Sexually Transmitted Diseases and Human Immunodeficiency Virus Infection among Women with Genital Infections in Burkina Faso

1995 ◽  
Vol 6 (4) ◽  
pp. 273-277 ◽  
Author(s):  
N Meda ◽  
S Ledru ◽  
M Fofana ◽  
S Lankoandé ◽  
G Soula ◽  
...  
Keyword(s):  
Neisseria Gonorrhoeae ◽  
Hiv Infection ◽  
Burkina Faso ◽  
Sexually Transmitted Diseases ◽  
Trichomonas Vaginalis ◽  
High Risk Group ◽  
Genital Infections ◽  
Sexually Transmitted ◽  
Immunodeficiency Virus ◽  
Bobo Dioulasso

Summary: This study reports the prevalence of sexually transmitted diseases (STDs) among gynaecological outpatients presenting at the Bobo-Dioulasso Hospital (Burkina Faso) with genital infections and examines the factors associated with HIV infection in this population. Of 245 eligible non-pregnant women, 220 consented to participate in the study. Seventy-seven per cent had sexually transmitted infections. The most common were: Trichomonas vaginalis (28%), Chlamydia trachomatis (27%), bacterial vaginosis (20%), Candida albicans (17%), Neisseria gonorrhoeae (11%). The prevalence of HIV infection was 42% (95% ci. 35.3, 48.3). Logistic regression analyses revealed Neisseria gonorrhoeae to be the only STD significantly associated with infection with HIV ( P = 0.04). A sedimentation rate greater than or equal to 100 mm in the first hour was also associated with HIV infection ( P < 0.001). Women consulting for genital infections constitute a high risk group for HIV infection and other STDs. Management of these women should focus on the early diagnosis and treatment of STDs.

scholarly journals Detection of Trichomonosis in Vaginal and Urine Specimens from Women by Culture and PCR

2000 ◽  
Vol 38 (10) ◽  
pp. 3585-3588 ◽  
Author(s):  
Lisa F. Lawing ◽  
Spencer R. Hedges ◽  
Jane R. Schwebke
Keyword(s):  
Sexually Transmitted Diseases ◽  
Sensitivity And Specificity ◽  
Trichomonas Vaginalis ◽  
Dna Amplification ◽  
Sexually Transmitted ◽  
Specific Pcr ◽  
Virus Acquisition ◽  
Immunodeficiency Virus ◽  
Culture Positive ◽  
Urine Specimens

Vaginal trichomonosis is a highly prevalent infection which has been associated with human immunodeficiency virus acquisition and preterm birth. Culture is the current “gold standard” for diagnosis. As urine-based testing using DNA amplification techniques becomes more widely used for other sexually transmitted diseases (STDs) such as gonorrhea and chlamydia, a similar technique for trichomonosis would be highly desirable. Women attending an STD clinic for a new complaint were screened for Trichomonas vaginalis by wet-preparation (wet-prep) microscopy and culture and for the presence of T. vaginalis DNA by specific PCR of vaginal and urine specimens. The presence of trichomonosis was defined as the detection of T. vaginalis by direct microscopy and/or culture from either vaginal samples or urine. The overall prevalence of trichomonosis in the population was 28% (53 of 190). The sensitivity and specificity of PCR using vaginal samples were 89 and 97%, respectively. Seventy-four percent (38 of 51) of women who had a vaginal wet prep or vaginal culture positive for trichomonads had microscopic and/or culture evidence of the organisms in the urine. Two women were positive for trichomonads by wet prep or culture only in the urine. The sensitivity and specificity of PCR using urine specimens were 64 and 100%, respectively. These results indicate that the exclusive use of urine-based detection of T. vaginalis is not appropriate in women. PCR-based detection of T. vaginalis using vaginal specimens may provide an alternative to culture.

Nosocomial Transmission of HIV in Africa: What Tribute Is Paid to Contaminated Blood Transfusions and Medical Injections?

1988 ◽  
Vol 9 (5) ◽  
pp. 200-203 ◽  
Author(s):  
Philippe Lepage ◽  
Philippe Van de Perre
Keyword(s):  
Hiv Infection ◽  
Sexually Transmitted Diseases ◽  
Central Africa ◽  
Published Data ◽  
Blood Transfusions ◽  
African Countries ◽  
Sexually Transmitted ◽  
Immunodeficiency Virus ◽  
Contaminated Blood ◽  
Hiv Seropositive

AbstractWe reviewed the published data on the possible impact of medical injections and blood transfusions on the spread of human immunodeficiency virus (HIV) in Africa. We also compared these results to our experience in Rwanda, central Africa. The importance of medical injections in the epidemic of HIV infection seems to differ from one area to another. The excess of injections experienced by HIV seropositive subjects in Zaire could be secondary to the parenteral treatment of early HIV-related illness or to the treatment of sexually transmitted diseases, rather than being the cause of HIV infection, as suggested by Rwandese studies. In contrast, blood transfusions have been shown to represent an important source of nosocomial HIV infection in many African countries. Effective and relatively inexpensive measures to diminish the iatrogenic spread of HIV infection in developing countries are summarized.

