Pregnant women as a reservoir of undetected sexually transmitted diseases in rural South Africa : Implications for disease control.
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.
This was a cross-sectional study of 327 patients attending prenatal clinics.
Of the 271 women with complete data.
141 (52%) had at least 1 STD and 49 (18%) had more than L 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 temain 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.
Mots-clés Pascal : Maladie sexuellement transmissible, Gestation, Zone rurale, Epidémiologie, Prévalence, Homme, Femelle, Afrique, Surveillance sanitaire, Prévention
Mots-clés Pascal anglais : Sexually transmitted disease, Pregnancy, Rural area, Epidemiology, Prevalence, Human, Female, Africa, Sanitary surveillance, Prevention
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0413861
Code Inist : 002B05B02H. Création : 25/01/1999.