Pregnant women as a reservoir of undetected sexually transmitted diseases in rural South Africa: Implications for disease control

Sturm, A.W., Wilkinson, D., Ndovela, N., Bowen, S. and Connolly, C. (1998) Pregnant women as a reservoir of undetected sexually transmitted diseases in rural South Africa: Implications for disease control. American Journal of Public Health, 88 8: 1243-1245. doi:10.2105/AJPH.88.8.1243


Author Sturm, A.W.
Wilkinson, D.
Ndovela, N.
Bowen, S.
Connolly, C.
Title Pregnant women as a reservoir of undetected sexually transmitted diseases in rural South Africa: Implications for disease control
Journal name American Journal of Public Health   Check publisher's open access policy
ISSN 0090-0036
1541-0048
Publication date 1998-08
Sub-type Article (original research)
DOI 10.2105/AJPH.88.8.1243
Volume 88
Issue 8
Start page 1243
End page 1245
Total pages 3
Place of publication New York, N.Y. U.S.A.
Publisher American Public Health Association
Language eng
Subject 1103 Clinical Sciences
1108 Medical Microbiology
1117 Public Health and Health Services
Formatted abstract
Objectives.
This study was undertaken to determine the prevalence of sexually transmitted diseases (STDs) in pregnant women in rural South Africa and to determine the value of using abnormal urogenital symptoms to identify infected women.

Methods.

This was a cross-sectional study of 327 patients attending prenatal clinics.

Results.

Of the 271 women with complete data, 141 (52%) had at least 1 STD and 49 (18%) had more than 1. Abnormal symptoms were common (n = 225; 83%), but associations were weak, and the positive predictive value of different symptoms for infection ranged from 2% to 54%.

Conclusions.
Most STDs in rural South African women remain undetected and untreated. As the scope for laboratory diagnosis in resource-poor settings is limited, presumptive treatment of pregnant women and their partners may be a cost-effective option to reduce transmission of STDs and HIV infection.
Keyword Controlled Trial
Gonorrhea
Infections
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Tue, 07 Sep 2010, 13:03:29 EST