Partner notification and treatment for sexually transmitted infections among pregnant women in Cape Town, South Africa

2020 ◽  
Vol 31 (13) ◽  
pp. 1282-1290
Author(s):  
Hunter Green ◽  
Sophia Taleghani ◽  
Dorothy Nyemba ◽  
Landon Myer ◽  
Dvora Joseph Davey
Keyword(s):  
South Africa ◽  
Pregnant Women ◽  
Sexually Transmitted Infections ◽  
Trichomonas Vaginalis ◽  
Partner Notification ◽  
Cape Town ◽  
Antenatal Visit ◽  
Sexually Transmitted ◽  
Adverse Pregnancy ◽  
Infectious Burden

Curable sexually transmitted infections (STIs) including Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), and Trichomonas vaginalis (TV) are associated with adverse pregnancy outcomes. Partner notification is an important component of STI control as it has been shown to prevent re-infection and reduce infectious burden. Between October 2017 and February 2019, we conducted a cohort study of women attending antenatal care in Cape Town, South Africa. Self-collected vulvovaginal swabs were tested for CT, NG, and TV using Xpert® assays at first antenatal visit, during the third trimester, and postpartum. At the visit following a positive diagnosis, women were asked if they notified their partner and if their partner was treated. Among 242 participants, 97% reported being willing to notify partners if they tested positive and 78% thought their partner would be willing to treat the STI. Of the 73 women who were diagnosed with one or more STIs and reported having a sex partner, 93% reported notifying their partner and 63% reported their partner was treated. Younger maternal age was associated with partner notification and treatment (OR = 3.82; 95%CI = 1.34–10.90). Acceptability of partner notification was high in pregnant women, but partner treatment was low. Future interventions to improve partner notification and treatment are needed.

scholarly journals Partner notification and treatment for sexually transmitted infections among pregnant women in Gaborone, Botswana

2017 ◽  
Vol 28 (12) ◽  
pp. 1184-1189 ◽  
Author(s):  
Ogechukwu A Offorjebe ◽  
Adriane Wynn ◽  
Neo Moshashane ◽  
Dvora Joseph Davey ◽  
Kaitlin Arena ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Sexually Transmitted Infections ◽  
Trichomonas Vaginalis ◽  
Partner Notification ◽  
Antenatal Clinic ◽  
Sample Collection ◽  
Sexually Transmitted ◽  
Screening Study ◽  
Almost All ◽  
And Control

Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), and Trichomonas vaginalis (TV) are sexually transmitted infections (STIs) associated with adverse birth outcomes. Untreated partners contribute to high rates of STI reinfection; thus, partner notification and treatment remain important components of STI care and control. A prospective cohort study was conducted among 300 pregnant women presenting to the antenatal clinic at Princess Marina Hospital in Gaborone, Botswana who enrolled in an STI screening study. Following informed consent and sample collection for CT/NG/TV testing, participants were asked if they were willing to disclose their STI result and to deliver medications to their partner(s). Those who tested positive were asked at a follow-up appointment if they notified their partners. Among the 300 participants, 294 (98%) said they would be willing to tell their partner(s) about their test results if they tested positive, and 284 (95%) said they would be willing to give their partner(s) medication if the option was available. Of those who tested positive and returned for a test of cure, 27 of 32 (84%) reported that they told their partner about the results, and 20 of 32 (63%) reported that their partner received treatment. Almost all pregnant women reported willingness to tell their partner the STI test result and give their partner medications. At test of cure, most women reported informing their partner, although actual treatment receipt was lower. Our findings suggest that pregnant women are willing to utilize patient-based partner notification, but actual partner treatment might be lower than intended.

scholarly journals Trichomonas vaginalis Infection among Pregnant Women in Jimma University Specialized Hospital, Southwest Ethiopia

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Abdurehman Eshete ◽  
Zeleke Mekonnen ◽  
Ahmed Zeynudin
Keyword(s):  
Pregnant Women ◽  
Trichomonas Vaginalis ◽  
Cross Sectional Study ◽  
Culture Technique ◽  
Agar Culture ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Specialized Hospital ◽  
Adverse Pregnancy ◽  
Jimma University

