Vaginal infections in pregnant women in Jamaica: prevalence and risk factors.
Int J STD AIDS
; 11(8): 516-20, 2000 Aug.
Article
en En
| MEDLINE
| ID: mdl-10990336
ABSTRACT
Trichomoniasis, bacterial vaginosis (BV) and candidiasis are reproductive tract infections (RTIs) of the vagina. We conducted a cross-sectional study in 4 prenatal clinics in Kingston, Jamaica, to estimate the prevalence of these infections and the risk factors that may facilitate their transmission among pregnant women. Of the 269 women studied, 18.0% had culture-positive trichomoniasis, 44.1% had BV (Nugent score > or = 7) and 30.7% were positive for candidiasis by wet mount. A multiple logistic regression analysis showed that having a malodorous discharge was associated with trichomoniasis (odd ratios [OR]=3.9, confidence intervals [CI]=1.04-14.7) and BV (OR=3.4, CI=1.3-8.7). Women who took action to prevent HIV infection had lower BV prevalence (OR=0.34, CI=0.12-0.98). Women who were employed were less likely to have any of the infections (OR=0.61, CI=0.36-1.03). The strong association of a symptomatic presentation with trichomoniasis and BV suggests the merit of considering syndromic management of vaginitis in this population.
Palabras clave
Americas; Bacterial And Fungal Diseases; Biology; Candidiasis; Caribbean; Clinical Research; Cross Sectional Analysis; Demographic Factors; Developing Countries; Diseases; Infections; Jamaica; Measurement; North America; Population; Population Characteristics; Pregnancy; Pregnant Women; Prevalence; Reproduction; Reproductive Tract Infections; Research Methodology; Research Report; Risk Factors; Vaginal Abnormalities; Vaginosis
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Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
4_TD
Problema de salud:
4_trichomoniasis
Asunto principal:
Complicaciones Infecciosas del Embarazo
/
Vaginitis por Trichomonas
/
Candidiasis Vulvovaginal
/
Vaginosis Bacteriana
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Límite:
Adolescent
/
Adult
/
Female
/
Humans
/
Pregnancy
País/Región como asunto:
Caribe ingles
/
Jamaica
Idioma:
En
Revista:
Int J STD AIDS
Asunto de la revista:
SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS)
Año:
2000
Tipo del documento:
Article
País de afiliación:
Estados Unidos