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南非林波波省雷塔比勒诊所无症状女性中的性传播病原体

Sexually transmitted pathogens in asymptomatic women at Rethabile clinic, Limpopo, South Africa.

作者信息

Mukavhanyedzi Dembe, Rukasha Ivy

机构信息

Department of Pathology, Faculty of Health Sciences, School of Medicine, University of Limpopo, Polokwane, South Africa.

Department of Microbiology, National Health Laboratory Service, Polokwane, South Africa.

出版信息

S Afr J Infect Dis. 2024 Nov 27;39(1):618. doi: 10.4102/sajid.v39i1.618. eCollection 2024.

Abstract

BACKGROUND

Health care for sexually transmitted infections (STIs) is often inadequate, especially for women, because of the asymptomatic nature of many STIs, which can lead to a false sense of health. Thus, there is limited data on the prevalence of STIs in pregnant women in low and middle-income countries.

OBJECTIVES

The study aimed to determine the prevalence of STIs in asymptomatic pregnant women attending antenatal Rethabile Community Health Centre, Limpopo, South Africa.

METHOD

A cross-sectional analysis of asymptomatic pregnant women at Rethabile Community Health Centre between March 2023 and November 2023 was conducted to determine the prevalence of seven STIs, detected from self-collected vaginal swab specimens using HAIN fluoroType STI-multiplex Polymerase Chain Reaction (PCR) test for nine targets covering seven major STIs.

RESULTS

The study found that was the most prevalent pathogen (43%) followed by (41%), and (10%). The less common pathogens detected were (5%) and (2%).

CONCLUSION

High STI prevalence among asymptomatic pregnant women at Rethabile Community Health Centre necessitates diagnostic screening over syndromic management because of a lack of reporting for symptoms.

CONTRIBUTION

The paper examines the epidemiology of STIs in Limpopo, South Africa, focusing on healthy, asymptomatic populations. It emphasises the need for laboratory screening, particularly in pregnant women, over empiric treatment because of high chances of missing infections.

摘要

背景

性传播感染(STIs)的医疗保健往往不足,尤其是对女性而言,因为许多性传播感染具有无症状性,这可能导致一种健康的错觉。因此,关于低收入和中等收入国家孕妇中性传播感染患病率的数据有限。

目的

本研究旨在确定在南非林波波省勒塔比勒社区卫生中心接受产前检查的无症状孕妇中性传播感染的患病率。

方法

对2023年3月至2023年11月期间在勒塔比勒社区卫生中心的无症状孕妇进行横断面分析,以确定七种性传播感染的患病率,这些感染是通过使用针对九个靶点的HAIN fluoroType STI多重聚合酶链反应(PCR)检测从自我采集的阴道拭子标本中检测出来的,该检测覆盖七种主要性传播感染。

结果

研究发现, 是最常见的病原体(43%),其次是 (41%)和 (10%)。检测到的较不常见的病原体是 (5%)和 (2%)。

结论

由于无症状孕妇没有症状报告,勒塔比勒社区卫生中心无症状孕妇中性传播感染的高患病率使得诊断性筛查比症状管理更为必要。

贡献

本文研究了南非林波波省性传播感染的流行病学,重点关注健康、无症状人群。它强调了实验室筛查的必要性,特别是对孕妇,因为漏诊感染的可能性很高,所以应进行实验室筛查而非经验性治疗。

需注意,原文中部分病原体名称未完整给出,翻译时保留了原文格式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e6c/11622116/26caafafa218/SAJID-39-618-g001.jpg

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