Background. Trichomonas vaginalis is a sexually transmitted parasitic protozoan known to be responsible for an estimated 180 million new infections per year, making it the most prevalent nonviral sexually transmitted pathogen worldwide. Method. A cross-sectional study design was conducted on vaginal swabs by wet mount and Modified Columbia Agar culture technique in Jimma University Specialized Hospital (JUSH), ANC clinic, Jimma, Ethiopia. The study was done to assess the magnitude and associated risk factors of T. vaginalis infection from December to May, 2011/2012. Result. A total of 361 pregnant women were involved in this study. From these, 18 (4.98%) of the pregnant women were positive for T. vaginalis infection by Modified Columbian Agar culture technique. Education status (AOR = 0.186, 95% CI: 0.059–0.585, P<0.05), patients with dysuria (AOR = 0.180; 95% CI: 0.046–0.704, P<0.05) and dyspareunia (AOR = 0.152; 95% CI: 0.035–0.667, P<0.05) were significantly associated with T. vaginalis infection. Conclusion. The prevalence of T. vaginalis infection at 4.89% is relatively high among young reproductive aged women. Because this infection increases the risk of HIV transmission and is associated with adverse pregnancy outcomes, there is a need for increased provision of health information concerning T. vaginalis to the community, educating women, screening, and treatment of T. vaginalis infection in Ethiopia.

scholarly journals Prevalence of sexually transmitted infections among pregnant women attending antenatal clinics in West Coast Region of The Gambia

2021 ◽  
Vol 21 (2) ◽  
pp. 585-592
Author(s):  
Alphonsus Isara ◽  
Aru-Kumba Baldeh
Keyword(s):  
Pregnant Women ◽  
Sexually Transmitted Infections ◽  
West Coast ◽  
Trichomonas Vaginalis ◽  
The Gambia ◽  
Age Group ◽  
The West ◽  
Sexually Transmitted ◽  
Neisseria Gonorrhoea ◽  
Coast Region

Background: Sexually Transmitted Infections (STI) are the second most common cause of healthy life years lost by women in the 15 – 44 years age group in Africa. Aim/Objective: To determine the prevalence of STIs among pregnant women attending antenatal care (ANC) clinics in the West Coast Region of The Gambia. Materials and Methods: Blood, urine, and high vaginal swabs samples from 280 pregnant women attending ANC in Brika- ma District Hospital, Brikama, and Bandung Maternity and Child Health Hospital, Bandung were examined. Serum samples were tested for HIV using western blot technique and for syphilis using the Venereal Disease Research Laboratory (VDRL) test, and rapid plasma regimen. Candida albicans, Group B Streptococcus and Neisseria gonorrhoea were identified using Analytical Profile Index (API). Direct urine microscopy was used to identify C. albicans and Trichomonas vaginalis while Chlamydia trachomatis was identified using Direct Fluorescent Antibody (DFA) test. Results: The overall prevalence of STIs was 53.6%. The pathogenic agents isolated were Candida albicans (31.8%), Strep- tococcus agalactiae (15.0%), Treponema pallidum (6.8%), HIV (5.7%), Trichomonas vaginalis (3.9%), Neisseria gonorrhoea (1.8%) and Chlamydia trachomatis (0.7%). STIs were more prevalent among women in the younger age group of 15 – 24 years (54.7%), unemployed (54.0%), Primipara (62.3%), and in the third trimester of pregnancy (72.7%). Conclusion: A high prevalence of STIs was found among pregnant women attending ANC in the West Coast region of The Gambia. Public health intervention programmes should be strengthened to promote the sexual and reproductive health of pregnant women in The Gambia. Keywords: Sexually transmitted infections; pregnant women; antenatal clinics; The Gambia.

Partner Notification of Sexually Transmitted Infections among Pregnant Women

2008 ◽  
Vol 19 (5) ◽  
pp. 309-315 ◽  
Author(s):  
Andrea Ries Thurman ◽  
Alan E C Holden ◽  
Rochelle Shain ◽  
Sondra Perdue ◽  
Jeanna Piper
Keyword(s):  
Pregnant Women ◽  
Sexually Transmitted Infections ◽  
Partner Notification ◽  
Sexually Transmitted

scholarly journals Intentions to use patient-initiated partner notification and acceptability of provider-initiated partner notification for Sexually Transmitted Infections – A cross-sectional survey among minibus taxi drivers in Gauteng Province, South Africa

