TABLE 3.
Association between organism load in matched specimens and clinical signs or symptoms in men or women infected with C. trachomatis
| Symptom or clinical sign | Organism load (no. of EBs/100 μl)
|
Associationb (P value) | Correlationc (r) | |||||
|---|---|---|---|---|---|---|---|---|
| Symptom or sign absent
|
Symptom or sign present
|
|||||||
| Mean | πLa | πUa | Mean | πL | πU | |||
| Male FVU samples | ||||||||
| Dysuria | 513 | 8.4 | 31,445 | 2,080 | 27.3 | 158,198 | 0.0057 | |
| ≥1 clinical sign | 64 | 2.5 | 1,658 | 1,394 | 18.7 | 103,985 | 0.0074 | |
| ≥1 symptom | 240 | 3.5 | 16,541 | 1,772 | 27.8 | 113,006 | 0.0012 | |
| Nonspecific urethritis | 113 | 2.6 | 4,978 | 2,143 | 47.8 | 96,028 | <0.0001 | |
| PMNLs/HPF | 0.0024 | 0.3346 | ||||||
| Male urethral swabs | ||||||||
| Dysuria | 357 | 0.9 | 141,210 | 1,237 | 19.0 | 80,402 | 0.0930 | |
| ≥1 clinical sign | 8 | 0.0 | 3,586 | 953 | 9.5 | 95,416 | 0.0012 | |
| ≥1 symptom | 43 | 0.2 | 720 | 1,339 | 20.2 | 88,823 | <0.0001 | |
| Nonspecific urethritis | 88 | 0.2 | 38,407 | 1,300 | 18.5 | 91,418 | 0.0133 | |
| PMNLs/HPF | 0.0830 | 0.2276 | ||||||
| Female FVU samples | ||||||||
| ≥2 symptoms or ≥ 1 signd | 27 | 0.2 | 3,205 | 114 | 0.5 | 25,084 | 0.0174 | |
| Nonspecific cervicitise | 21 | 0.1 | 5,105 | 99 | 1.0 | 9,574 | 0.0095 | |
| PMNLs/HPF | 0.0901 | 0.1945 | ||||||
| Female urethral swabs | ||||||||
| ≥2 symptoms or ≥ 1 sign | 106 | 0.4 | 27,610 | 188 | 0.9 | 40,301 | 0.3577 | |
| Nonspecific cervicitis | 69 | 0.3 | 1,130 | 262 | 1.4 | 49,178 | 0.0295 | |
| PMNLs/HPF | 0.0507 | 0.2165 | ||||||
| SCVSs | ||||||||
| ≥2 symptoms or ≥ 1 sign | 1,495 | 4.8 | 466,401 | 3,605 | 8.6 | 1,508,762 | 0.1878 | |
| Nonspecific cervicitis | 250 | 0.9 | 71,998 | 2,018 | 3.5 | 1,155,912 | 0.0036 | |
| PMNLs/HPF | 0.0025 | 0.3377 | ||||||
| Endocervical swabs | ||||||||
| ≥2 symptoms or ≥1 sign | 314 | 0.5 | 187,138 | 1,826 | 5.6 | 592,437 | 0.0157 | |
| Nonspecific cervicitis | 545 | 3.3 | 88,965 | 8,866 | 39 | 2,021,196 | <0.0001 | |
| PMNLs/HPF | <0.0001 | 0.4406 | ||||||
πL and πU, lower and upper limits, respectively, of the 95% CI for the mean organism load, rounded to the nearest decimal point, in the 58 infected male patients with both sample types and 73 infected female patients with all four sample types.
Association between organism load in matched specimens and clinical signs or symptoms was evaluated by two-sample t tests with natural log transformation. P values that are statistically significant (P ≤ 0.05) are shown in bold type.
Correlation of organism load with PMNLs/HPF was assessed with Pearson's correlation coefficient (r).
Women reporting two or more specific symptoms (vaginal discharge, irregular bleeding, or pelvic or abdominal pain) or manifesting one or more specific clinical signs (mucopurulent cervical discharge, cervical motion tenderness, or pelvic or adnexal tenderness).
The diagnosis of nonspecific cervicitis was based on the presence of a mucopurulent cervical discharge or >40 PMNLs/HPF on the endocervical smear (or both).