Bacterial vaginosis in female sex workers in Chennai, India

Sexual Health ◽  
2005 ◽  
Vol 2 (4) ◽  
pp. 261 ◽  
Author(s):  
Shanmugasundaram Uma ◽  
Pachamuthu Balakrishnan ◽  
Kailapuri G. Murugavel ◽  
Aylur K. Srikrishnan ◽  
Nagalingeswaran Kumarasamy ◽  
...  
Keyword(s):  
Bacterial Vaginosis ◽  
Sex Workers ◽  
Trichomonas Vaginalis ◽  
Female Sex Workers ◽  
South India ◽  
Treponema Pallidum ◽  
Future Studies ◽  
Female Sex ◽  
Neisseria Gonorrhoea ◽  
Vaginal Swabs

Bacterial vaginosis (BV) causes obstetric and gynaecological complications and non-chlamydial/non-gonococcal pelvic inflammatory disease and has been shown to be associated with the risk of acquiring HIV and herpes simplex (HSV)-2 infections. This study investigated both the prevalence of BV and its association with STDs among 582 female sex workers living in Chennai, South India. Blood, vaginal and endocervical swabs were tested for HSV-2, HIV, Treponema pallidum, BV, Chlamydia trachomatis, Neisseria gonorrhoea and Trichomonas vaginalis. The vaginal swabs collected were Gram’s stained and analysed for BV by Nugent’s scoring criteria. Of the women studied, 45% (95% CI, 40.6–48.7) were positive, 39.5% (95% CI, 35.5–43.5) were negative and 16% (95% CI, 12.8–18.7) were intermediate for BV. Bacterial vaginosis positivity was directly related to concurrent infection with HSV-2 (RR 1.3, AR 12, P = 0.00), T. vaginalis (RR 1.5, AR 10, P = 0.01) T. pallidum (RR 2.8, AR 16, P = 0.00) and HIV (RR 4.1, AR 52, P = 0.01). Future studies are needed to focus on the risk factors for BV.

scholarly journals Evaluation of Association between Vaginal Infections and High-Risk Human Papillomavirus Types in Female Sex Workers in Spain

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
C. Rodriguez-Cerdeira ◽  
E. Sanchez-Blanco ◽  
A. Alba
Keyword(s):  
Human Papillomavirus ◽  
High Risk ◽  
Bacterial Vaginosis ◽  
Sex Workers ◽  
Trichomonas Vaginalis ◽  
Female Sex Workers ◽  
Vaginal Microbiota ◽  
Transmitted Infection ◽  
Female Sex ◽  
Associated Lesions

Background. Infection with and persistence of high-risk human papillomavirus (HR-HPV) are the strongest risk factors for cervical cancer. In addition, other genital microorganisms may also be involved in the progression of HPV-associated lesions. Objetive. To evaluate the association of the vaginal microbiota (Candida spp., Trichomonas vaginalis, and bacterial vaginosis) with HR-HPV infection in Spanish female sex workers (FSWs). Methods. This cross-sectional study involved 208 (FSWs; age, 18–49 years) who visited a sexually transmitted infection (STI) information and prevention center (SERGAS) between January 2010 and December 2011. Face-to-face interviews were carried out. Cervical and vaginal samples were examined for human papillomavirus (HPV), Trichomonas vaginalis, Candida spp., and microorganisms related to bacterial vaginosis (BV). Results. HR-HPV was found to be significantly associated with BV in FSWs with positive results for HPV16-related types (31, 33, 35, and 52). T. vaginalis was isolated in FSWs with the following HR-HPVs: 18, 45, 66, and 68. Candida spp. were isolated only in FSWs with HPV 18-positive infection. Conclusion. We demonstrate a significant prevalence of HR-HPVs in FSWs with disturbances in the vaginal microbiota.

scholarly journals Etiology of Sexually Transmitted Infections among Street-Based Female Sex Workers in Dhaka, Bangladesh

2000 ◽  
Vol 38 (3) ◽  
pp. 1244-1246 ◽  
Author(s):  
Motiur Rahman ◽  
Ashraful Alam ◽  
Khairun Nessa ◽  
Anowar Hossain ◽  
Shamsun Nahar ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Sex Workers ◽  
Trichomonas Vaginalis ◽  
Female Sex Workers ◽  
Treponema Pallidum ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Etiological Study ◽  
Simplex Virus ◽  
Herpes Simplex Virus 2

An etiological study of sexually transmitted infections (STIs) was conducted among female sex workers (FSWs) in Dhaka, Bangladesh. Endocervical swab and blood samples from 269 street-based FSWs were examined for Neisseria gonorrhoeae, Chlamydia trachomatis, and Trichomonas vaginalis as well as for antibodies to Treponema pallidum and herpes simplex virus 2 (HSV-2). Sociodemographic data and data regarding behavior were also collected. A total of 226 of the 269 FSWs (84%) were positive for the STI pathogens studied. Among the 269 FSWs, 35.5% were positive forN. gonorrhoeae, 25% were positive for C. trachomatis, 45.5% were positive for T. vaginalis, 32.6% were seropositive for T. pallidum, 62.5% were seropositive for HSV-2, and 51% had infections with two or more pathogens.

