Chlamydia trachomatis: strain distribution and host response in relation to gynaecological complications.

沙眼衣原体：与妇科并发症相关的菌株分布和宿主反应。

• 批准号: G0800682/1
• 负责人: Sarah Howie
• 金额: $ 6.28万
• 依托单位: University of Edinburgh
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2008
• 资助国家: 英国
• 起止时间: 2008 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=G0800682%2F1
• 关键词: Chlamydia; trachomatis; strain; distribution; host

Chlamydia trachomatis is the commonest sexually transmitted infection in the UK and is estimated to cost the NHS over #100 million per year. The number of cases continues to increase in young adults. Laboratory diagnoses in Scotland for Jan-Jun 2007 show that two thirds were female with an overall 6% increase between the first and second quarters. Control measures rely on a combination of increased public awareness, diagnosis, antibiotic treatment and partner notification but are clearly failing to prevent spread of infection. C. trachomatis infection is often asymptomatic and goes untreated but can have serious implications for subsequent female reproductive health. Primary infection can resolve without intervention, presumably due to protective immunity. In some individuals C. trachomatis infection can be episodic although it is unclear whether this is due to failure of antibiotic control, bacterial persistence or to reinfection due to inadequate protective immunity in the reproductive tract. The National Chlamydia Screening Programme in England reports that 10-30% of women infected by C. trachomatis develop pelvic inflammatory disease [PID]. The risk of developing PID and other reproductive sequelae increases with each recurrence of C. trachomatis infection and infection is associated with increased risk of tubal infertility, reproductive failure and ectopic pregnancy. There is controversy as to whether some strains of C. trachomatis are more virulent than others and whether persistent infection is responsible for reproductive disease. Hitherto studies have been conducted in isolation by different groups. This disconnection has contributed to lack of clear understanding how natural history of infection and the host response translate into risk of gynaecological problems. We propose to integrate an internationally competitive, UK group of clinicians and basic scientists to investigate outcomes of C. trachomatis infection on female reproductive health.

沙眼衣原体是英国最常见的性传播感染，据估计每年花费NHS超过1亿英镑。在年轻人中，病例数继续增加。苏格兰2007年1月至6月的实验室诊断显示，三分之二是女性，第一和第二季度之间总体增长了6%。控制措施依赖于提高公众意识、诊断、抗生素治疗和伴侣通知的结合，但显然未能防止感染的传播。沙眼衣原体感染通常无症状，未经治疗，但可能对随后的女性生殖健康产生严重影响。原发感染可以不经干预而消失，可能是由于保护性免疫。在一些个体中，沙眼衣原体感染可能是偶发性的，但尚不清楚这是由于抗生素控制失败、细菌持续存在还是由于生殖道保护性免疫不足引起的再感染。英国国家衣原体筛查计划报告说，10-30%感染沙眼衣原体的妇女会患上盆腔炎[PID]。随着沙眼衣原体感染的每次复发，发生盆腔炎和其他生殖后遗症的风险增加，感染与输卵管不孕、生殖失败和异位妊娠的风险增加有关。关于某些沙眼原体菌株是否比其他菌株毒性更强，以及持续感染是否会导致生殖疾病，目前存在争议。迄今为止，研究是由不同的小组单独进行的。这种脱节导致缺乏对感染的自然史和宿主反应如何转化为妇科问题风险的清楚理解。我们建议整合一个具有国际竞争力的英国临床医生和基础科学家小组，以调查沙眼衣原体感染对女性生殖健康的影响。