RESULTS OF LOWER GENITAL TRACT INFECTION INTERVENTION AMONG KHMER WOMEN OF CHILDBEARING AGE IN CAN THO IN 2016

2018 ◽  
pp. 83-89
Author(s):  
Trung Thuan Phan ◽  
Dinh Binh Tran ◽  
Thanh Hue Dinh ◽  
Phong Son Dinh ◽  
Kieu Oanh Truong ◽  
...  

Objectives: To find a model that is effective intervention to reduce the incidence of lower genital tract infections in Khmer women. Subjects and Methods: The intervention study is carried which compared the test group with the control group of 400 Khmer women, aged 15 to 49 in Can Tho city. Results: The common knowledge of the prevention of lower genital tract infections in the intervention group increased from 30.9% in the control group to 54.5% in the intervention group. The general attitude toward the use of lower genital tract infections increased from 22.3% in the control group to 78.0% in the intervention group. This is a very significant improvement. The prevalence of subclinical infection of the intervention group (26.0%) was significantly lower than that of the control group (39.3%), the difference was statistically significant. Conclusion: Intervention effectiveness is good in both knowledge, attitudes and practices, especially the effectiveness of interventions in practice in Khmer women. Key words: Effective intervention, lower genital tract infections, Khmer women, Can Tho city

Author(s):  
Jaishree Bamniya ◽  
Pooja Singh ◽  
Anuradha Deora ◽  
Mili Markan ◽  
Himanshu Shah

Background: The aim and objectives of the study was to determine the prevalence of lower genital tract infection (LGTI) with Candida spp, Trichomonas vaginalis, Neisseria gonorrhoeae, Chlamydia trachomatis, and bacterial vaginosis among symptomatic and asymptomatic women HIV seropositive females and control group attending gynec clinic.Methods: This cross-sectional descriptive study stratified by reported symptoms of vaginal discharge was carried out at STD Clinic, Zenana Hospital with approval from Hospital Ethics Committee and informed written consent from patients. 50 HIV seropositive women and 50 control patients were included in the study. All the patients under study were subjected to Grams staining of the vaginal smear, Pap smear and Colposcopy. HPV DNA testing was done in all HIV positive patients in control group only patients showing dyskaryotic changes on cytology were subjected to colposcopy. All HIV seropositive women were subjected to additional tests of CD 4 and CD 8 cell counts. Results: Prevalence of lower genital tract infections was high in HIV positive women (36%) as compared to HIV negative group (24%). Prevalence was significantly higher in HIV positive patients with CD 4 cell count less than 200 per microlitre that is 77.77 % with P value (0.007) which is highly significant statistically. More prevalence of Herpes (38%) Candidiasis (28%), Trichomoniasis (28%), followed by HPV (22%) and Chlamydia (8%). In control group, bacterial vaginosis is most common with co-infection with trichomoniasis.Conclusions: In lower genital tract infections, vaginal eco-system is altered. It increases risk of infection by opportunistic pathogens when the host defences became impaired. HIV positive females showed more prevalence of Herpes (38%) Candidiasis (28%), Trichomoniasis (28%), followed by HPV (22%) and Chlamydia (8%). In control group patients with bacterial vaginosis was most common along with co-infection with trichomoniasis. HIV positive females have more dyskaryotic changes on colposcopy especially in patients with HPV positive. So HPV test should be mandatory in HIV patients to diagnose Carcinoma cervix at its initial stages.


2021 ◽  
Vol 30 (9) ◽  
pp. 99-104
Author(s):  
Tran Dinh Binh ◽  
Phan Trung Thuan ◽  
Tran Khanh Toan ◽  
Tran Thanh Loan

This study aims to estimate the prevalence of Lower Genital Tract Infections (LGTIs) and its related factors among Khmer women of reproductive age in Can Tho City, Vietnam. A community-based, cross-sectional survey was conducted among 830 Khmer women of reproductive age in Can Tho City. The results of the study showed that 57.5% of the surveyed subjects have LGTIs including clinical forms such as cervicitis, vaginitis and vulvitis, among which cervical abnormalities account for a large part (58.9%). The rate of cervicitis among Khmer women living in rural areas was highest at 84.0%. The prevalence of LGTIs was highest in the above 41-aged group (70.5%). Farmers were the occupational group with the highest rate of LGTIs of 68.9%. In conclusions, 477 out of 830 Khmer women, or 57.5%, were diagnosed with lower genital tract infections. There was a statistically signifcant association between the prevalence of LGTIs and age, residence, and Khmer women’s occupation.


2019 ◽  
Vol 59 (1) ◽  
Author(s):  
Gabriela R. V. Ferreira ◽  
Renato B. Tomioka ◽  
Ligia B. Queiroz ◽  
Katia Kozu ◽  
Nadia E. Aikawa ◽  
...  

Abstract Background To evaluate human papillomavirus (HPV), Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) infections in juvenile idiopathic arthritis (JIA) patients. Methods After exclusion, 33 female adolescent and young JIA patients (ILAR criteria) and 28 healthy controls were selected for this study. Demographic data, gynecological, sexual function, cervical cytology and histological abnormalities were evaluated. JIA clinical/laboratorial parameters and treatment were also assessed. HPV-DNA, CT-DNA and NG-DNA testing in cervical specimens were performed by Hybrid Capture 2 assays. Results The mean current age was similar in JIA patients and controls (23.3 ± 6.24 vs. 26.1 ± 6.03 years, p = 0.09). The frequencies of sexual intercourse (76% vs. 89%, p = 0.201) and abnormal cervical cytology (24% vs. 11%, p = 0.201) were similar in JIA compared to controls. The higher frequency of HPV infection in JIA patients than controls (30% vs. 11%, p = 0.155) did not reach statistical significance. CT (0% vs. 7%, p = 0.207) and NG infections (0% vs. 4%, p = 0.459) were also alike in both groups. Further evaluation of JIA patients with abnormal and normal cervical cytology showed that the former group had a higher frequency of HPV infection (87% vs. 12%, p = 0.0002) with a low frequency of HPV vaccination (0% vs. 8%, p = 1.0). No differences were evidenced between these two JIA groups regarding demographic data, sexual function and clinical/laboratorial parameters. The frequencies of methotrexate (p = 0.206) and biological agent use (p = 0.238) were similar in both JIA groups. Conclusions To our knowledge, this was the first study to assess lower genital infections in JIA patients allowing the identification of HPV as main cause of cervical dysplasia. Methotrexate and biological agents do not seem to increase risk of lower genital tract infections in JIA patients.


2011 ◽  
Vol 61 (3) ◽  
pp. 704-714 ◽  
Author(s):  
Zongxin Ling ◽  
Xia Liu ◽  
Xiaoyi Chen ◽  
Haibin Zhu ◽  
Karen E. Nelson ◽  
...  

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