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African Women Recently Infected With HIV-1 and HSV-2 Have Increased Risk of Acquiring Neisseria gonorrhoeae and Chlamydia trachomatis in the Methods for Improving Reproductive Health in Africa Trial

Background: Neisseria gonorrhoeae and Chlamydia trachomatis are 2 common causative agents of cervical bacterial sexually transmitted infections (STI). Against the background of the concurrent epidemics of STIs and HIV in sub-Saharan Africa, we examined the effect of HIV-1 and HSV-2 on acquiring N. g... Full description

Journal Title: Sexually transmitted diseases 2011-06-01, Vol.38 (6), p.562-570
Main Author: VENKATESH, Kartik K
Other Authors: VAN DER STRATEN, Ariane , MAYER, Kenneth H , BLANCHARD, Kelly , RAMJEE, Gita , LURIE, Mark N , CHIPATO, Tsungai , PADIAN, Nancy S , DE BRUYN, Guy
Format: Electronic Article Electronic Article
Language: English
Subjects:
HIV
STD
Quelle: Alma/SFX Local Collection
Publisher: Hagerstown, MD: Lippincott Williams & Wilkins
ID: ISSN: 0148-5717
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title: African Women Recently Infected With HIV-1 and HSV-2 Have Increased Risk of Acquiring Neisseria gonorrhoeae and Chlamydia trachomatis in the Methods for Improving Reproductive Health in Africa Trial
format: Article
creator:
  • VENKATESH, Kartik K
  • VAN DER STRATEN, Ariane
  • MAYER, Kenneth H
  • BLANCHARD, Kelly
  • RAMJEE, Gita
  • LURIE, Mark N
  • CHIPATO, Tsungai
  • PADIAN, Nancy S
  • DE BRUYN, Guy
subjects:
  • Adult
  • Bacterial diseases
  • Bacterial diseases of the genital system
  • Biological and medical sciences
  • Chlamydia infections
  • Chlamydia Infections - complications
  • Chlamydia Infections - epidemiology
  • Chlamydia Infections - microbiology
  • Chlamydia Infections - prevention & control
  • Chlamydia trachomatis
  • Cohort Studies
  • Complications and side effects
  • Contraceptive Devices, Female - utilization
  • Female
  • Gels - administration & dosage
  • General aspects
  • Gonorrhea - complications
  • Gonorrhea - epidemiology
  • Gonorrhea - microbiology
  • Gonorrhea - prevention & control
  • Gonorrhoea
  • Hazards
  • Health aspects
  • Herpes Genitalis - complications
  • Herpes Genitalis - epidemiology
  • Herpes Genitalis - prevention & control
  • Herpes simplex virus
  • Herpesvirus 2, Human
  • HIV
  • HIV Infections - complications
  • HIV Infections - epidemiology
  • HIV Infections - prevention & control
  • HIV-1
  • Human bacterial diseases
  • Human immunodeficiency virus
  • Human infectious diseases. Experimental studies and models
  • Human viral diseases
  • Humans
  • Infectious diseases
  • Medical sciences
  • Medical screening
  • Middle Aged
  • Neisseria gonorrhoeae
  • Neisseria infections
  • Original Study
  • Prevalence
  • Reproductive Health
  • Research
  • Risk Factors
  • Sexually transmitted diseases
  • Sexually Transmitted Diseases, Bacterial - complications
  • Sexually Transmitted Diseases, Bacterial - epidemiology
  • Sexually Transmitted Diseases, Bacterial - microbiology
  • Sexually Transmitted Diseases, Bacterial - prevention & control
  • South Africa - epidemiology
  • STD
  • Treatment Outcome
  • Viral diseases
  • Viral diseases of the lymphoid tissue and the blood. Aids
  • Women
  • Womens health
  • Young Adult
  • Zimbabwe - epidemiology
ispartof: Sexually transmitted diseases, 2011-06-01, Vol.38 (6), p.562-570
