Prevalence of pregnancy-relevant infections in a rural setting of Ghana
Identifieur interne : 000037 ( Main/Exploration ); précédent : 000036; suivant : 000038Prevalence of pregnancy-relevant infections in a rural setting of Ghana
Auteurs : Fabian Völker [Allemagne] ; Paul Cooper ; Oliver Bader [Allemagne] ; Angela Uy [Allemagne] ; Ortrud Zimmermann [Allemagne] ; Raimond Lugert [Allemagne] ; Uwe Gro [Allemagne]Source :
- BMC Pregnancy and Childbirth [ 1471-2393 ] ; 2017.
Abstract
Although infectious diseases still account for a high burden of morbidity and mortality in sub-Saharan Africa, simultaneous investigations on multiple infections affecting maternal and child health are missing.
We conducted a cross-sectional, single-centre pilot study in a rural area of Ghana to assess the infectiological profile during pregnancy. Screening of 180 expectant mothers was done by vaginal swabs and serology to detect the most common pregnancy-relevant infections. They were also interviewed for potential risk factors, outcome of previous pregnancies, and socio-economic aspects.
We found a high prevalence of infections caused by hepatitis B virus (16.7% HBs antigen positive). In contrast, infections caused by hepatitis C virus (1.1% anti-HCV) and HIV (0.6%) were rare. Maternal malaria was frequent (10.6%), despite increasing acceptance of intermittent preventive treatment during pregnancy (IPTp). Group B streptococci were present in 10.6% of all pregnant women. Absence of antibodies against varicella zoster virus in 43.2%,
Our pilot study in a rural community in Ghana indicates an urgent need for action in dealing at least with high-prevalent pregnancy-relevant infections, such as hepatitis B, malaria and those caused by group B streptococci. In addition, the resulting prevalence rates of various other infections may offer guidance for health officials to prioritize possible future intervention schemes.
The online version of this article (doi:10.1186/s12884-017-1351-3) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s12884-017-1351-3
PubMed: 28583150
PubMed Central: 5460405
Affiliations:
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last="Lugert">Raimond Lugert</name><affiliation wicri:level="3"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 0482 5331</institution-id><institution-id institution-id-type="GRID">grid.411984.1</institution-id><institution>Institute for Medical Microbiology,</institution><institution>University Medical Center Göttingen,</institution></institution-wrap>Kreuzbergring 57, D-37075 Göttingen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Kreuzbergring 57, D-37075 Göttingen</wicri:regionArea><placeName><region type="land" nuts="2">Basse-Saxe</region><settlement type="city">Göttingen</settlement></placeName></affiliation></author><author><name sortKey="Gro, Uwe" sort="Gro, Uwe" uniqKey="Gro U" first="Uwe" last="Gro">Uwe Gro</name><affiliation wicri:level="3"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 0482 5331</institution-id><institution-id institution-id-type="GRID">grid.411984.1</institution-id><institution>Institute for Medical Microbiology,</institution><institution>University Medical Center Göttingen,</institution></institution-wrap>Kreuzbergring 57, D-37075 Göttingen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Kreuzbergring 57, D-37075 Göttingen</wicri:regionArea><placeName><region type="land" nuts="2">Basse-Saxe</region><settlement type="city">Göttingen</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff3">Göttingen International Health Network, Göttingen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Göttingen International Health Network, Göttingen</wicri:regionArea><placeName><region type="land" nuts="2">Basse-Saxe</region><settlement type="city">Göttingen</settlement></placeName></affiliation></author></analytic><series><title level="j">BMC Pregnancy and Childbirth</title><idno type="eISSN">1471-2393</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Although infectious diseases still account for a high burden of morbidity and mortality in sub-Saharan Africa, simultaneous investigations on multiple infections affecting maternal and child health are missing.</p></sec><sec><title>Methods</title><p>We conducted a cross-sectional, single-centre pilot study in a rural area of Ghana to assess the infectiological profile during pregnancy. Screening of 180 expectant mothers was done by vaginal swabs and serology to detect the most common pregnancy-relevant infections. They were also interviewed for potential risk factors, outcome of previous pregnancies, and socio-economic aspects.