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Epidemiology of Sexually Transmitted Infections in Rural Southwestern Haiti: The GrandAnse Womens Health Study

机译:海地西南部农村地区性传播感染的流行病学:GrandAnse妇女健康研究

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摘要

The study attempts to define socioeconomic, clinical, and laboratory correlates in vaginitis and other sexually transmitted infections in rural southwestern Haiti. A convenience sample of subjects recruited from a rural women's health clinic and attending an established clinic at the Haitian Health Foundation (HHF) clinic was studied. A standardized history and physical examination, including speculum examination, and collection of blood, urine, and vaginal swabs were obtained from the women at the rural clinic. Additional vaginal swab samples only for Nucleic Acid Amplification Test (NAAT) testing were obtained from women at the HHF clinic in Jérémie. Laboratory results from Leon subjects were positive for Gardnerella vaginalis in 41% (41 of 100), Trichomonas vaginalis in 13.5% (14 of 104), Candida sp. in 9% (9 of 100), Mycoplasma genitalium in 6.7% (7 of 104), Chlamydia trachomatis in 1.9% (2 of 104), and Neisseria gonorrhea in 1% (1 of 104) of patients. Human immunodeficiency virus (HIV) antibody tests were negative in 100% (103 of 103) of patients, and syphilis antibody testing was positive for treponemal antibodies in 7.7% (8 of 104) patients. For subjects from the HHF, 19.9% were positive for T. vaginalis, 11.9% were positive for C. trachomatis, 10.1% were positive for M. genitalium, and 4.1% were positive for N. gonorrhea. Infections with G. vaginalis, T. vaginalis, and Candida were the most common. N. gonorrhea, C. trachomatis, Candida sp., T. vaginalis, and M. genitalium infections were associated with younger age (less than 31 years old).
机译:该研究试图确定海地西南部农村地区阴道炎和其他性传播感染的社会经济,临床和实验室相关性。研究对象是从农村妇女健康诊所招募并参加海地健康基金会(HHF)诊所建立的诊所的便利样本。从农村诊所的妇女那里获得了标准化的病史和体格检查,包括窥镜检查以及血液,尿液和阴道拭子的采集。在耶利米市的HHF诊所从妇女那里获得了仅用于核酸扩增测试(NAAT)测试的其他阴道拭子样本。莱昂受试者的化验结果显示,阴道加德纳菌阳性率为41%(100分之41),阴道滴虫为13.5%(104分之14),念珠菌属阳性。在9%(100人中有9人),生殖器支原体在6.7%(104人中有7人),沙眼衣原体在1.9%(104人中有2人)和淋病奈瑟氏球菌在1%(104人中有1人)中。人类免疫缺陷病毒(HIV)抗体测试在100%(103名中的103名)患者中呈阴性,梅毒抗体测试在7.7%(104名中的8名)患者中的甲状旁腺抗体呈阳性。对于HHF受试者,阴道弯曲杆菌阳性率为19.9%,沙眼衣原体阳性率为11.9%,生殖器支原体阳性为10.1%,淋病奈瑟氏菌阳性为4.1%。阴道G.,阴道T.和念珠菌感染最为常见。淋病奈瑟氏球菌,沙眼衣原体,念珠菌,阴道丁酸杆菌和生殖器支原体感染与年龄较小(小于31岁)有关。

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