description: Background: Neisseria gonorrhoeae and Chlamydia trachomatis are 2 common causative agents of cervical bacterial sexually transmitted infections (STI). Against the background of the concurrent epidemics of STIs and HIV in sub-Saharan Africa, we examined the effect of HIV-1 and HSV-2 on acquiring N. gonorrhoeae and C. trachomatis in a cohort of southern African women at risk for HIV infection. Methods: We examined incidence of first infection with N. gonorrhoeae and C. trachomatis in the multisite randomized controlled trial Methods for Improving Reproductive Health in Africa. Multivariable Cox proportional hazards models with time-dependent covariates were used. Results: The incidence rates of C. trachomatis and N. gonorrhoeae infections were 6.14 per 100 woman-years and 2.42 per 100 womenyears, respectively. In multivariable analyses, women who became infected with HIV-1 were more likely to acquire C. trachomatis (adjusted hazard ratio [adj. HR], 1.86; 95% confidence interval [CI], 1.34-2.57) and N. gonorrhoeae (adj. HR, 2.29; 95% CI, 1.47-3.56) compared with HIV-uninfected women. Similarly, HSV-2 infected women were more likely to acquire C. trachomatis (adj. HR, 1.29; 95% CI, 1.05-1.58) and N. gonorrhoeae (adj. HR, 1.57;95% CI, 1.11-2.21). Women who were of younger age, who did not live with their primary male partner, and who changed sex partners during the study were also more likely to acquire a cervical STI. Conclusions: Women recently infected with HIV-1 and HSV-2 were at increased risk of acquiring N. gonorrhoeae and C. trachomatis. Proactive screening and treatment of these common cervical infections, particularly among those infected with HIV-1 and HSV-2, should be considered for young sexually active women in settings with a high prevalence of HIV/STIs.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0148-5717
fulltext: fulltext
issn:
  • 0148-5717
  • 1537-4521
url: Link


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titleAfrican Women Recently Infected With HIV-1 and HSV-2 Have Increased Risk of Acquiring Neisseria gonorrhoeae and Chlamydia trachomatis in the Methods for Improving Reproductive Health in Africa Trial
sourceAlma/SFX Local Collection
creatorVENKATESH, Kartik K ; VAN DER STRATEN, Ariane ; MAYER, Kenneth H ; BLANCHARD, Kelly ; RAMJEE, Gita ; LURIE, Mark N ; CHIPATO, Tsungai ; PADIAN, Nancy S ; DE BRUYN, Guy
creatorcontribVENKATESH, Kartik K ; VAN DER STRATEN, Ariane ; MAYER, Kenneth H ; BLANCHARD, Kelly ; RAMJEE, Gita ; LURIE, Mark N ; CHIPATO, Tsungai ; PADIAN, Nancy S ; DE BRUYN, Guy
descriptionBackground: Neisseria gonorrhoeae and Chlamydia trachomatis are 2 common causative agents of cervical bacterial sexually transmitted infections (STI). Against the background of the concurrent epidemics of STIs and HIV in sub-Saharan Africa, we examined the effect of HIV-1 and HSV-2 on acquiring N. gonorrhoeae and C. trachomatis in a cohort of southern African women at risk for HIV infection. Methods: We examined incidence of first infection with N. gonorrhoeae and C. trachomatis in the multisite randomized controlled trial Methods for Improving Reproductive Health in Africa. Multivariable Cox proportional hazards models with time-dependent covariates were used. Results: The incidence rates of C. trachomatis and N. gonorrhoeae infections were 6.14 per 100 woman-years and 2.42 per 100 womenyears, respectively. In multivariable analyses, women who became infected with HIV-1 were more likely to acquire C. trachomatis (adjusted hazard ratio [adj. HR], 1.86; 95% confidence interval [CI], 1.34-2.57) and N. gonorrhoeae (adj. HR, 2.29; 95% CI, 1.47-3.56) compared with HIV-uninfected women. Similarly, HSV-2 infected women were more likely to acquire C. trachomatis (adj. HR, 1.29; 95% CI, 1.05-1.58) and N. gonorrhoeae (adj. HR, 1.57;95% CI, 1.11-2.21). Women who were of younger age, who did not live with their primary male partner, and who changed sex partners during the study were also more likely to acquire a cervical STI. Conclusions: Women recently infected with HIV-1 and HSV-2 were at increased risk of acquiring N. gonorrhoeae and C. trachomatis. Proactive screening and treatment of these common cervical infections, particularly among those infected with HIV-1 and HSV-2, should be considered for young sexually active women in settings with a high prevalence of HIV/STIs.