</p></sec><sec><title>Results</title><p>We found a high prevalence of infections caused by hepatitis B virus (16.7% HBs antigen positive). In contrast, infections caused by hepatitis C virus (1.1% anti-HCV) and HIV (0.6%) were rare. Maternal malaria was frequent (10.6%), despite increasing acceptance of intermittent preventive treatment during pregnancy (IPTp). Group B streptococci were present in 10.6% of all pregnant women. Absence of antibodies against varicella zoster virus in 43.2%, <italic>Toxoplasma gondii</italic> in 26.8%, parvovirus B19 in 20.0%, and rubella virus in 15.7% makes a significant proportion of pregnant women susceptible for acquiring primary infections. Whereas all study participants had specific IgG antibodies against human cytomegalovirus, infections with <italic>Listeria</italic>, <italic>Brucella</italic>, or <italic>Neisseria gonorrhoeae</italic> as well as active syphilis were absent.</p></sec><sec><title>Conclusions</title><p>Our pilot study in a rural community in Ghana indicates an urgent need for action in dealing at least with high-prevalent pregnancy-relevant infections, such as hepatitis B, malaria and those caused by group B streptococci. In addition, the resulting prevalence rates of various other infections may offer guidance for health officials to prioritize possible future intervention schemes.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/s12884-017-1351-3) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Alkema, L" uniqKey="Alkema L">L Alkema</name></author><author><name sortKey="Chou, D" uniqKey="Chou D">D Chou</name></author><author><name sortKey="Hogan, D" uniqKey="Hogan D">D Hogan</name></author><author><name sortKey="Zhang, S" uniqKey="Zhang S">S Zhang</name></author><author><name sortKey="Moller, Ab" uniqKey="Moller A">AB Moller</name></author><author><name sortKey="Gemmill, A" uniqKey="Gemmill A">A Gemmill</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name 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uniqKey="Linguissi L">LS Linguissi</name></author><author><name sortKey="Nagalo, Bm" uniqKey="Nagalo B">BM Nagalo</name></author><author><name sortKey="Bisseye, C" uniqKey="Bisseye C">C Bisseye</name></author><author><name sortKey="Kagone, Ts" uniqKey="Kagone T">TS Kagoné</name></author><author><name sortKey="Sanou, M" uniqKey="Sanou M">M Sanou</name></author><author><name sortKey="Tao, I" uniqKey="Tao I">I Tao</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Emiasegen, Se" uniqKey="Emiasegen S">SE Emiasegen</name></author><author><name sortKey="Nimzing, L" uniqKey="Nimzing L">L Nimzing</name></author><author><name sortKey="Adoga, Mp" uniqKey="Adoga M">MP Adoga</name></author><author><name sortKey="Ohagenyi, Ay" uniqKey="Ohagenyi A">AY Ohagenyi</name></author><author><name sortKey="Lekan, R" uniqKey="Lekan R">R Lekan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mwambe, B" uniqKey="Mwambe B">B Mwambe</name></author><author><name sortKey="Mirambo, Mm" uniqKey="Mirambo M">MM Mirambo</name></author><author><name sortKey="Mshana, Se" uniqKey="Mshana S">SE Mshana</name></author><author><name sortKey="Massinde, An" uniqKey="Massinde A">AN Massinde</name></author><author><name sortKey="Kidenya, Bb" uniqKey="Kidenya B">BB Kidenya</name></author><author><name sortKey="Morona, D" uniqKey="Morona D">D Morona</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hamdan, Hz" uniqKey="Hamdan H">HZ Hamdan</name></author><author><name sortKey="Abdelbagi, Ie" uniqKey="Abdelbagi I">IE Abdelbagi</name></author><author><name sortKey="Nasser, Nm" uniqKey="Nasser N">NM Nasser</name></author><author><name sortKey="Adam, I" uniqKey="Adam I">I Adam</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vochem, M" uniqKey="Vochem M">M Vochem</name></author><author><name sortKey="Hamprecht, K" uniqKey="Hamprecht K">K Hamprecht</name></author><author><name sortKey="Jahn, G" uniqKey="Jahn G">G Jahn</name></author><author><name sortKey="Speer, Cp" uniqKey="Speer C">CP Speer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Johnson, J" uniqKey="Johnson J">J Johnson</name></author><author><name sortKey="Anderson, B" uniqKey="Anderson B">B Anderson</name></author><author><name sortKey="Pass, Rf" uniqKey="Pass R">RF Pass</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Basse-Saxe</li></region><settlement><li>Göttingen</li></settlement></list><tree><noCountry><name sortKey="Cooper, Paul" sort="Cooper, Paul" uniqKey="Cooper P" first="Paul" last="Cooper">Paul Cooper</name></noCountry><country name="Allemagne"><region name="Basse-Saxe"><name sortKey="Volker, Fabian" sort="Volker, Fabian" uniqKey="Volker F" first="Fabian" last="Völker">Fabian Völker</name></region><name sortKey="Bader, Oliver" sort="Bader, Oliver" uniqKey="Bader O" first="Oliver" last="Bader">Oliver Bader</name><name sortKey="Gro, Uwe" sort="Gro, Uwe" uniqKey="Gro U" first="Uwe" last="Gro">Uwe Gro</name><name sortKey="Gro, Uwe" sort="Gro, Uwe" uniqKey="Gro U" first="Uwe" last="Gro">Uwe Gro</name><name sortKey="Lugert, Raimond" sort="Lugert, Raimond" uniqKey="Lugert R" first="Raimond" last="Lugert">Raimond Lugert</name><name sortKey="Uy, Angela" sort="Uy, Angela" uniqKey="Uy A" first="Angela" last="Uy">Angela Uy</name><name sortKey="Zimmermann, Ortrud" sort="Zimmermann, Ortrud" uniqKey="Zimmermann O" first="Ortrud" last="Zimmermann">Ortrud Zimmermann</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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