NDLI: An association between Trichomonas vaginalis and high-risk human papillomavirus in rural Tanzanian women undergoing cervical cancer screening.

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An association between Trichomonas vaginalis and high-risk human papillomavirus in rural Tanzanian women undergoing cervical cancer screening.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Lazenby, Gweneth B. Taylor, Peyton T. Badman, Barbara S. McHaki, Emil Korte, Jeffrey E. Soper, David E. Young Pierce, Jennifer
Spatial Coverage	Tanzania
Description	Author Affiliation: Lazenby GB ( Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, South Carolina.); Taylor PT ( Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of Virginia, Charlottesville, Virginia.); Badman BS ( Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of Virginia, Charlottesville, Virginia.); McHaki E ( Department of Obstetrics and Gynecology, Arusha Lutheran Medical Centre, Arusha, Tanzania.); Korte JE ( Department of Medicine, Division of Biostatistics and Epidemiology, Medical University of South Carolina, Charleston, South Carolina.); Soper DE ( Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, South Carolina.); Young Pierce J ( Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, South Carolina. Electronic address: youngjl@musc.edu.)
Abstract	OBJECTIVE: The goal of this study was to determine the prevalence of vaginitis and its association with high-risk human papillomavirus (HR HPV) in women undergoing cervical cancer screening in rural Tanzania. METHODS: For the purpose of cervical cancer screening, cytology and HR HPV polymerase chain reaction data were collected from 324 women aged between 30 and 60 years. Microscopy and gram stains were used to detect yeast and bacterial vaginosis. Cervical nucleic acid amplification test specimens were collected for the detection of Trichomonas vaginalis (TV), Chlamydia trachomatis, and Neisseria gonorrhoeae. RESULTS: The majority of women were married (320 of 324) and reported having a single sexual partner (270 of 324); the median age of participants was 41 years. HR HPV was detected in 42 participants. Forty-seven percent of women had vaginitis. Bacterial vaginosis was the most common infection (32.4%), followed by TV (10.4%), and yeast (6.8%). In multivariable logistic regression analysis, TV was associated with an increased risk of HR HPV (odds ratio, 4.2 [95% CI, 1.7-10.3]). Patients with TV were 6.5 times more likely to have HPV type 16 than patients negative for TV (50% vs 13.3%) (odds ratio, 6.5 [95% CI, 1.1-37]). CONCLUSIONS: Among rural Tanzanian women who presented for cervical cancer screening, Trichomonas vaginitis was significantly associated with HR HPV infection (specifically type 16).
File Format	HTM / HTML
ISSN	01492918
Issue Number	1
Volume Number	36
e-ISSN	1879114X
Journal	Clinical Therapeutics
Language	English
Publisher	Elsevier
Publisher Date	2014-01-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Pharmacology Papillomaviridae Isolation & Purification Papillomavirus Infections Complications Trichomonas Vaginitis Trichomonas Vaginalis Uterine Cervical Neoplasms Diagnosis Uterine Cervicitis Epidemiology Adult Chlamydia Trachomatis Coinfection Parasitology Virology Early Detection Of Cancer Methods Female Humans Middle Aged Neisseria Gonorrhoeae Classification Risk Factors Rural Population Tanzania Vaginitis Microbiology Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Pharmacology Pharmacology (medical)

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