International Journal of STI’s and HIV/AIDS Article by HGD and U

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Claire C Bristow1
Tania Desgrottes2
Lauren Cutler2
David Cutler1
Karthika Devarajan2
Oksana Ocheretina3,4
Jean William Pape3,4
Jeffrey D Klausner1

1University of California Los Angeles, Los Angeles, USA

2Dr. Henri Gerard Desgranges Foundation, Petit Goave, Haiti

3Weill Cornell Medical College, New York, USA

4Les Centres GHESKIO, Port-au-Prince, Haiti

Claire C Bristow, UCLA Program in Global Health, David Geffen School of Medicine, 10833 Le Conte Ave., CHS 13-154, Los Angeles, CA 90095, USA. Email: ccbristow@gmail.com

Summary

Background Vaginal symptoms are a common chief complaint amongst women visiting outpatient clinics in rural Haiti.

Methods A systematic sample of 206 consecutive women over age 18 with gynecological symptoms underwent gynecologic examination and laboratory testing for chlamydia, gonorrhea, syphilis, HIV infection, trichomoniasis, candidiasis, and bacterial vaginosis.

Results Among 206 women, 174 (84%) presented with vaginal discharge, 165 (80%) with vaginal itching, 123 (60%) with vaginal pain or dysuria, and 18 (9%) with non-traumatic vaginal sores or boils. Laboratory results were positive for Chlamydia trachomatis in 5.4% (11/203), syphilis in 3.5% (7/202), HIV in 1.0% (2/200), and Neisseria gonorrhoeae in 1.0% (2/203). Among those that had microscopy, hyphae suggestive of candidiasis were visualized in 2.2% (1/45) and no cases of trichomoniasis were diagnosed 0% (0/45). Bacterial vaginosis was diagnosed in 28.3% (13/46). The prevalence of chlamydia was 4.9 (95% CI: 1.3–17.7) times greater among those 25 years of age and under (10.8%) than those older (2.3%).

Conclusions Chlamydia and bacterial vaginosis were the most common sexually transmitted infection and vaginal condition, respectively, in this study of rural Haitian adult women. The higher risk of chlamydia in younger women suggests education and screening programs in young women should be considered.

For more information: http://std.sagepub.com/content/early/2013/12/16/0956462413516300

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