Journal article
Risk of Pelvic Inflammatory Disease in Relation to Chlamydia and Gonorrhea Testing, Repeat Testing, and Positivity: A Population-Based Cohort Study
J Reekie, B Donovan, R Guy, JS Hocking, JM Kaldor, DB Mak, S Pearson, D Preen, L Stewart, J Ward, B Liu, C Roberts, H Wand
Clinical Infectious Diseases | OXFORD UNIV PRESS INC | Published : 2018
DOI: 10.1093/cid/cix769
Abstract
Background. There is uncertainty around whether the risks of pelvic inflammatory disease (PID) differ following Chlamydia trachomatis (chlamydia) and Neisseria gonorrhoeae (gonorrhea) infection. We quantified the risk of PID associated with chlamydia and gonorrhea infection and subsequent repeat infections in a whole-population cohort. Methods. A cohort of 315 123 Western Australian women, born during 1974-1995, was probabilistically linked to chlamydia and gonorrhea testing records and to hospitalizations and emergency department presentations for PID from 2002 to 2013. Timeupdated survival analysis was used to investigate the association between chlamydia and gonorrhea testing, and positiv..
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Awarded by National Health and Medical Research Council
Funding Acknowledgements
This work was supported by the National Health and Medical Research Council (NHMRC) (grant number APP1020628). B. L., J. S. H., B. D., C. R., J. W., R. G., and J. M. K. are supported by NHMRC fellowships.