2018 ◽  
Author(s):  
mathildah mpata mokgatle ◽  
Sphiwe Madiba
Keyword(s):  
South Africa ◽  
Sexually Transmitted Infections ◽  
Partner Notification ◽  
Sexual Partners ◽  
Health Providers ◽  
Gauteng Province ◽  
Taxi Drivers ◽  
Sexually Transmitted ◽  
Face To Face ◽  
The Past

Background In South Africa, utilization of patient-initiated partner-notification (PN) using referral-slip in the management of sexually transmitted infections (STIs) is limited and only a limited number of sexual partners are ever notified. The study assessed the use of patient-initiated PN method using notification and referral slips and measured the level of acceptability of provider-initiated PN using short-message-service (SMS) to personal mobile phones of sexual partners. Methods A quantitative survey using anonymous structured self-administered and researcher assisted questionnaires was conducted among minibus taxi drivers in the nine major taxi ranks in Gauteng province, South Africa. Results The sample consisted of 722 minibus taxi drivers with a mean age of 37.2 years old, 284 (59.5%) had multiple sexual partners, 368 (52.2%) did not use a condom during last sexual act, 286 (42.8%) reported inconsistent use of condoms, and 459 (65%) tested for HIV in the past 12 months. Majority (n=709, 98.2%) understood the importance of PN once diagnosed with STI, but would prefer delivering PN referral slip (n=670, 93.2%) over telling a partner face to face if they themselves were diagnosed with STI. Acceptability of provider-initiated PN using SMS was 452 (62.7%) and associated with history of HIV testing in the past year (OR=1.72, p=0.002, CI: 1.21-2.45). The perceived use of PN referral-slip from sexual partner to seek treatment was 91.8% (n=659). About a third (n=234, 32.5%) were not in favor of provider-initiated PN by SMS and preferred telling partners face to face. Conclusion There were contrasting findings on the acceptability and utilization of existing patient-initiated PN and the proposed PN using SMS from health providers. The preference of delivering PN referral slip to sexual partner over face-to-face PN renders communicating about STIs the responsibility of health providers. Therefore, they have an opportunity to provide patients with options to choose a PN method that is best suited to their relationships and circumstances and modify PN messages to encourage partners to use the different PN to prevent STIs.

Converging epidemics of sexually transmitted infections and bacterial vaginosis in southern African female adolescents at risk of HIV

2017 ◽  
Vol 29 (6) ◽  
pp. 531-539 ◽  
Author(s):  
Shaun L Barnabas ◽  
Smritee Dabee ◽  
Jo-Ann S Passmore ◽  
Heather B Jaspan ◽  
David A Lewis ◽  
...  
Keyword(s):  
Bacterial Vaginosis ◽  
Sexually Transmitted Infections ◽  
South African ◽  
Hiv Risk ◽  
Trichomonas Vaginalis ◽  
Vaginal Discharge ◽  
Clinical Symptoms ◽  
Cape Town ◽  
Behavioral Risk ◽  
Sexually Transmitted

Adolescents in Africa are at high risk for HIV infection, other sexually transmitted infections (STIs) and bacterial vaginosis (BV). Since behavior and burden of STIs/BV may influence HIV risk, behavioral risk factors and prevalence of STIs/BV were compared in HIV-seronegative adolescent females (n = 298; 16–22 years) from two South African communities (Soweto and Cape Town). STIs ( Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, Mycoplasma genitalium, herpes simplex virus (HSV)-1, HSV-2, Treponema pallidum, and Haemophilus ducreyi) were detected by multiplex polymerase chain reaction, human papillomavirus (HPV) by Roche Linear Array, and BV by Nugent scoring. Rates of BV (Nugent ≥7; 46.6%) and HPV (66.8%) were high in both communities. Prevalence of C. trachomatis and N. gonorrhoeae were >2-fold higher in Cape Town than Soweto (Chlamydia: 42% [62/149] versus 18% [26/148], p < 0.0001; gonorrhoea 11% [17/149] versus 5% [7/148], p = 0.05). Only 24% of adolescents with vaginal discharge-causing STIs or BV were symptomatic. In South African adolescents, clinical symptoms compatible with vaginal discharge syndrome had a sensitivity of 23% and specificity of 85% for the diagnosis of discharge-causing STI or BV. In a region with high HIV prevalence and incidence, >70% of young women with treatable conditions that could enhance HIV risk would have been missed because they lacked symptoms associated with syndromic management.

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