Urogenital and anal chlamydia trachomatis and human papillomavirus infections: epidemiological, diagnostic and public health aspects

To reduce the burden of diseases caused by the leading worldwide bacterial (Chlamydia trachomatis) and viral (human papillomavirus, HPV) sexually transmitted infections (STI), better understanding of their natural history and epidemiology, optimal early detection and reliable diagnosis of the infectious agents are of great public health importance. This dissertation provides additional data on the prevalence and contributes to the improved clinical management of genital Chlamydia infections in Russia and worldwide, introduces prostate secretions as an informative sample material for the studies of STI epidemiology and describes the determinants of HPV presence in the anal canal of heterosexual men.