title: Vaginal douching: association with lower genital tract infections in African pregnant women.
abstract: OBJECTIVE
  Douching, a common practice, could further increase the risk of genital infections.
  
  
  OBJECTIVE
  To describe douching practices in pregnant women and to evaluate associations with lower genital tract infections.
  
  
  METHODS
  Cross-sectional study in Abidjan, Côte d'Ivoire.
  
  
  RESULTS
  Among 552 women included, douching before consultation was reported by 97% and was common practice for 98%. Intravaginal drying agents were used by 10%. Genital warts were less frequent for women who usually douched (p = 0.015). U. urealyticum infection was associated with douching and with the use of intravaginal agents. Diagnosis of genital infections was independent of douching with water or soap, but chlamydial infection was associated with douching with antiseptics, used by 14% of the women (p = 0.036). HIV infection was two times more frequent in women using antiseptics (p = 0.17).
  
  
  CONCLUSIONS
  The study confirms the widespread practice of douching in African pregnant women. The harmful effects of antiseptics need to be substantiated.
authors.affiliation: National AIDS Program, Abidjan, Côte d'Ivoire.
authors.forename: G
authors.initials: G
authors.lastname: La Ruche
authors.forename: N
authors.initials: N
authors.lastname: Messou
authors.forename: L
authors.initials: L
authors.lastname: Ali-Napo
authors.forename: V
authors.initials: V
authors.lastname: Noba
authors.forename: H
authors.initials: H
authors.lastname: Faye-Ketté
authors.forename: P
authors.initials: P
authors.lastname: Combe
authors.forename: D
authors.initials: D
authors.lastname: Bonard
authors.forename: F
authors.initials: F
authors.lastname: Sylla-Koko
authors.forename: D
authors.initials: D
authors.lastname: Dhéha
authors.forename: C
authors.initials: C
authors.lastname: Welffens-Ekra
authors.forename: M
authors.initials: M
authors.lastname: Dosso
authors.forename: P
authors.initials: P
authors.lastname: Msellati
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities; D007560:Cote d'Ivoire; D003430:Cross-Sectional Studies; D005260:Female; D005831:Genital Diseases, Female / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D015658:HIV Infections / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D008403:Mass Screening; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D007507:Therapeutic Irrigation / Q000009:adverse effects* / Q000379:methods; D014621:Vagina