scholarly journals Prevalence of sexually transmitted diseases among men from infertile couples

2018 ◽  
Vol 8 (2) ◽  
pp. 30-35 ◽  
Author(s):  
Igor A Korneyev ◽  
Ruslan D Zasseev ◽  
Ilja G Shevchuk ◽  
Angelina A Pelipejchenko
Keyword(s):  
Hepatitis B ◽  
Sexually Transmitted Diseases ◽  
Medical Records ◽  
Trichomonas Vaginalis ◽  
Human Herpesvirus ◽  
Prevalence Data ◽  
Sexually Transmitted ◽  
Immunodeficiency Virus ◽  
Infertile Couples ◽  
The Relationship

Introduction. Sexually transmitted diseases (STDs) can potentially disrupt male fertility; however, the prevalence data for STDs among men from infertile couples is controversial. Aim. The aim of the study was to estimate the prevalence of STDs among men from infertile couples seeking medical assistance in an assisted reproductive technology clinic. Materials and methods. We retrospectively studied the medical records of 307 men (mean age: 35 ± 15 years) consecutively attending an outpatient reproductive clinic for infertility treatment. Duration of the infertile period varied from 4 to 228 months (mean: 38 ± 12 months). We collected urethral swab specimen to investigate the presence of Neisseria gonorrhoeae, Trichomonas vaginalis, Chlamydia trachomatis, Mycoplasma, and Ureaplasma species in 235 (76.5%), 232 (75.6%), 270 (87.9%), 301 (98.1%), and 300 (97.7%) men, respectively. Blood tests for syphilis, hepatitis B and C, human immunodeficiency virus (HIV), human herpesvirus (HHV), and cytomegalovirus (CMV) were conducted in 229 (74.6%), 224 (73%), 227 (73.9%), 230 (74.9%), 233(75.9%), and 232 (75.6%) men, respectively, and statistical analysis of the data was performed. Results. Remarkably, all tests were negative in 94 (30.6%) men, and no patient had T. vaginalis or C. trachomatis infection. However, N. gonorrhoeae, Mycoplasma, and Ureaplasma were detected in 1 (0.4%), 6 (2.6%), and 14 (4.7%) men, respectively. Syphilis, hepatitis B and C, HIV, HSV, and CMV tests were positive in 1 (0.4%), 2 (0.9%), 6 (2.6%), 1(0.4%), 177 (76%), and 133 (57%) men, respectively. Conclusions. The prevalence of STDs is high among men from infertile couples. Further studies are warranted to investigate the relationship between STDs and male infertility. (For citation: Korneyev IA, Zasseev RD, Shevchuk IG, Pelipejchenko AA. Prevalence of sexually transmitted diseases among men from infertile couples. Urologicheskie vedomosti. 2018;8(2):30-35. doi: 10.17816/uroved8230-35).

scholarly journals A study on antimicrobial sensitivity pattern in Neisseria gonorrhoeae in a tertiary care hospital

2017 ◽  
Vol 5 (9) ◽  
pp. 3960 ◽  
Author(s):  
V. N. S. Ahamed Shariff ◽  
L. Balamurugan
Keyword(s):  
Neisseria Gonorrhoeae ◽  
Hiv Infection ◽  
Sexually Transmitted Infections ◽  
Sexually Transmitted Diseases ◽  
Antibiotic Sensitivity ◽  
Diffusion Method ◽  
Care Hospital ◽  
Sensitivity Testing ◽  
Sexually Transmitted ◽  
Culture Positive

