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Seroprevalence of Chlamydia Trachomatis Infection Among Infertile Males Attending Aminu Kano Teaching Hospital Kano Nigeria

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Chlamydia trachomatis remains one of the most abundant infective bacteria that causes sexually transmitted diseases globally. To determine the prevalence of C. trachomatis associated infertility in male patients attending Aminu Kano Teaching Hospital, Kano. Urine specimens were received from 146 clients visiting the Infertility clinics in Aminu Kano Teaching Hospital (AKTH). Prior to specimen collection informed consent was obtained and an inquiry form administered by the investigator. Specimens were tested using a Chlamydia kit (Swalife China)-a rapid immunoassay test designed to identify genital chlamydial antigen in urogenital specimens. 146 sequential urine specimens of patients (aged 22-55 years) were obtained. Eight of these specimens were positive for C. trachomatis antigen yielding a prevalence of 5.4%. While 6 clients had some knowledge of Chlamydia (4.1%), 140 clients had no knowledge of Chlamydia (95.8%). Those with primary infertility were 124(84.9%) and those with secondary infertility were 22 (15.0%). Also prevalence in relation to age grouping was as follows: 22-26 years (42.9%), 27-31years (9.4%), 32-36 years (10.5%), 37-41years (6.4%), 42-46 years (6.3%) and > 47 years (4.0%). In this study, the prevalence of C. trachomatis in infertile males was found to be 5.4% with a low knowledge about infertility among participants. There is a need to increase awareness and screening of the larger populace for carriage of C. trachomatis.

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