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The Association Between Female Genital Schistosomiasis and Other Infections of the Lower Genital Tract in Adolescent Girls and Young Women: A Cross-Sectional Study in South Africa

Journal of lower genital tract disease, 2023-07, Vol.27 (3), p.291 [Peer Reviewed Journal]

Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the ASCCP. ;info:eu-repo/semantics/openAccess ;ISSN: 1089-2591 ;EISSN: 1526-0976 ;DOI: 10.1097/LGT.0000000000000756 ;PMID: 37379442

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  • Title:
    The Association Between Female Genital Schistosomiasis and Other Infections of the Lower Genital Tract in Adolescent Girls and Young Women: A Cross-Sectional Study in South Africa
  • Author: Shukla, Jilna Dilip ; Kleppa, Elisabeth ; Holmen, Sigve ; Ndhlovu, Patricia D ; Mtshali, Andile ; Sebitloane, Motshedisi ; Vennervald, Birgitte Jyding ; Gundersen, Svein Gunnar ; Taylor, Myra ; Kjetland, Eyrun Floerecke
  • Subjects: Adolescent ; Cross-Sectional Studies ; Female ; Genital Diseases, Female - diagnosis ; Genital Diseases, Female - epidemiology ; Genitalia ; Genitalia, Female ; Humans ; Schistosomiasis haematobia - complications ; Schistosomiasis haematobia - diagnosis ; Schistosomiasis haematobia - epidemiology ; South Africa - epidemiology
  • Is Part Of: Journal of lower genital tract disease, 2023-07, Vol.27 (3), p.291
  • Description: This study aimed to explore the relationship between female genital schistosomiasis (FGS), sexually transmitted infections, bacterial vaginosis, and yeast among young women living in Schistosoma haematobium-endemic areas. In a cross-sectional study of young women, sexually active, aged 16 to 22 years in rural KwaZulu-Natal, South Africa, in 32 randomly selected rural schools in schistosomiasis-endemic areas, the authors performed gynecological and laboratory investigations, diagnosed FGS and other infections, and did face-to-face interviews. Female genital schistosomiasis was the second most prevalent current genital infection (23%), significantly more common in those who had urinary schistosomiasis (35%), compared with those without (19%, p < .001). In the FGS-positive group, 35% had human papillomavirus compared with 24% in the FGS-negative group (p = .010). In the FGS-positive group, 37% were seropositive for herpes simplex virus infection, compared with 30% in the FGS-negative group (p = .079). There were significantly fewer chlamydia infections among women with FGS (20%, p = .018) compared with those who did not have FGS (28%). Female genital schistosomiasis was the second most common genital infection after herpes simplex virus. Human papillomavirus infection was significantly associated with FGS, but Chlamydia was negatively associated with FGS. Women with FGS may have had more frequent contact with the health system for genital discharge. The results show the importance of the inclusion of FGS in the national management protocols for genital infections in areas endemic for S. haematobium and highlight a more comprehensive approach to diagnosis and genital disease management.
  • Publisher: United States
  • Language: English;Norwegian
  • Identifier: ISSN: 1089-2591
    EISSN: 1526-0976
    DOI: 10.1097/LGT.0000000000000756
    PMID: 37379442
  • Source: NORA Norwegian Open Research Archives
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