Journal
INTERNATIONAL JOURNAL OF STD & AIDS
Volume 19, Issue 12, Pages 824-832Publisher
ROYAL SOC MEDICINE PRESS LTD
DOI: 10.1258/ijsa.2008.008067
Keywords
sexually transmitted infections; genital tract infections; pregnant women; human immunodeficiency virus; Africa
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Funding
- FIC NIH HHS [D43TW01035-07, D43 TW001035] Funding Source: Medline
- NIAID NIH HHS [U01-AI-048005, N01-AI-045200, N01 AI045200, N01 AI035173, N01-AI-035173, U01 AI047972, U01-AI-047972, U01 AI048005, N01-AI-035173-117/412, U01 AI048006, U01-AI-048006] Funding Source: Medline
- NIDDK NIH HHS [P30 DK040561, P30 DK040561-13] Funding Source: Medline
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The aim of this study was to compare the prevalence and factors associated with genital tract infections among HIV-infected pregnant women from African sites. Participants were recruited from Blantyre and Lilongwe, Malawi; Dar es Salaam, Tanzania; and Lusaka, Zambia. Genital tract infections were assessed at baseline. Of 2627 eligible women enrolled, 2292 were HIV-infected. Of these, 47.8% had bacterial vaginosis (BV), 22.4% had vaginal candidiasis, 18.8% had trichomoniasis, 8.5% had genital warts, 2.6% had chlamydia infection, 2.2% had genital ulcers and 1.7% had gonorrhoea. The main factors associated with genital tract infections included genital warts (adjusted odds ratio [AOR] 1.8, 95% CI 1.2-2.7), genital ulcers (AOR 2.4, 95% CI 1.2-5.1) and abnormal vaginal discharge (AOR 2.5, 95% CI 1.9-3.3) for trichomoniasis. BV was the most common genital tract infection followed by candidiasis and trichomoniasis. Differences in burdens and risk factors call for enhanced interventions for identification of genital tract infections among HIV-infected women.
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