{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:06:16Z","timestamp":1777907176460,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,2,12]],"date-time":"2019-02-12T00:00:00Z","timestamp":1549929600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:p>Chlamydia trachomatis is an important agent of pelvic inflammatory disease (PID) globally. Laboratory diagnosis, which is vital for early and appropriate treatment, remains a challenge in resource-limited settings. Our study was undertaken to detect C. trachomatis in women with clinical features of PID. Three endocervical swabs, each obtained from 100 women clinically diagnosed with PID, were subjected to C. trachomatis antigen detection, microscopy and bacteriological culture. Logistic regression was used to assess the risk factors associated with PID. C. trachomatis antigen was present in 6%. The use of hormonal contraception, previous history of PID and a smoking habit were found to have statistically significant association in those who tested positive. Adjunctive use of rapid Chlamydia antigen test with a routinely practiced syndromic approach is beneficial for timely and appropriate antimicrobial therapy in women with PID.<\/jats:p>","DOI":"10.1177\/0049475519826195","type":"journal-article","created":{"date-parts":[[2019,2,13]],"date-time":"2019-02-13T08:11:11Z","timestamp":1550045471000},"page":"101-104","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["<i>Chlamydia trachomatis<\/i>\n                    in women with pelvic inflammatory disease (PID): report from a tertiary center in eastern Nepal"],"prefix":"10.1177","volume":"49","author":[{"given":"B","family":"Khanal","sequence":"first","affiliation":[{"name":"Professor and Head, Department of Microbiology, BP Koirala Institute of Health Sciences, Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Siwakoti","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Microbiology, BP Koirala Institute of Health Sciences, Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Uprety","sequence":"additional","affiliation":[{"name":"Professor, Department of Obstetrics and Gynaecology, BP Koirala Institute of Health Sciences, Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Poudyal","sequence":"additional","affiliation":[{"name":"Additional Professor, Department of Microbiology, BP Koirala Institute of Health Sciences, Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Sharma","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Microbiology, BP Koirala Institute of Health Sciences, Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"NR","family":"Bhattarai","sequence":"additional","affiliation":[{"name":"Additional Professor, Department of Microbiology, BP Koirala Institute of Health Sciences, Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,2,12]]},"reference":[{"key":"bibr1-0049475519826195","first-page":"698","volume":"52","author":"Ripa KT","year":"1978","journal-title":"Obstet Gynecol"},{"key":"bibr2-0049475519826195","volume-title":"Global strategy for the prevention and control of sexually transmitted infections: 2006-2015: breaking the chain of transmission","author":"World Health Organization","year":"2007"},{"key":"bibr3-0049475519826195","first-page":"181","volume-title":"Sexually transmitted diseases","author":"Westrom LP","year":"1990"},{"key":"bibr4-0049475519826195","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-199207000-00001"},{"key":"bibr5-0049475519826195","volume-title":"National Guidelines on Sexually Transmitted Infection Case Management","author":"National Centre for AIDS and STD Control, Government of Nepal Ministry of Health and Population","year":"2006"},{"key":"bibr6-0049475519826195","volume-title":"Guidelines for the management of sexually transmitted infections","author":"World Health Organization","year":"2003"},{"key":"bibr7-0049475519826195","first-page":"16","volume":"53","author":"Ravindran J","year":"1998","journal-title":"Med J Malaysia"},{"key":"bibr8-0049475519826195","unstructured":"iCare one step Chlamydia rapid screen test (Swab\/Urine) (package insert) Catalog No WF1001F\/WF1001H.JAL Innovation (Singapore). 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