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0VENKATESH, Kartik K
1VAN DER STRATEN, Ariane
2MAYER, Kenneth H
3BLANCHARD, Kelly
4RAMJEE, Gita
5LURIE, Mark N
6CHIPATO, Tsungai
7PADIAN, Nancy S
8DE BRUYN, Guy
title
0African Women Recently Infected With HIV-1 and HSV-2 Have Increased Risk of Acquiring Neisseria gonorrhoeae and Chlamydia trachomatis in the Methods for Improving Reproductive Health in Africa Trial
1Sexually transmitted diseases
addtitleSex Transm Dis
descriptionBackground: Neisseria gonorrhoeae and Chlamydia trachomatis are 2 common causative agents of cervical bacterial sexually transmitted infections (STI). Against the background of the concurrent epidemics of STIs and HIV in sub-Saharan Africa, we examined the effect of HIV-1 and HSV-2 on acquiring N. gonorrhoeae and C. trachomatis in a cohort of southern African women at risk for HIV infection. Methods: We examined incidence of first infection with N. gonorrhoeae and C. trachomatis in the multisite randomized controlled trial Methods for Improving Reproductive Health in Africa. Multivariable Cox proportional hazards models with time-dependent covariates were used. Results: The incidence rates of C. trachomatis and N. gonorrhoeae infections were 6.14 per 100 woman-years and 2.42 per 100 womenyears, respectively. In multivariable analyses, women who became infected with HIV-1 were more likely to acquire C. trachomatis (adjusted hazard ratio [adj. HR], 1.86; 95% confidence interval [CI], 1.34-2.57) and N. gonorrhoeae (adj. HR, 2.29; 95% CI, 1.47-3.56) compared with HIV-uninfected women. Similarly, HSV-2 infected women were more likely to acquire C. trachomatis (adj. HR, 1.29; 95% CI, 1.05-1.58) and N. gonorrhoeae (adj. HR, 1.57;95% CI, 1.11-2.21). Women who were of younger age, who did not live with their primary male partner, and who changed sex partners during the study were also more likely to acquire a cervical STI. Conclusions: Women recently infected with HIV-1 and HSV-2 were at increased risk of acquiring N. gonorrhoeae and C. trachomatis. Proactive screening and treatment of these common cervical infections, particularly among those infected with HIV-1 and HSV-2, should be considered for young sexually active women in settings with a high prevalence of HIV/STIs.
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0Adult
1Bacterial diseases
2Bacterial diseases of the genital system
3Biological and medical sciences
4Chlamydia infections
5Chlamydia Infections - complications
6Chlamydia Infections - epidemiology
7Chlamydia Infections - microbiology
8Chlamydia Infections - prevention & control
9Chlamydia trachomatis
10Cohort Studies
11Complications and side effects
12Contraceptive Devices, Female - utilization
13Female
14Gels - administration & dosage
15General aspects
16Gonorrhea - complications
17Gonorrhea - epidemiology
18Gonorrhea - microbiology
19Gonorrhea - prevention & control
20Gonorrhoea
21Hazards
22Health aspects
23Herpes Genitalis - complications
24Herpes Genitalis - epidemiology
25Herpes Genitalis - prevention & control
26Herpes simplex virus
27Herpesvirus 2, Human
28HIV
29HIV Infections - complications
30HIV Infections - epidemiology
31HIV Infections - prevention & control
32HIV-1
33Human bacterial diseases
34Human immunodeficiency virus
35Human infectious diseases. Experimental studies and models
36Human viral diseases
37Humans
38Infectious diseases
39Medical sciences
40Medical screening
41Middle Aged
42Neisseria gonorrhoeae
43Neisseria infections
44Original Study
45Prevalence
46Reproductive Health
47Research
48Risk Factors
49Sexually transmitted diseases
50Sexually Transmitted Diseases, Bacterial - complications
51Sexually Transmitted Diseases, Bacterial - epidemiology
52Sexually Transmitted Diseases, Bacterial - microbiology
53Sexually Transmitted Diseases, Bacterial - prevention & control
54South Africa - epidemiology
55STD
56Treatment Outcome
57Viral diseases
58Viral diseases of the lymphoid tissue and the blood. Aids
59Women
60Womens health
61Young Adult
62Zimbabwe - epidemiology
