scholarly journals Female reproductive tract health: prevalence and risk factors associated with infections in Lomé. (Female reproductive tract infections in Lomé)

2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Gnatoulma Katawa ◽  
Christèle Nguepou Tchopba ◽  
Manuel Ritter ◽  
Malik da Silva ◽  
Adjoa H Ameyapoh ◽  
...  
Author(s):  
Padmalaya Das ◽  
Danielle Lisnek ◽  
Krushna Chandra Sahoo ◽  
Shalini Sinha ◽  
JyotiRanjan Mohanty ◽  
...  

A large proportion of women in Odisha, India, use reusable absorbents to manage their menstruation. Yet, the risk factors for lower reproductive tract infections (RTIs) related to menstrual hygiene management (MHM) have not been studied among reusable absorbent users. Women of reproductive age attending one of two hospitals from two different cities in Odisha during two separate study intervals were recruited for the study. Laboratory diagnosis of bacterial vaginosis (BV) and vulvovaginal candidiasis (VVC) were conducted. A questionnaire was used to collect information on MHM practices, water, sanitation, and socio-demographic factors. Among the 509 women who used reusable absorbents, 71.7% were diagnosed with at least one infection. After adjusting for confounders, women with BV were more likely to identify as being a housewife (aOR: 1.8 (1.1–2.9)). Frequent absorbent changing was protective against BV (aOR: 0.5 (0.3–0.8)), whereas frequent body washing increased the odds of BV (aOR: 1.5 (1.0–2.2)). Women with VVC were more likely to be older (aOR: 1.6 (1.0–2.5)), live below the poverty line (aOR: 1.5 (1.1–2.2)), have a non-private household latrine (aOR: 2.2 (1.3–4.0)), dry their absorbents inside the house (aOR: 3.7 (2.5–4.5)), and store absorbents in the latrine area (aOR: 2.0 (1.3–2.9)). Washing absorbents outside the house was protective against VVC (aOR: 0.7 (0.4–1.0)). This study highlights the importance of improving MHM practices among reusable absorbent users to prevent lower RTIs among women reusing menstrual materials in Odisha.


2019 ◽  
Vol 12 ◽  
pp. 117863371985182 ◽  
Author(s):  
Mohamed Diadhiou ◽  
Awa Ba Diallo ◽  
Mamadou Saidou Barry ◽  
Serge Covi Alavo ◽  
Ibrahima Mall ◽  
...  

Background: Lower reproductive tract infections in women are important causes of morbidity but can also lead to complications and sequelae. This study aimed to establish the prevalence and risk factors of lower genital tract infections among women of reproductive age in Dakar (Senegal). Methods: This was a prospective study conducted in 6 maternity hospitals from July to November 2015. Participants ranged in age from 18 to 49 years and presented at health facilities with signs and symptoms of genital infection. Consenting individuals who met the inclusion criteria were recruited for the study. Results: During the reporting period, 276 patients were enrolled. According to the laboratory results, the prevalence of any genital infection was 69.6% (192 of 276). The most common vaginal infections were bacterial vaginosis (39.5%) and vaginal candidiasis (29%), with the third most common cause, trichomoniasis, trailing behind in terms of prevalence (2.5%). Among the microorganisms responsible for cervical infections, Ureaplasma urealyticum was the most frequent (27.5%), followed by Mycoplasma hominis (14.5%), Chlamydia trachomatis (4.7%), and Neisseria gonorrhoeae (1.1%). Multivariate analysis showed that young women and women with low levels of education were at increased risk for vaginal/cervical infections. Conclusions: This study revealed a high prevalence of bacterial vaginosis and vaginal candidiasis and suggests that health care providers should increase awareness and communication to improve vaginal hygiene practices. If infection with Trichomonas vaginalis, C trachomatis or N gonorrhoeae is suspected, we also recommend systematically performing laboratory diagnostic confirmation.