Background: Sexually transmitted diseases are prevalent throughout the world. Sexually transmitted diseases (STD) play a major role in the transmission of HIV infection. The risk of acquiring HIV infection in non-ulcerative STD is 3 to 5 times more than that in persons without any sexually transmitted infections. One of the main non-ulcerative STD is gonorrhoea. The relative incidence of gonococcal infections is about 10 to 13% of total sexually transmitted infections in STD clinics. Aims and objectives was to identify gonococcal infection in patients attending the STD clinic and associated sexually transmitted infections and to study the antimicrobial susceptibility of gonococcus and to modify the disease intervention strategies.Methods: A retrospective study was conducted in our institute of venereology, government general hospital and madras medical college, Chennai-03, Tamil Nadu, India. 43 patients with gram stained smear or culture positive for gonococcus who attended the institute from February 2013 to September 2014 were taken into the study. All the details were collected from the case records of the patients. The antibiotic sensitivity testing in N. gonorrhoeae had been done by Kirby-Bauer disc diffusion method. Screening for other sexually transmitted diseases had been done and were treated according to the institute guidelines.Results: Specimens from 43 patients (40 male, 3 females) had been collected. 40 specimens were found to be culture positive. Antibiotic sensitivity tests were carried out on those 40 isolates of Neisseria gonorrhoeae obtained in pure culture. 70% of isolates were resistant to penicillin and 30% were less sensitive to it. 52.5% of the isolates were PPNG. 57.5% of isolates were resistant to ciprofloxacin and 42.5% were less sensitive to it. 7.5% were resistant to ceftriaxone, 12.5% were resistant to cefixime and 15% were resistant to spectinomycin. All the isolates were sensitive to Azithromycin. Three male patients had HIV (6.9%), three had syphilis and one had genital wart. One female patient had trichomoniasis.Conclusions: The results of the study indicate that multidrug resistant Neisseria gonorrhoeae is prevalent in this region. Associated STDs must be investigated to prevent the transmission of HIV and further complications. The need for establishing a national surveillance programme for antibiotic resistance becomes clear with this study.

Patterns of Risk Behaviour for Patients with Sexually Transmitted Diseases and Surveillance for Human Immunodeficiency Virus in Kuala Lumpur, Malaysia

1994 ◽  
Vol 5 (2) ◽  
pp. 124-129 ◽  
Author(s):  
Munn Sann Lye ◽  
Chris Archibald ◽  
Azizan Aiyub Ghazali ◽  
Bin Tik Low ◽  
Boon Hooi Teoh ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Hiv Infection ◽  
Sexually Transmitted Diseases ◽  
The Philippines ◽  
Type I ◽  
Sex Partners ◽  
Risk Behaviours ◽  
Kuala Lumpur ◽  
Sexually Transmitted ◽  
Immunodeficiency Virus

A study was conducted to determine the feasibility of establishing a sentinel human immunodeficiency virus (HIV) surveillance system involving patients with sexually transmitted diseases attending private clinics and a government sexually transmitted disease clinic in Kuala Lumpur, Malaysia. Information on risk behaviours for HIV infection were also collected. A total of 84 female and 91 male patients were interviewed and tested for HIV infection; 41.7% of the women reported working as prostitutes, other occupations included masseuses, hairdressers, waitresses, salesgirls, receptionists, factory workers, and others. The most common diagnosis was gonorrhoea. Other diagnoses included non-specific genital infection, pelvic inflammatory disease, genital herpes and syphilis. 58.3% of the women had a hundred or more sex partners during the previous month; 99% had 6 or more sex partners. Only 4.8% of female patients had their male partners using condoms most of the time, 11.9% hardly used condoms at all. Of the males, 93.3% were heterosexual, while 6.7% were bisexuals, 41.1% had between 6–20 different partners in the previous year. 78.0% of them had prostitutes as their sex partners most of the time. 41.8% had experiences in Thailand and the Philippines. 73.6% never used condoms, while 19.8% only used condoms rarely. Although all patients were tested negative for HIV antibodies, lot quality assurance sampling methods indicate that the upper limits of prevalences for females and males were 3.5% and 3.3% respectively, at a 5% type I error. The study has shown that it is feasible to carry out a sentinel surveillance programme among STD patients and provided useful baseline data for future comparisons. The high prevalence of risk behaviours among STD patients is alarming and underscores the urgency of multiagency cooperation and aggressive health education and behaviour change programmes to combat the growing problem of HIV infection in the country.

scholarly journals Sexually Transmitted Diseases Preventive Behavior Among Female Sex Workers

2018 ◽  
Vol 2 (2) ◽  
pp. 148
Author(s):  
Dwi Retnaningsih ◽  
MY Martini ◽  
Windyastuti Windyastuti
Keyword(s):  
Sexually Transmitted Diseases ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Risk Group ◽  
High Risk Group ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Immunodeficiency Virus ◽  
Preventive Behaviour ◽  
Group Population

Introduction: Sex workers and their customers are the high-risk group population that potentially transmitting sexually transmitted diseases including Human Immunodeficiency Virus (HIV). This research aims to describe the preventive behaviour of female sex workers in preventing transmission of STDs and HIV in Gambilangu Semarang Localization. Methods: This research was qualitative study, The 5 participants of this study were female sex workers who still active in Localization within the period of 2016-2017. Results: The behavior of female sex workers on the prevention of STDs and HIV, were identified as: all participants always offered condoms to clients before sexual transactions, all the participants negotiated the clients to use condom before having sexual intercourse, all participants rejected firmly to have sex with the client suspected having  STDs yet reluctant to use condoms, most participants washed  the vagina using betel soap, consuming herbs and antibiotics without a medical prescription that they believed it could prevent STDs.

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