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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Prevalence of sexually transmitted infections in HIV-1 infected pregnant women in Europe
European Journal of Epidemiology, Volume 22, No. 12, Year 2007
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Description
We investigated prevalence of sexually transmitted infections (STI) in a cohort of HIV-1-infected pregnant women and described factors associated with STI diagnosis, as a nested study within the European Collaborative Study (ECS). The ECS is a cohort study in which HIV-infected pregnant women are enrolled and their children followed from birth, according to standard clinical and laboratory protocols. Information on STIs diagnosed during pregnancy was collected retrospectively from the antenatal records of women enrolling between January 1999 and October 2005; other variables were obtained from the ECS prospective database. A total of 1,050 women were included: 530 in Western Europe and 520 in Ukraine. Syphilis was the most common bacterial STI (2% prevalence, 95% CI 1.2-3.0). Prevalence of HPV-related genital lesions was 8.6% (95%CI 6.9-10.4) and prevalence of Trichomonas vaginalis was 12.1% (95%CI 10.2-14.2). Women in Ukraine (AOR 10.7, 95%CI 3.7-30.5), single women (AOR 3.9, 95%CI 1.2-12.7), sexual partners of injecting drug users (AOR 3.8, 95%CI 1.4-10.4) and women with CD4 counts <200 cells/mm3 (AOR 5.4, 95%CI 1.0-28.1) were at increased risk of diagnosis with Chlamydia trachomatis, syphilis or Trichomonas vaginalis. African origin (AOR 1.9, 95%CI 1.1-3.3) and CD4 count <200 cells/mm3 (AOR 3.4, 95%CI 1.5-7.8) were associated with HSV-2 and/or HPV-related genital lesions. Antenatal screening should be considered an effective tool for diagnosis, treatment and prevention of further transmission of STIs. HIV-infected women should receive adequate screening for STIs during pregnancy together with appropriate counseling and follow-up for treatment and prevention. © 2007 Springer Science+Business Media B.V.
Authors & Co-Authors
Landes, Megan
Canada, Toronto
University of Toronto
Thorne, Claire N.
United Kingdom, London
University College London
Barlow, Patricia
Belgium, Brussels
Centre Hospitalier Universitaire Saint Pierre, Brussels
Fiore, Simona
United Kingdom, London
University College London
Italy, Milan
Università Degli Studi Di Milano
Malyuta, Ruslan
Ukraine, Odessa
Perinatal Prevention of Aids Initiative, Odessa
Martinelli, Pasquale
Italy, Naples
Università Degli Studi Di Napoli Federico Ii
Posokhova, Svetlana
Ukraine, Odessa
Odessa Regional Radio-broadcasting Center
Savasi, Valeria Maria
Italy, Milan
Università Degli Studi Di Milano
Semenenko, Igor
Ukraine, Odessa
Perinatal Prevention of Aids Initiative, Odessa
Stelmah, Andrej
Ukraine, Simferopol
Crimean Republican Aids Center
Tibaldi, Cecilia
Italy, Turin
Azienda Ospedaliera - Universitaria Città Della Salute e Della Scienza Di Torino
Newell, Marie Louise
United Kingdom, London
University College London
Statistics
Citations: 24
Authors: 12
Affiliations: 9
Identifiers
Doi:
10.1007/s10654-007-9188-0
ISSN:
15737284
Research Areas
Cancer
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative
Participants Gender
Female