PMID: 8976848Oct 1, 1996Paper

Identifying cervical infection among pregnant women in Nairobi, Kenya: limitations of risk assessment and symptom-based approaches

Genitourinary Medicine
T ThomasS Moses

Abstract

To examine characteristics of pregnant women associated with cervical infection, and to evaluate the accuracy of symptom-based and risk assessment systems which have been developed for identifying cervical infection in antenatal women. Interviews were conducted and physical examinations performed on 291 consecutive antenatal clinic attenders in nairobi, Kenya. Vaginal, cervical, urine and blood specimens were also obtained for analysis. The following disease prevalences were observed: candidiasis 26.2%; trichomoniasis 19.9%; bacterial vaginosis 20.6%; any vaginal infection 53.8%; chlamydial cervicitis (CT) 8.8%; gonococcal cervicitis (GC) 2.4%; any cervical infection 10.8%. The only statistically significant association with GC and/or CT cervical infection was the presence of cervical friability (OR = 2.1, P = 0.05). There were trends towards associations with the presence of endocervical mucopus (OR = 2.6, P = 0.06), reporting a new sex partner in the past 3 months (OR = 2.2, P = 0.16) and reporting that a sex partner had an STD-related symptom (OR = 4.4, P = 0.13). There were no associations with other demographic, behavioural or medical characteristics. Risk scores previously developed for detecting GC/CT cervicitis in devel...Continue Reading

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Citations

Jun 23, 2000·Australian Family Physician·K McNamee
Feb 21, 2014·Nigerian Journal of Clinical Practice·S M IbrahimH A Ibrahim
Nov 21, 2001·British Medical Bulletin·P Mayaud, D McCormick
May 11, 2019·International Journal of STD & AIDS·Jacqueline DuncanJ Peter Figueroa
Aug 30, 2000·Tropical Medicine & International Health : TM & IH·S Hawkes, G Hart

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