title: Sexually transmitted diseases and human immunodeficiency virus infection among women with genital infections in Burkina Faso.
abstract: This study reports the prevalence of sexually transmitted diseases (STDs) among gynaecological outpatients presenting at the Bobo-Dioulasso Hospital (Burkina Faso) with genital infections and examines the factors associated with HIV infection in this population. Of 245 eligible non-pregnant women, 220 consented to participate in the study. Seventy-seven per cent had sexually transmitted infections. The most common were: Trichomonas vaginalis (28%), Chlamydia trachomatis (27%), bacterial vaginosis (20%), Candida albicans (17%), Neisseria gonorrhoeae (11%). The prevalence of HIV infection was 42% (95% c.i. 35.3, 48.3). Logistic regression analyses revealed Neisseria gonorrhoeae to be the only STD significantly associated with infection with HIV (P = 0.04). A sedimentation rate greater than or equal to 100 mm in the first hour was also associated with HIV infection (P < 0.001). Women consulting for genital infections constitute a high risk group for HIV infection and other STDs. Management of these women should focus on the early diagnosis and treatment of STDs.
authors.affiliation: Department of Obstetrics and Gynaecology, Centre Hospitalier National Sourô SANOU, Bobo-Dioulasso, Burkina Faso.
authors.forename: N
authors.initials: N
authors.lastname: Meda
authors.forename: S
authors.initials: S
authors.lastname: Ledru
authors.forename: M
authors.initials: M
authors.lastname: Fofana
authors.forename: S
authors.initials: S
authors.lastname: Lankoandé
authors.forename: G
authors.initials: G
authors.lastname: Soula
authors.forename: A J
authors.initials: AJ
authors.lastname: Bazié
authors.forename: J P
authors.initials: JP
authors.lastname: Chiron
mesh_terms: D000328:Adult; D001799:Blood Sedimentation; D002050:Burkina Faso; D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D005260:Female; D005831:Genital Diseases, Female / Q000097:blood / Q000150:complications*; D015658:HIV Infections / Q000097:blood / Q000150:complications*; D018023:HIV Seronegativity; D006801:Humans; D016015:Logistic Models; D015995:Prevalence; D012307:Risk Factors; D012749:Sexually Transmitted Diseases / Q000097:blood / Q000150:complications*