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. 2005 Feb;81(1):89–90. doi: 10.1136/sti.2004.010272

Chlamydia trachomatis in female sex workers in Belgium: 1998–2003

R Mak 1, L Van Renterghem 1, A Traen 1
PMCID: PMC1763731  PMID: 15681731

Abstract

Objective: We analysed the results of a 6 year screening period for Chlamydia trachomatis in a group of female sex workers (FSW) of all ages in Ghent, Belgium.

Methods: They were tested in the context of an outreach health programme for sex workers. C trachomatis was tested by Cobas Amplicor CT/NG PCR.

Results: In the 6 year period, 1643 tests were performed on 950 different sex workers (nationality: Belgian 60.3%, other western European (mostly French) 21.0%, African 12.4%, eastern European 3.0%, other 3.3%; workplace: bar/sauna 49.0%, private homes 31.8%, windows 18.2%, and escorts 1.0%). Baseline prevalence (only considering results of first test) was 70/950 or 7.4% (95% CI 5.7 to 9.0). The incidence rate was 98 episodes in 1347 person years or 7.3/100 person years (95% CI 5.9 to 8.7). There was a strong age effect. There was no clear relation with nationality or the workplace.

Conclusions: The prevalence was higher than in general populations selected in Belgium, Britain, and the Netherlands. Since younger age is a risk factor for C trachomatis, it is very important to contact these women as soon as possible when they enter the trade. General screening for C trachomatis in young women is not common practice in Belgium. Sex workers often do not tell doctors about their work and will therefore not be screened unless in the context of specific outreach projects.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Esquivel Cosme Alvarado, Briones Ezcarzaga Miguel Laureano, Castruita Limones Dora Elia, Lazalde Ramos Blanca Patricia, Salas Elsa Villegas, Gutierrez Alfonso Arizpe, Medrano Juan Carlos, Castellanos Sergio. Prevalence of Chlamydia trachomatis infection in registered female sex workers in northern Mexico. Sex Transm Dis. 2003 Mar;30(3):195–198. doi: 10.1097/00007435-200303000-00003. [DOI] [PubMed] [Google Scholar]
  2. Fenton K. A., Korovessis C., Johnson A. M., McCadden A., McManus S., Wellings K., Mercer C. H., Carder C., Copas A. J., Nanchahal K. Sexual behaviour in Britain: reported sexually transmitted infections and prevalent genital Chlamydia trachomatis infection. Lancet. 2001 Dec 1;358(9296):1851–1854. doi: 10.1016/S0140-6736(01)06886-6. [DOI] [PubMed] [Google Scholar]
  3. Mak R., Traen A., Claeyssens M., Van Renterghem L., Leroux-Roels G., Van Damme P. Hepatitis B vaccination for sex workers: do outreach programmes perform better? Sex Transm Infect. 2003 Apr;79(2):157–159. doi: 10.1136/sti.79.2.157. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Matteelli Alberto, Beltrame Anna, Carvalho Anna C. C., Casalini Caterina, Forleo Maria Antonietta, Gulletta Maurizio, El-Hamad Issa, Pollara Caterina, Tedoldi Simona, Carasi Sergio. Chlamydia trachomatis genital infection in migrant female sex workers in Italy. Int J STD AIDS. 2003 Sep;14(9):591–595. doi: 10.1258/095646203322301031. [DOI] [PubMed] [Google Scholar]
  5. Pimenta J., Catchpole M., Gray M., Hopwood J., Randall S. Evidence based health policy report. Screening for genital chlamydial infection. BMJ. 2000 Sep 9;321(7261):629–631. doi: 10.1136/bmj.321.7261.629. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Postma M. J., Welte R., van den Hoek J. A., Jager J. C., van Doornum G. J., Coutinho R. A. Opportunistische screening op genitale infecties met Chlamydia trachomatis onder de seksueel actieve bevolking in Amsterdam. III. Kosteneffectiviteitsanalyse van screening bij vrouwen uitgebreid met de rol van herinfectie en partnermeebehandeling. Ned Tijdschr Geneeskd. 1999 Nov 20;143(47):2383–2385. [PubMed] [Google Scholar]
  7. Resl V., Kumpová M., Cerná L., Novák M., Pazdiora P. Prevalence of STDs among prostitutes in Czech border areas with Germany in 1997-2001 assessed in project "Jana". Sex Transm Infect. 2003 Dec;79(6):E3–E3. doi: 10.1136/sti.79.6.e3. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Verhoeven V., Avonts D., Meheus A., Goossens H., Ieven M., Chapelle S., Lammens C., Van Royen P. Chlamydial infection: an accurate model for opportunistic screening in general practice. Sex Transm Infect. 2003 Aug;79(4):313–317. doi: 10.1136/sti.79.4.313. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Ward H., Day S., Weber J. Risky business: health and safety in the sex industry over a 9 year period. Sex Transm Infect. 1999 Oct;75(5):340–343. doi: 10.1136/sti.75.5.340. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. van Valkengoed I. G., Postma M. J., Morré S. A., van den Brule A. J., Meijer C. J., Bouter L. M., Boeke A. J. Cost effectiveness analysis of a population based screening programme for asymptomatic Chlamydia trachomatis infections in women by means of home obtained urine specimens. Sex Transm Infect. 2001 Aug;77(4):276–282. doi: 10.1136/sti.77.4.276. [DOI] [PMC free article] [PubMed] [Google Scholar]

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