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. 1998 Jun 13;316(7147):1776-80.
doi: 10.1136/bmj.316.7147.1776.

Screening for chlamydial infections and the risk of ectopic pregnancy in a county in Sweden: ecological analysis

M Egger  1 , N Low, G D Smith, B Lindblom, B Herrmann
Affiliations

Screening for chlamydial infections and the risk of ectopic pregnancy in a county in Sweden: ecological analysis

M Egger et al. BMJ. .

Abstract

Objectives: To analyse trends in rates of genital chlamydial infection and ectopic pregnancy between 1985 and 1995 in a county in Sweden.

Setting: Uppsala county where screening for chlamydial infection, treatment, and contact tracing has been widespread and where ectopic pregnancies are recorded.

Methods: Rates of chlamydial infections and ectopic pregnancy between 1985 and 1995 were calculated for women aged 20-39 years. Poisson and linear regression were used to examine the association between the risk of ectopic pregnancy and the current rates of chlamydial infection and rates of chlamydial infection from up to 5 years earlier.

Main outcome measures: Rates of chlamydial infection per 100 examinations, rates of ectopic pregnancy per 1000 pregnancies, rate ratios and 95% confidence intervals for an increase in chlamydial infections of 5 new cases per 100 examinations.

Results: 103 870 cervical samples from women aged 15-39 years were analysed; 5648 (5.4%) were positive for chlamydia. 51 630 pregnancies were analysed; 930 (1.8%) were ectopic. Both rates declined over time. For women aged 20-24 years there was a strong correlation between the rate of ectopic pregnancy and the rate of chlamydial infection in the same year (r=0.93, P<0. 001); among older women correlations were stronger with rates of chlamydial infection occurring 1 or 2 years earlier. In Poisson regression ectopic pregnancy was most strongly associated with the current rate of chlamydial infection among women aged 20-24 (rate ratio 1.85, 95% confidence interval 1.44 to 2.38), with the rate of infection 1 year earlier among 25-29 year olds (rate ratio 1.72, 1. 33 to 2.22) and 30-34 year olds (rate ratio 2.27, 1.53 to 3.37); and with the rate 2 years earlier among 35 to 39 year olds (rate ratio 2. 58, 1.45 to 4.60).

Conclusions: Declining rates of genital chlamydial infections have probably led to a fall in the rate of ectopic pregnancies. The timing of the decline in the rate of ectopic pregnancies varies with age. Among young women falling rates of chlamydial infection have been accompanied by an immediate reduction in the rate of ectopic pregnancy.

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Figures

Figure 1
Figure 1
Trends in the rate of chlamydial infection per 100 tests and in the rate of ectopic pregnancy per 1000 pregnancies among women aged 20 to 39 in Uppsala, Sweden, 1985-95
Figure 2
Figure 2
Scatter plot of rate of genital chlamydial infection per 100 tests by the rate of ectopic pregnancy per 1000 pregnancies among women aged 20 to 39 in Uppsala, Sweden, 1985-95
Figure 3
Figure 3
Linear regression analysis of the rate of chlamydial infection per 100 tests by the rate of ectopic pregnancy per 1000 pregnancies among women aged 20 to 39 in Uppsala, Sweden, 1985-95. For the rates of chlamydial infection the time lag which showed the strongest association in the Poisson regression analysis is shown
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