title: Sexually transmitted infections among HIV-infected women in Thailand.
abstract: BACKGROUND
  Data on sexually transmitted infections (STI) prevalence among HIV-infected women in Thailand are limited. We studied, among HIV-infected women, prevalence of STI symptoms and signs; prevalence and correlates of having any STI; prevalence and correlates of Chlamydia trachomatis (CT) or Neisseria gonorrhoeae (GC) among women without CT and/or GC symptoms or signs; and number of women without CT and/or GC symptoms or signs needed to screen (NNS) to detect one woman with CT and/or GC overall, among pregnant women, and among women ≤25 years.
  
  
  METHODS
  During October 2004-September 2006, HIV-infected women at 3 obstetrics and gynecology clinics were asked about sexual behaviors and STI symptoms, physically examined, and screened for chlamydia, gonorrhea, trichomoniasis, and syphilis. Multivariate logistic regression was used to identify correlates of infections. NNS was calculated using standard methods.
  
  
  RESULTS
  Among 1,124 women, 526 (47.0%) had STI symptoms or signs, 469 (41.7%) had CT and/or GC symptoms or signs, and 133 (11.8%) had an STI. Correlates of having an STI included pregnancy and having STI signs. Among 469 women and 655 women with vs. without CT and/or GC symptoms or signs, respectively, 43 (9.2%) vs. 31 (4.7%), 2 (0.4%) vs. 9 (1.4%), and 45 (9.6%) vs. 38 (5.8%) had CT, GC, or "CT or GC", respectively; correlates included receiving care at university hospitals and having sex with a casual partner within 3 months. NNS for women overall and women ≤25 years old were 18 (95% CI, 13-25) and 11 (95% CI, 6-23), respectively; and for pregnant and non-pregnant women, 8 (95% CI, 4-24) and 19 (95% CI, 14-27), respectively.
  
  
  CONCLUSIONS
  STI prevalence among HIV-infected women, including CT and GC among those without symptoms or signs, was substantial. Screening for CT and GC, particularly for pregnant women, should be considered.
authors.forename: Suvanna
authors.initials: S
authors.lastname: Asavapiriyanont
authors.forename: Rangsima
authors.initials: R
authors.lastname: Lolekha
authors.forename: Anuvat
authors.initials: A
authors.lastname: Roongpisuthipong
authors.forename: Amornpan
authors.initials: A
authors.lastname: Wiratchai
authors.forename: Surasak
authors.initials: S
authors.lastname: Kaoiean
authors.forename: Orapin
authors.initials: O
authors.lastname: Suksripanich
authors.forename: Amphan
authors.initials: A
authors.lastname: Chalermchockcharoenkit
authors.forename: Jaruensook
authors.initials: J
authors.lastname: Ausavapipit
authors.forename: Somporn
authors.initials: S
authors.lastname: Srifeungfung
authors.forename: Sarika
authors.initials: S
authors.lastname: Pattanasin
authors.forename: Kenneth A
authors.initials: KA
authors.lastname: Katz
mesh_terms: D000328:Adult; D002690:Chlamydia Infections / Q000453:epidemiology*; D005260:Female; D006069:Gonorrhea / Q000453:epidemiology*; D015658:HIV Infections; D006801:Humans; D015995:Prevalence; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000453:epidemiology; D013785:Thailand / Q000453:epidemiology; D016387:Women's Health