Sexual Health ◽  
2013 ◽  
Vol 10 (4) ◽  
pp. 311 ◽  
Author(s):  
Najmeh Maharlouei ◽  
Esmat Barooti ◽  
Farkhondeh Sharif ◽  
Hamed Hosseini ◽  
Kamran B. Lankarani

Background Reproductive tract infections are among the most prevalent gynaecological health concerns. The present study aimed to determine the prevalence and risk factors of reproductive tract infections among a defined population of Iranian women. Methods: A cross-sectional study was performed in Shiraz, Southern Iran, from 2007 to 2009. The study subjects were 28 484 vulnerable household women who were covered by the Imam Khomeini Relief Foundation insurance scheme. All the participants underwent vaginal speculum examinations and swab sampling. Vaginal discharge was collected for Gram staining, potassium hydroxide mount, wet mount and in a transport medium for culture and sensitivity testing. The frequency of reproductive tract infections and their risk factors were determined. Results: The mean age of the 28 484 women who participated in the study was 48.7 ± 10.1 (range: 13–104) years. According to the results, 13 472 (47.3%) subjects had reproductive tract infections. Moreover, vulvovaginal candidiasis was the most common infection in our population, accounting for 4718 subjects (16.6%), followed by trichomoniasis (11.2%) and bacterial vaginosis (10.6%). Furthermore, the number of pregnancies, being married and low educational levels (illiterate and under diploma level) were the risk factors for these infections, whereas the use of oral contraceptives and being employed were the protective factors. Conclusion: Almost half of the vulnerable Iranian women suffer from reproductive tract infections, with candidiasis and trichomoniasis being the most prevalent types. Based on the high prevalence of these infections, appropriate and precise screening programs should be taken into consideration for this specific population.


2019 ◽  
Vol 51 (8) ◽  
pp. 390-399 ◽  
Author(s):  
Babiche A. Heil ◽  
Dale L. Paccamonti ◽  
Jenny L. Sones

Since the discovery of the microbiome in humans, it has been studied in many mammalian species. Different microbiological communities with variable richness and diversity have been found among these species in distinct areas of the reproductive tract. Human studies have shown that the composition of the microbiome is dependent on body site and several host-related factors. Furthermore, specific phyla have been identified among the different species and within distinct areas of the female reproductive tract, but a “core” microbiome of the female reproductive tract has not been defined in any species. Moreover, the function of the microbiome in the reproductive tract is not yet fully understood. However, it has been suggested that a change in diversity of the microbiome and the presence or absence of specific microbial species might be useful indicators of pregnancy outcomes. Increased comprehensive knowledge of the microbiological communities in the female reproductive tract is needed since adverse outcomes represent a significant problem to many species, including livestock, exotic or endangered species, and humans. To the authors’ knowledge, a review combining current female reproductive tract microbiome data among different mammalian species has not been published yet. Herein is a comprehensive review of what is known in the field of the female reproductive microbiome and how it correlates with reproductive success or failure in mammals. Further studies may lead to optimization of therapies in the treatment of reproductive tract infections and pregnancy failure, and may create opportunities for novel approaches for improving reproductive efficiency in animals and people.


2005 ◽  
Vol 15 (5) ◽  
pp. 163-172 ◽  
Author(s):  
Aya Goto ◽  
Quang Vinh Nguyen ◽  
Nghiem Minh Pham ◽  
Kumiko Kato ◽  
Thi Phi Nga Cao ◽  
...  

2017 ◽  
Vol 6 (1) ◽  
pp. 24 ◽  
Author(s):  
Abrori Abrori ◽  
Andri Dwi Hernawan ◽  
Ermulyadi Ermulyadi

Vaginal discharge is one of reproductive tract infections that commonly occure among teenage girls. It actually does not need a treatment, but its impact will lead to infertility and cervical cancer. The aim of this study was to determine factors associated with the occurrence of pathologic vaginal discharge among high school girls in Kayong Utara Regency. This study was an analytical obervational research with cross sectional approach. Sampling technique used was simple random sampling. Sample size were 59 respondents. Data were collected by interview using questionnaire. Data analysis was done by chi square test. Results showed that there were significant association between knowledge of vulva hygiene (p=0.036), vaginal cleaning motion (p=0.025), use of vaginal cleanser (p=0.002), tight underwear (p=0.007), and use of public toilets (p=0.021) with pathologic vaginal discharge. There were no significant association between obesity and pathologic vaginal discharge (p=0.587). Factors associated with pathological vaginal discharge were knowledge of vulva hygiene, vaginal cleaning motion, use of vaginal cleanser, use of tight underwear, and use of public toilets.


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