Chlamydial conjunctivitis is a disease associated with venereal transm
ission through direct sexual contact or autoinoculation with genital s
ecretions. Appropriate therapy for patients and their sexual partners
involves important questions regarding the source of infection and mod
e of transmission. This study explored the potential role of a fomite,
i.e., an environmental surface, as a possible vector of transmission.
We determined the in vitro recovery of Chlamydia trachomatis from a n
onporous plastic surface under ambient and humid conditions using the
standard shell vial technique and confirmation by direct monoclonal im
munofluorescence. Under ambient conditions, the TP50 (time at which 50
% of samples were positive for Chlamydia) was 5 min, with complete des
iccation occurring at 45 min. Under humid conditions, the TP50 was 52.
5 min and complete desiccation did not occur up to 3 h. Beyond 45 min,
a significantly greater number of positive chlamydial samples were co
llected under humid conditions (11 of 30) than under ambient condition
s (0 of 30) (p = 0.00016). We conclude that a fomite, such as a nonpor
ous plastic surface, may serve as a potential vector for the transmiss
ion of chlamydial infection to the eye, especially under humid conditi
ons. This new information may prove useful in counseling patients and
their sexual partners.