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titleAfrican Women Recently Infected With HIV-1 and HSV-2 Have Increased Risk of Acquiring Neisseria gonorrhoeae and Chlamydia trachomatis in the Methods for Improving Reproductive Health in Africa Trial
authorVENKATESH, Kartik K ; VAN DER STRATEN, Ariane ; MAYER, Kenneth H ; BLANCHARD, Kelly ; RAMJEE, Gita ; LURIE, Mark N ; CHIPATO, Tsungai ; PADIAN, Nancy S ; DE BRUYN, Guy
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1Bacterial diseases
2Bacterial diseases of the genital system
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4Chlamydia infections
5Chlamydia Infections - complications
6Chlamydia Infections - epidemiology
7Chlamydia Infections - microbiology
8Chlamydia Infections - prevention & control
9Chlamydia trachomatis
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11Complications and side effects
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14Gels - administration & dosage
15General aspects
16Gonorrhea - complications
17Gonorrhea - epidemiology
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19Gonorrhea - prevention & control
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21Hazards
22Health aspects
23Herpes Genitalis - complications
24Herpes Genitalis - epidemiology
25Herpes Genitalis - prevention & control
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28HIV
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52Sexually Transmitted Diseases, Bacterial - microbiology
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54South Africa - epidemiology
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58Viral diseases of the lymphoid tissue and the blood. Aids
59Women
60Womens health
61Young Adult
62Zimbabwe - epidemiology
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8DE BRUYN, Guy
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atitleAfrican Women Recently Infected With HIV-1 and HSV-2 Have Increased Risk of Acquiring Neisseria gonorrhoeae and Chlamydia trachomatis in the Methods for Improving Reproductive Health in Africa Trial
jtitleSexually transmitted diseases
addtitleSex Transm Dis
date2011-06-01
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abstractBackground: Neisseria gonorrhoeae and Chlamydia trachomatis are 2 common causative agents of cervical bacterial sexually transmitted infections (STI). Against the background of the concurrent epidemics of STIs and HIV in sub-Saharan Africa, we examined the effect of HIV-1 and HSV-2 on acquiring N. gonorrhoeae and C. trachomatis in a cohort of southern African women at risk for HIV infection. Methods: We examined incidence of first infection with N. gonorrhoeae and C. trachomatis in the multisite randomized controlled trial Methods for Improving Reproductive Health in Africa. Multivariable Cox proportional hazards models with time-dependent covariates were used. Results: The incidence rates of C. trachomatis and N. gonorrhoeae infections were 6.14 per 100 woman-years and 2.42 per 100 womenyears, respectively. In multivariable analyses, women who became infected with HIV-1 were more likely to acquire C. trachomatis (adjusted hazard ratio [adj. HR], 1.86; 95% confidence interval [CI], 1.34-2.57) and N. gonorrhoeae (adj. HR, 2.29; 95% CI, 1.47-3.56) compared with HIV-uninfected women. Similarly, HSV-2 infected women were more likely to acquire C. trachomatis (adj. HR, 1.29; 95% CI, 1.05-1.58) and N. gonorrhoeae (adj. HR, 1.57;95% CI, 1.11-2.21). Women who were of younger age, who did not live with their primary male partner, and who changed sex partners during the study were also more likely to acquire a cervical STI. Conclusions: Women recently infected with HIV-1 and HSV-2 were at increased risk of acquiring N. gonorrhoeae and C. trachomatis. Proactive screening and treatment of these common cervical infections, particularly among those infected with HIV-1 and HSV-2, should be considered for young sexually active women in settings with a high prevalence of HIV/STIs.
copHagerstown, MD
pubLippincott Williams & Wilkins
pmid21278624
doi10.1097/OLQ.0b013e31820a8c2c