Report of sexually transmitted infections prevalence in asymptomatic pregnant women under 25 years old in Lleida, Spain

Santa, Alba Muñoz; Bellés, Alba Bellés; González, E. López; Sánchez, I Prats; Bayo, S; Sánchez, Albert Bernet; Arnuelos, Jesús Aramburu; Font, Maria Font; García, L Fraile; González, Mercè García

doi:10.37201/req/100.2021

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…Rours et al found screening of under‐30‐year‐old pregnant women to be cost‐effective, 33 and the prevalence in the 25–29 age group in our study suggest that screening in Gipuzkoa for pregnant women under 30 years old should be maintained, in line with recommendations of the Australian government 46 . In Spain, there have been studies focusing on under‐25‐year‐old pregnant women in Catalonia ( n = 599) and Madrid ( n = 136), found prevalence rates of 6.2% and 18.4% respectively, 48,49 although the sample size was small in the latter study. The prevalence of M. genitalium infection in our study was also higher among younger women, the rate in under‐25‐year‐olds (2.8%) being similar to that reported in France (2.4%) and Catalonia (2.5%), 38,48 and that in under‐20‐year‐olds (3.6%) being lower than that found in the United Kingdom (9%) 39 …”

Section: Discussionsupporting

confidence: 78%

“…In Spain, there have been studies focusing on under‐25‐year‐old pregnant women in Catalonia ( n = 599) and Madrid ( n = 136), found prevalence rates of 6.2% and 18.4% respectively, 48,49 although the sample size was small in the latter study. The prevalence of M. genitalium infection in our study was also higher among younger women, the rate in under‐25‐year‐olds (2.8%) being similar to that reported in France (2.4%) and Catalonia (2.5%), 38,48 and that in under‐20‐year‐olds (3.6%) being lower than that found in the United Kingdom (9%) 39 …”

Section: Discussionmentioning

confidence: 93%

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Prevalence of Chlamydia trachomatis, Mycoplasma genitalium, and Neisseria gonorrhoeae infections in a screening program for under‐30‐year‐old pregnant women with a high participation rate in northern Spain (2016–2020)

Piñeiro

Zubikarai

Manzanal

et al. 2022

Repro Female Child Health

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To assess a screening program for sexually transmitted infections (STIs) in under-30-year-old pregnant women, focusing on Chlamydia trachomatis, Neisseria gonorrhoeae and Mycoplasma genitalium infections, which though often asymptomatic, may significantly affect women's health and can be vertically transmitted. Design: Prospective, descriptive, observational study. Setting: Gipuzkoa (Basque Country, Spain). Population: Under-30-year-old pregnant women. Methods: Between 2016 and 2020, cervical samples were taken at first prenatal appointments from 3051 women. STIs were detected by multiplex nucleic acid amplification. Main Outcome Measures: Prevalence of infections by age and geographical origin groups, and screening coverage. Results: The coverage rate was 86% between 2017 and 2020. At least one STI was detected in 5.2% of the under-30-year-olds screened (95% confidence interval [CI]: 4.5%, 6.1%): C. trachomatis in 4%, M. genitalium in 1.3% and N. gonorrhoeae in 0.1%. C. trachomatis and M. genitalium prevalence rates were higher among younger women (7.2% and 2.8%, respectively in under-25-year-olds), while C. trachomatis prevalence in 25-to 30-year-olds was 2.5%. C. trachomatis was more common among Latin American women (9.7% [95% CI: 7.4%, 12.3%] vs. 2.5% [95% CI: 2.0%, 3.2%] in other women). Additionally, analysing samples from 708 pregnant over-30-year-old women with STI risk factors, 1.6% had at least one of the STIs studied. Notably, 20% of all cases had STI-related symptoms or complications during pregnancy. Conclusions: The high coverage achieved, and prevalence, clinical and epidemiological results support the view that the implementation of a screening program across Spain for C. trachomatis in under-30-year-old pregnant women would be both feasible and appropriate.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 93%

Prevalence of Chlamydia trachomatis, Mycoplasma genitalium, and Neisseria gonorrhoeae infections in a screening program for under‐30‐year‐old pregnant women with a high participation rate in northern Spain (2016–2020)

Piñeiro

Zubikarai

Manzanal

et al. 2022

Repro Female Child Health

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“…Women experience the most complications, as CT genital infection can lead to pelvic inflammatory disease and tubal infertility [4]. Currently, screening for CT in the asymptomatic population in Spain is carried out in individuals who are victims of sexual assault [5], women under 25 years of age who are pregnant [6], and other at-risk groups like sex workers or people diagnosed with HIV [7].…”

Section: Introductionmentioning

confidence: 99%

Results of a Community-Based Screening Program for Chlamydia trachomatis Genital Infection in Young People Aged 18–25 Years

Espies,

Fernandez,

Justribo

et al. 2023

Cureus

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Introduction and aimChlamydia trachomatis (CT) cases have increased in the last decade. The aim of the study was to assess the prevalence of CT genital infection in asymptomatic, sexually active young people and determine whether a community screening program would be effective in reducing the number of cases. MethodsA descriptive cross-sectional study of consecutive inclusion of asymptomatic people aged 18-25 years between September 2021 and May 2022. Community interventions in high schools, universities, and cultural events were planned to realize the screening. Sociodemographic variables of gender, age, country of origin, and educational level, as well as sexual habits, were recorded for each patient. CT was detected via urine samples. An estimate of the prevalence of CT genital infection and its 95% confidence interval (CI) was made based on the exact binomial distribution, assuming that the sample is representative of the study population. ResultsA total of 628 subjects participated in the study, of whom 33 had a CT infection, giving a prevalence of 5.2% (95% CI: 3.6%, 7.3%). 93.9% of subjects with CT infection were female (p≤0.019) and 85% of the participants were Spanish nationals. Among vocational training students, the prevalence was 8.1%. Having had four or more sexual partners in the last month and in the previous year was significantly associated with CT infection (p<0.001). ConclusionScreening for CT genital infection in young sexually active women should be implemented in our country, as recommended by the various guidelines.

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Mycoplasma genitalium in pregnancy, including specific co-infections, is associated with lower birthweight: A prospective cohort study

Scoullar,

Melepia,

Peach

et al. 2024

Med

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Report of sexually transmitted infections prevalence in asymptomatic pregnant women under 25 years old in Lleida, Spain

Cited by 3 publications

References 11 publications

Prevalence of Chlamydia trachomatis, Mycoplasma genitalium, and Neisseria gonorrhoeae infections in a screening program for under‐30‐year‐old pregnant women with a high participation rate in northern Spain (2016–2020)

Prevalence of Chlamydia trachomatis, Mycoplasma genitalium, and Neisseria gonorrhoeae infections in a screening program for under‐30‐year‐old pregnant women with a high participation rate in northern Spain (2016–2020)

Results of a Community-Based Screening Program for Chlamydia trachomatis Genital Infection in Young People Aged 18–25 Years

Mycoplasma genitalium in pregnancy, including specific co-infections, is associated with lower birthweight: A prospective cohort study

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