Percentage of Niesseria Gonorrhea among Symptomatic Women Attending Infertilty Clinic of Baghdad Teaching Hospital

Abstract

Background: Niesseria Gonorrhea is a major cause of morbidity among sexually- active individual
worldwide. The precise global burden of N. Gonorrhea is difficult to establish because of the lack of
diagnostic capability and/or reporting system in many parts of the world.
Aim of the Study: To assess the percentage of Neisseria Gonorrhea in infertile women detected by
conventional agar and polymerase chain reaction (PCR).
Study design: A cross sectional study
Setting: carried out in infertility clinic/Department of Obstetrics and Gynecology in Baghdad Teaching
Hospital/Medical city for Ten months duration from the 1st of Feb 2017 to the 1ST of Dec 2017.
Patients and method: one hundred infertile women were included in the study. From each patient two
endocervical sterile swabs were obtained.
Results: The mean age of the studied group was (27.8±4.2) years, more than one fourth (27%) of infertile
women had previous history of sexually transmitted infection. Only 3 (3%) infertile women had positive
culture test for Niesseria Gonorrhea while 17 (17%) infertile women had positive PCR test for Niesseria
Gonorrhea. The validity results of PCR regarding diagnosis of Niesseria Gonorrhea in comparison to culture
were sensitivity (100%), specificity (85.5%), +ve predictive value (82.4%), -ve predictive value (100%) and
accuracy (86%)
Conclusion: The PCR is more accurate than culture for diagnoses of Niesseria Gonorrhea infection.