Gender relations and risks of HIV transmission in South India: the discourse of female sex workers' clients

2012 ◽  
Vol 14 (6) ◽  
pp. 629-644 ◽  
Author(s):  
Joanne Aubé-Maurice ◽  
Michèle Clément ◽  
Janet Bradley ◽  
Catherine M. Lowndes ◽  
Kaveri Gurav ◽  
...  
Keyword(s):  
Sex Workers ◽  
Gender Relations ◽  
Female Sex Workers ◽  
South India ◽  
Hiv Transmission ◽  
Female Sex

scholarly journals Nongonococcal cervicitis: The most common cause of fluor albus in female sex workers

2019 ◽  
Author(s):  
Afif Nurul Hidayati ◽  
A. Astindari ◽  
Maylita Sari ◽  
Dwi Murtiastutik ◽  
Sunarko Martodihardjo ◽  
...  
Keyword(s):  
High Risk ◽  
Bacterial Vaginosis ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Common Cause ◽  
Female Sex

Female sex workers have a high risk of suffering from sexual transmitted infections (STIs). If the female sex workers suffer from STIs, besides affecting themselves, they also have potential to transmit the disease to their clients. Fluor albus is one of the symptoms of STIs. The purpose of this research is to evaluate the type of STIs that the female sex workers suffer from. This research was conducted retrospectively on 100 female sex workers in Puskesmas Putat Surabaya in 2013-2014. The result of this research showed that from 100 female sex workers, 14 subjects (14%) suffered from gonococcal cervicitis, 51 subjects (51%) suffered from nongonococcal cervicitis, 10 subjects (10%) suffered from nongonococcal cervicitis accompanied by bacterial vaginosis, 9 subjects (9%) suffered from bacterial vaginosis, 1 subject (1%) suffered from trichomoniasis, and 14 subjects (14%) had no data. This research concluded that nongonococcal cervicitis is the most major cause of STIs suffered by female sex workers. Therefore, the vigilances to prevent transmission of nongonococcal infection to the clients is highly needed.

scholarly journals Violence experience by perpetrator and associations with HIV/STI risk and infection: a cross-sectional study among female sex workers in Karnataka, south India

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e021389 ◽  
Author(s):  
Alicja Beksinska ◽  
Ravi Prakash ◽  
Shajy Isac ◽  
H L Mohan ◽  
Lucy Platt ◽  
...  
Keyword(s):  
Condom Use ◽  
Sexual Violence ◽  
Sex Workers ◽  
Partner Violence ◽  
Female Sex Workers ◽  
South India ◽  
Syphilis Infection ◽  
Transmitted Infection ◽  
The Past ◽  
Female Sex

ObjectivesFemale sex workers (FSWs) experience violence from a range of perpetrators, but little is known about how violence experience across multiple settings (workplace, community, domestic) impacts on HIV/sexually transmitted infection (STI) risk. We examined whether HIV/STI risk differs by the perpetrator of violence.MethodsAn Integrated Biological and Behavioural Assessment survey was conducted among random samples of FSWs in two districts (Bangalore and Shimoga) in Karnataka state, south India, in 2011. Physical and sexual violence in the past six months, by workplace (client, police, coworker, pimp) or community (stranger, rowdy, neighbour, auto-driver) perpetrators was assessed, as was physical and sexual intimate partner violence in the past 12 months. Weighted, bivariate and multivariate analyses were used to examine associations between violence by perpetrator and HIV/STI risk.Results1111 FSWs were included (Bangalore=718, Shimoga=393). Overall, 34.9% reported recent physical and/or sexual violence. Violence was experienced from domestic (27.1%), workplace (11.1%) and community (4.2%) perpetrators, with 6.2% of participants reporting recent violence from both domestic and non-domestic (workplace/community) perpetrators. Adjusted analysis suggests that experience of violence by workplace/community perpetrators is more important in increasing HIV/STI risk during sex work (lower condom use with clients; client or FSW under the influence of alcohol at last sex) than domestic violence. However, women who reported recent violence by domestic and workplace/community perpetrators had the highest odds of high-titre syphilis infection, recent STI symptoms and condom breakage at last sex, and the lowest odds of condom use at last sex with regular clients compared with women who reported violence by domestic or workplace/community perpetrators only.ConclusionHIV/STI risk differs by the perpetrator of violence and is highest among FSWs experiencing violence in the workplace/community and at home. Effective HIV/STI prevention programmes with FSWs need to include violence interventions that address violence across both their personal and working lives.

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