title: [Frequency of curable sexually transmitted infections among registered female sex-workers in Ankara City].
abstract: Sex-workers are considered as the high-risk population for sexually transmitted infections (STIs). Early diagnosis and treatment of curable STIs in this high-risk group have crucial importance in STI control and prevention of complications and transmission of infection. In this study, 146 registered female sex-workers in Ankara city were screened with rapid diagnostic tests (RDT) for causative agents of curable STIs such as, Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis and Treponema pallidum. To identify gonorrhoea, Gram stained endocervical smears were examined microscopically for the presence of gram-negative intracellular diplococci. For the diagnosis of chlamydial infection, an optic immunoassay (OIA) (Chlamydia OIA, Biostar, USA) as a RDT was performed by using endocervical specimens. For the detection of T. vaginalis, direct smears of vaginal swabs were examined for the presence of motile trophozoites first directly and after being cultured in Diamond's media for 24-48 hours of incubation. Syphilis was screened in the serum specimens by RPR (Omega, UK) test. There was no positive test results for gonorrhoea and syphilis however, the frequency of C. trachomatis and T. vaginalis in the study population was 1.4% and 0.7%, respectively. To provide comprehensive policies and optimal control strategies, a reliable source of data about the frequency and spectrum of STIs among high-risk populations and optimized effective screening programmes are required.
authors.affiliation: Hacettepe Universitesi Tip Fakültesi, Iç Hastaliklari Anabilim Dali, Enfeksiyon Hastaliklarl Unitesi, Ankara. zarakolu@hacettepe.edu.tr
authors.forename: Pinar
authors.initials: P
authors.lastname: Zarakolu
authors.forename: Sehnaz
authors.initials: S
authors.lastname: Alp
authors.forename: Server
authors.initials: S
authors.lastname: Yağci
mesh_terms: D002690:Chlamydia Infections / Q000175:diagnosis / Q000453:epidemiology / Q000635:transmission; D002692:Chlamydia trachomatis / Q000302:isolation & purification; D005260:Female; D006069:Gonorrhea / Q000175:diagnosis / Q000453:epidemiology / Q000635:transmission; D006801:Humans; D008403:Mass Screening / Q000379:methods; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification; D011477:Sex Work; D012749:Sexually Transmitted Diseases / Q000175:diagnosis / Q000453:epidemiology* / Q000635:transmission; D013587:Syphilis / Q000175:diagnosis / Q000453:epidemiology / Q000635:transmission; D014210:Treponema pallidum / Q000302:isolation & purification; D014247:Trichomonas Vaginitis / Q000175:diagnosis / Q000453:epidemiology / Q000635:transmission; D014246:Trichomonas vaginalis / Q000302:isolation & purification; D014421:Turkey / Q000453:epidemiology; D014504:Urban Health