title: Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis screening and treatment of pregnant women in Port-au-Prince, Haiti.
abstract: In Haiti, routine screening for Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), and Trichomonas vaginalis (TV) among pregnant women is not conducted; yet these sexually transmitted infections (STIs) are associated with adverse birth and newborn health outcomes. We aimed to assess the acceptability and feasibility of screening and the prevalence of STIs among pregnant women in Port-au-Prince, Haiti. Pregnant women of at least 18 years of age who attend Haitian Study Group for Kaposi's sarcoma and Opportunistic Infections (GHESKIO) clinics in Port-au-Prince, Haiti provided self-collected vaginal swab specimens. Laboratory testing was done with Xpert® CT/NG and Xpert® TV. The results of this study showed that of the 322 pregnant women who visited GHESKIO for their regular scheduled appointments, 300 (93.2%) consented for CT, NG, and TV testing. Of those, 107 women (35.7%) tested positive for at least one STI. There were 42 (14.7%) cases of CT, 8 (2.8%) NG, and 83 (29.0%) TV infections. Most infections were treated - 122 of 133 (91.7%). In summary, we found that it was highly acceptable and feasible to implement CT, NG, and TV screening among pregnant women in Port-au-Prince, Haiti. We found high prevalence of STIs among pregnant women, which suggest that STI screening in this population may be warranted.
authors.affiliation: 1 Division of Global Public Health, Department of Medicine, University of California San Diego, La Jolla, CA, USA.
authors.forename: Claire C
authors.initials: CC
authors.lastname: Bristow
authors.affiliation: 2 Department of Medicine, University of California Los Angeles, Los Angeles, CA, USA.
authors.forename: Patricia
authors.initials: P
authors.lastname: Mathelier
authors.affiliation: 3 Department of Medicine, Weill Cornell Medical College, NY, USA.|4 Les Centres GHESKIO, Port-au-Prince, Haiti.
authors.forename: Oksana
authors.initials: O
authors.lastname: Ocheretina
authors.affiliation: 4 Les Centres GHESKIO, Port-au-Prince, Haiti.
authors.forename: Daphne
authors.initials: D
authors.lastname: Benoit
authors.affiliation: 3 Department of Medicine, Weill Cornell Medical College, NY, USA.|4 Les Centres GHESKIO, Port-au-Prince, Haiti.
authors.forename: Jean W
authors.initials: JW
authors.lastname: Pape
authors.affiliation: 5 Department of Health Policy, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, USA.
authors.forename: Adriane
authors.initials: A
authors.lastname: Wynn
authors.affiliation: 2 Department of Medicine, University of California Los Angeles, Los Angeles, CA, USA.|5 Department of Health Policy, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, USA.
authors.forename: Jeffrey D
authors.initials: JD
authors.lastname: Klausner
mesh_terms: D000328:Adult; D002690:Chlamydia Infections / Q000175:diagnosis / Q000453:epidemiology*; D002692:Chlamydia trachomatis / Q000302:isolation & purification*; D005240:Feasibility Studies; D005260:Female; D031668:Gastrodia; D006069:Gonorrhea / Q000175:diagnosis / Q000453:epidemiology*; D006205:Haiti / Q000453:epidemiology; D006801:Humans; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification*; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000706:statistics & numerical data; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000453:epidemiology / Q000382:microbiology*; D015995:Prevalence; D012307:Risk Factors; D014245:Trichomonas Infections / Q000175:diagnosis / Q000453:epidemiology*; D014246:Trichomonas vaginalis / Q000302:isolation & purification*; D055815:Young Adult
keywords: Haiti; STI diagnostics; STI screening; Sexually transmitted infections; pregnancy