Bacterial sexually transmitted infections and syndromic approach: a study conducted on women at Moroccan University Hospital

Karim, Safae; Bouchikhi, C.; Banani, Abdelaziz; Fatemi, Hinde El; Souho, Tiatou; Erraghay, Sanaa; Bennani, Bahia

doi:10.18683/germs.2021.1289

Cited by 3 publications

(2 citation statements)

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“…The prevalence of asymptomatic infections ranged from 3 to 6%. When cumulating the prevalence of each of pathogen, accounting for the rarity of co-infections, [ 15 , 16 ] the prevalence could reach up to 13%. These high proportions and prevalence of asymptomatic infections are particularly worrisome since those women remain untreated and thus may develop serious complications.…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic infections with Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis among women in low- and middle-income countries: A systematic review and meta-analysis

Fortas,

Delarocque-Astagneau,

Randremanana

et al. 2024

PLOS Glob Public Health

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Syndromic management of sexually transmitted infections (STIs) is common in settings with limited access to diagnostic testing. However, this approach does not capture asymptomatic STIs. Untreated asymptomatic infections may result in serious complications and sequelae in women. We aimed to estimate the proportion and the prevalence of asymptomatic Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), and Trichomonas vaginalis (TV) infections among women in low- and middle-income countries. We searched Medline, Scopus, and Web of Science for articles published between 2000 and 2022. We used random effect models to compute the proportion and prevalence estimates and performed sub-group analysis. We evaluated the quality of each article using the Appraisal tool for Cross-Sectional Studies and performed sensitivity analyses. This study was registered with PROSPERO, CRD42022286673. Forty-eight eligible studies were included. The proportion of asymptomatic CT, NG, and TV infections were: 60.7% [95% Confidence Interval (CI): 50.4; 70.5], 53.3% [37.1; 69.1], and 56.9% [44.6; 68.9], respectively. The proportion of women with asymptomatic infections was the highest in Africa for the three pathogens. The pooled prevalence of asymptomatic CT, NG, and TV infection was 4.70 per 100 women [95%CI: 3.39; 6.20], 3.11 [1.34; 5.54], and 5.98 [3.46; 9.12], respectively. More than half of the women infected by CT, NG, or TV were asymptomatic. To avoid undiagnosed and untreated asymptomatic infections leading to complications, alternative approaches to syndromic management urgently need to be considered.

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Section: Discussionmentioning

confidence: 99%

Asymptomatic infections with Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis among women in low- and middle-income countries: A systematic review and meta-analysis

Fortas,

Delarocque-Astagneau,

Randremanana

et al. 2024

PLOS Glob Public Health

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“…Using this approach, STIs are diagnosed based on verbal reports and physical examinations, and the most common causative agent is then treated [25,26]. Although the syndromic approach is useful when infected individuals seek medical care, it is limited when screening for asymptomatic infections [22,26,27].…”

Section: Introductionmentioning

confidence: 99%

Young women’s perspectives on a user-friendly self-sampling intervention to improve the diagnosis of sexually transmitted infections in underserved communities in KwaZulu-Natal South Africa

Jaya,

Mapanga,

Mashamba-Thompson

2023

Preprint

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Introduction Young women are disproportionately affected by sexually transmitted infections (STIs), especially in the KwaZulu-Natal province of South Africa. As such they should have easy access to STI healthcare services. The main objective of this study was to collaborate with young women, using a nominal group technique (NGT), to identify barriers to existing STI healthcare services to ultimately identify strategies to inform attributes for a discrete choice experiment (DCE) towards developing a user-friendly self-sampling intervention for STI diagnosis in young women. Methods Eight young women, aged 18–24 years, were purposively selected from primary healthcare clinics in underserved communities. A NGT was conducted comprising the following steps: silent generation where individuals considered and recorded their responses to a question; round-robin sharing, recording and discussion of individual responses; followed by ranking of contributions. Results The following barriers to accessing STI healthcare services were identified: the clinics were too far from home; young women feared judgement by clinic staff; young women feared being told to inform their partners; clinic hours clashed with school hours and other personal commitments; and young women did not know enough about the signs and symptoms of STIs. The following strategies to improve access to STI healthcare services were suggested: campaigns to promote self-sampling; self-sampling kits should be available free of charge; online system to assess symptoms and register to receive self-sampling kits via delivery or collection to accommodate people with disabilities. Conclusion The strategies identified informed the attributes for the DCE which is aimed towards the development of a user-friendly self-sampling interventions for STI diagnosis in young women in KwaZulu-Natal.

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Molecular Detection of Pathogens Involved in Sexually Transmitted Infections in Brazzaville, Congo

Bitsi,

Ontsira,

Bayonne

et al. 2024

OJMM

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Bacterial sexually transmitted infections and syndromic approach: a study conducted on women at Moroccan University Hospital

Cited by 3 publications

References 0 publications

Asymptomatic infections with Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis among women in low- and middle-income countries: A systematic review and meta-analysis

Asymptomatic infections with Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis among women in low- and middle-income countries: A systematic review and meta-analysis

Young women’s perspectives on a user-friendly self-sampling intervention to improve the diagnosis of sexually transmitted infections in underserved communities in KwaZulu-Natal South Africa

Molecular Detection of Pathogens Involved in Sexually Transmitted Infections in Brazzaville, Congo

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