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Prevalence of sexually transmitted infections (Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis and human papillomavirus) in female attendees of a sexually transmitted diseases clinic in Ulaanbaatar, Mongolia.
Infect Dis Obstet Gynecol. 2001; 9(3):143-6.ID

Abstract

BACKGROUND

Epidemiological data suggest that the prevalence of syphilis, gonorrhea and trichomoniasis has increased in both urban and rural areas of Mongolia. These data are primarily substantiated by notifications of cases of clinically apparent disease in both rural and urban areas, plus laboratory diagnoses from the AIDS/STD Reference Center, Ulaanbaatar. In the past 5 years, however, there has been a marked decline in the total number of patients being screened for sexually transmitted infections (STIs). An assessment of true prevalence of STIs in a female population attending an urban sexually transmitted diseases (STD) clinic was therefore commenced.

METHODS

Consecutive women attending an STD clinic in Ulaanbaatar had genital samples collected by the insertion and immediate removal of a tampon, which was then tested for the presence of Neisseria gonorrhoeae, Chlamydia trachomatis, human papillomavirus (HPV) and Trichomonas vaginalis, using polymerase chain reaction (PCR) amplification.

RESULTS

A total of 110 women were studied (mean age 26.7 years). Overall, 58 (53%) patients had one or more pathogens identified; 43 (39%) had a single pathogen, while 15 (14%) had mixed pathogens. C. trachomatis was found in 15 (14%), N. gonorrhoeae in 12 (11%), T. vaginalis in nine (8%) and HPV in 39 (36%). Among the 39 HPV-positive patients, oncogenicgenotypes (16, 18, 31, 33, 35, 39, 45, 51, 52) were found in 17(44%) patients.

CONCLUSIONS

Sexually transmitted infections as defined by PCR were common, and found in 53% of female attendees of an urban STD clinic in Mongolia. As infections with conventional STIs increase the risk of human immunodeficiency virus (HIV) transmission, it is imperative that strategies be introduced to reduce the prevalence of STIs. Furthermore, detection of oncogenic HPV was common, indicating that it is vital that a strategy to reduce cervical cancer such as a pre-cancer cervical cytology screening program also be introduced.

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Authors+Show Affiliations

Garland SM
Department of Microbiology and Infectious Diseases, The Royal Women's Hospital, Melbourne, Australia.
Tabrizi SN
No affiliation info available
Chen S
No affiliation info available
Byambaa C
No affiliation info available
Davaajav K
No affiliation info available

MeSH

AdultAnimalsChlamydia InfectionsChlamydia trachomatisFemaleGonorrheaHumansMass ScreeningMongoliaNeisseria gonorrhoeaePapillomaviridaePapillomavirus InfectionsPolymerase Chain ReactionPrevalenceSexually Transmitted DiseasesTrichomonas VaginitisTrichomonas vaginalisTumor Virus InfectionsVagina

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11516062

Citation

Garland, S M., et al. "Prevalence of Sexually Transmitted Infections (Neisseria Gonorrhoeae, Chlamydia Trachomatis, Trichomonas Vaginalis and Human Papillomavirus) in Female Attendees of a Sexually Transmitted Diseases Clinic in Ulaanbaatar, Mongolia." Infectious Diseases in Obstetrics and Gynecology, vol. 9, no. 3, 2001, pp. 143-6.
Garland SM, Tabrizi SN, Chen S, et al. Prevalence of sexually transmitted infections (Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis and human papillomavirus) in female attendees of a sexually transmitted diseases clinic in Ulaanbaatar, Mongolia. Infect Dis Obstet Gynecol. 2001;9(3):143-6.
Garland, S. M., Tabrizi, S. N., Chen, S., Byambaa, C., & Davaajav, K. (2001). Prevalence of sexually transmitted infections (Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis and human papillomavirus) in female attendees of a sexually transmitted diseases clinic in Ulaanbaatar, Mongolia. Infectious Diseases in Obstetrics and Gynecology, 9(3), 143-6.
Garland SM, et al. Prevalence of Sexually Transmitted Infections (Neisseria Gonorrhoeae, Chlamydia Trachomatis, Trichomonas Vaginalis and Human Papillomavirus) in Female Attendees of a Sexually Transmitted Diseases Clinic in Ulaanbaatar, Mongolia. Infect Dis Obstet Gynecol. 2001;9(3):143-6. PubMed PMID: 11516062.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence of sexually transmitted infections (Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis and human papillomavirus) in female attendees of a sexually transmitted diseases clinic in Ulaanbaatar, Mongolia. AU - Garland,S M, AU - Tabrizi,S N, AU - Chen,S, AU - Byambaa,C, AU - Davaajav,K, PY - 2001/8/23/pubmed PY - 2002/1/23/medline PY - 2001/8/23/entrez SP - 143 EP - 6 JF - Infectious diseases in obstetrics and gynecology JO - Infect Dis Obstet Gynecol VL - 9 IS - 3 N2 - BACKGROUND: Epidemiological data suggest that the prevalence of syphilis, gonorrhea and trichomoniasis has increased in both urban and rural areas of Mongolia. These data are primarily substantiated by notifications of cases of clinically apparent disease in both rural and urban areas, plus laboratory diagnoses from the AIDS/STD Reference Center, Ulaanbaatar. In the past 5 years, however, there has been a marked decline in the total number of patients being screened for sexually transmitted infections (STIs). An assessment of true prevalence of STIs in a female population attending an urban sexually transmitted diseases (STD) clinic was therefore commenced. METHODS: Consecutive women attending an STD clinic in Ulaanbaatar had genital samples collected by the insertion and immediate removal of a tampon, which was then tested for the presence of Neisseria gonorrhoeae, Chlamydia trachomatis, human papillomavirus (HPV) and Trichomonas vaginalis, using polymerase chain reaction (PCR) amplification. RESULTS: A total of 110 women were studied (mean age 26.7 years). Overall, 58 (53%) patients had one or more pathogens identified; 43 (39%) had a single pathogen, while 15 (14%) had mixed pathogens. C. trachomatis was found in 15 (14%), N. gonorrhoeae in 12 (11%), T. vaginalis in nine (8%) and HPV in 39 (36%). Among the 39 HPV-positive patients, oncogenicgenotypes (16, 18, 31, 33, 35, 39, 45, 51, 52) were found in 17(44%) patients. CONCLUSIONS: Sexually transmitted infections as defined by PCR were common, and found in 53% of female attendees of an urban STD clinic in Mongolia. As infections with conventional STIs increase the risk of human immunodeficiency virus (HIV) transmission, it is imperative that strategies be introduced to reduce the prevalence of STIs. Furthermore, detection of oncogenic HPV was common, indicating that it is vital that a strategy to reduce cervical cancer such as a pre-cancer cervical cytology screening program also be introduced. SN - 1064-7449 UR - https://www.unboundmedicine.com/medline/citation/11516062/Prevalence_of_sexually_transmitted_infections__Neisseria_gonorrhoeae_Chlamydia_trachomatis_Trichomonas_vaginalis_and_human_papillomavirus__in_female_attendees_of_a_sexually_transmitted_diseases_clinic_in_Ulaanbaatar_Mongolia_ L2 - https://doi.org/10.1155/S1064744901000254 DB - PRIME DP - Unbound Medicine ER -