

³ 40

10

9

20

11

31

Total

147

218

305

426

731

 

Table 4.2 Genital chlamydial infection, 01/04/01 - 30/06/01 and year to date. 
                Race by sex.

Racial origin

2nd Quarter

Year to date

 

01/04/01 - 30/06/01

01/01/01 - 30/06/01

 

Male

Female

Male

Female

Total

Aboriginal

12

25

31

47

78

Asian

10

19

18

29

47

Caucasian

119

167

246

337

583

Other/unknown

6

7

10

13

23

Total

147

218

305

426

731

Table 4.3 Summary of laboratory tests for genital chlamydia,
                01/04/01 - 30/06/01 and year to date. Laboratory by sex.

Laboratory

2nd Quarter

01/04/01 - 30/06/01

Year to date

01/01/01 - 30/06/01

 

Male

Female

Male

Female

Total

Public

1457

3579

2891

7068

9959

Private

744

2051

1448

4351

5799

Total

2201

5630

4339

11419

15758

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