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Prevalence of Trichomonas vaginalis, Chlamydia trachomatis, Neisseria gonorrhoeae and human papillomavirus in a sexual health clinic setting in urban Sri Lanka.
Int J STD AIDS. 2015 Sep; 26(10):733-9.IJ

Abstract

The prevalences of Trichomonas vaginalis, Chlamydia trachomatis, Neisseria gonorrhoeae, and human papillomavirus (HPV) in Sri Lanka are not well reported; the objective of this study is to describe the prevalences of these four sexually transmitted infections among attendees of sexual health clinic in an urban setting. Vaginal swabs were collected from consenting women attending a sexual health clinic and tested for the presence of the above sexually transmitted infections using nucleic acid amplification techniques. Basic demographic details were sought from each participant (483 women of age range 14-61, median 30 years, IQR 12 years) via a research assistant-administered questionnaire. Overall, a prevalence of T. vaginalis, C. trachomatis, N. gonorrhoeae and HPV was 2.3%, (95% CI: 1.2-4.1%), 8.2% (95% CI: 5.6-11.4%), 7.6% (95% CI: 5.2-10.8%), and 44.4% (95% CI: 39.8-49.1%), respectively. Among the 197 positive for HPV, HPV6 accounted for 23.1%, HPV16 (12.5%), then HPV11, HPV66 and HPV58 were the commonest. Vaccine-related types (6/11/16/18) were detected in 59.9% of cases (95%CI: 52.7-66.8%). The high prevalence of sexually transmitted infections (45.2%) is a potential risk factor for an increase in HIV infections in the country and the high carriage of HPV supports the need for cervical cancer screening and prevention programmes.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Samarawickrema NA
Department of Biochemistry and Molecular Biology, Monash University, Clayton, VIC, Australia nirma.samarawickrema@monash.edu.
Tabrizi SN
Department of Microbiology and Infectious Diseases, The Royal Women's Hospital, Parkville, VIC, Australia Department of Obstetrics and Gynaecology, University of Melbourne, Parkville, VIC, Australia Murdoch Childrens Research Institute, Royal Children's Hospital, Parkville, VIC, Australia.
Young E
Murdoch Childrens Research Institute, Royal Children's Hospital, Parkville, VIC, Australia.
Gunawardena P
Department of Biochemistry and Clinical Chemistry, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
Garland SM
Department of Microbiology and Infectious Diseases, The Royal Women's Hospital, Parkville, VIC, Australia Department of Obstetrics and Gynaecology, University of Melbourne, Parkville, VIC, Australia Murdoch Childrens Research Institute, Royal Children's Hospital, Parkville, VIC, Australia.

MeSH

AdolescentAdultAgedChlamydia InfectionsChlamydia trachomatisCross-Sectional StudiesFemaleGonorrheaHumansKaplan-Meier EstimateMiddle AgedNeisseria gonorrhoeaeNucleic Acid Amplification TechniquesPapillomaviridaePapillomavirus InfectionsPrevalenceSexually Transmitted DiseasesSri LankaTrichomonas VaginitisUrban PopulationVaginal SmearsYoung Adult

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25258396

Citation

Samarawickrema, N A., et al. "Prevalence of Trichomonas Vaginalis, Chlamydia Trachomatis, Neisseria Gonorrhoeae and Human Papillomavirus in a Sexual Health Clinic Setting in Urban Sri Lanka." International Journal of STD & AIDS, vol. 26, no. 10, 2015, pp. 733-9.
Samarawickrema NA, Tabrizi SN, Young E, et al. Prevalence of Trichomonas vaginalis, Chlamydia trachomatis, Neisseria gonorrhoeae and human papillomavirus in a sexual health clinic setting in urban Sri Lanka. Int J STD AIDS. 2015;26(10):733-9.
Samarawickrema, N. A., Tabrizi, S. N., Young, E., Gunawardena, P., & Garland, S. M. (2015). Prevalence of Trichomonas vaginalis, Chlamydia trachomatis, Neisseria gonorrhoeae and human papillomavirus in a sexual health clinic setting in urban Sri Lanka. International Journal of STD & AIDS, 26(10), 733-9. https://doi.org/10.1177/0956462414552813
Samarawickrema NA, et al. Prevalence of Trichomonas Vaginalis, Chlamydia Trachomatis, Neisseria Gonorrhoeae and Human Papillomavirus in a Sexual Health Clinic Setting in Urban Sri Lanka. Int J STD AIDS. 2015;26(10):733-9. PubMed PMID: 25258396.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence of Trichomonas vaginalis, Chlamydia trachomatis, Neisseria gonorrhoeae and human papillomavirus in a sexual health clinic setting in urban Sri Lanka. AU - Samarawickrema,N A, AU - Tabrizi,S N, AU - Young,E, AU - Gunawardena,P, AU - Garland,S M, Y1 - 2014/09/25/ PY - 2014/04/30/received PY - 2014/08/28/accepted PY - 2014/9/27/entrez PY - 2014/9/27/pubmed PY - 2015/12/23/medline KW - Chlamydia trachomatis KW - Neisseria gonorrhoeae KW - Sexually transmitted infections KW - Sri Lanka KW - Trichomonas vaginalis KW - human papillomavirus KW - nucleic acid amplification techniques KW - prevalence KW - screening KW - women SP - 733 EP - 9 JF - International journal of STD & AIDS JO - Int J STD AIDS VL - 26 IS - 10 N2 - The prevalences of Trichomonas vaginalis, Chlamydia trachomatis, Neisseria gonorrhoeae, and human papillomavirus (HPV) in Sri Lanka are not well reported; the objective of this study is to describe the prevalences of these four sexually transmitted infections among attendees of sexual health clinic in an urban setting. Vaginal swabs were collected from consenting women attending a sexual health clinic and tested for the presence of the above sexually transmitted infections using nucleic acid amplification techniques. Basic demographic details were sought from each participant (483 women of age range 14-61, median 30 years, IQR 12 years) via a research assistant-administered questionnaire. Overall, a prevalence of T. vaginalis, C. trachomatis, N. gonorrhoeae and HPV was 2.3%, (95% CI: 1.2-4.1%), 8.2% (95% CI: 5.6-11.4%), 7.6% (95% CI: 5.2-10.8%), and 44.4% (95% CI: 39.8-49.1%), respectively. Among the 197 positive for HPV, HPV6 accounted for 23.1%, HPV16 (12.5%), then HPV11, HPV66 and HPV58 were the commonest. Vaccine-related types (6/11/16/18) were detected in 59.9% of cases (95%CI: 52.7-66.8%). The high prevalence of sexually transmitted infections (45.2%) is a potential risk factor for an increase in HIV infections in the country and the high carriage of HPV supports the need for cervical cancer screening and prevention programmes. SN - 1758-1052 UR - https://www.unboundmedicine.com/medline/citation/25258396/Prevalence_of_Trichomonas_vaginalis_Chlamydia_trachomatis_Neisseria_gonorrhoeae_and_human_papillomavirus_in_a_sexual_health_clinic_setting_in_urban_Sri_Lanka_ DB - PRIME DP - Unbound Medicine ER -
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