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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Malarial Infection and Curable Sexually Transmitted and Reproductive Tract Infections among Pregnant Women in a Rural District of Zambia</title><author><name sortKey="Chaponda, Enesia Banda" sort="Chaponda, Enesia Banda" uniqKey="Chaponda E" first="Enesia Banda" last="Chaponda">Enesia Banda Chaponda</name><affiliation><nlm:aff id="AFF1">Department of Biological Sciences, University of Zambia, Lusaka, Zambia</nlm:aff></affiliation><affiliation><nlm:aff id="AFF2">Department of Disease Control, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom</nlm:aff></affiliation></author><author><name sortKey="Chico, R Matthew" sort="Chico, R Matthew" uniqKey="Chico R" first="R. Matthew" last="Chico">R. Matthew Chico</name><affiliation><nlm:aff id="AFF2">Department of Disease Control, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom</nlm:aff></affiliation></author><author><name sortKey="Bruce, Jane" sort="Bruce, Jane" uniqKey="Bruce J" first="Jane" last="Bruce">Jane Bruce</name><affiliation><nlm:aff id="AFF2">Department of Disease Control, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom</nlm:aff></affiliation></author><author><name sortKey="Michelo, Charles" sort="Michelo, Charles" uniqKey="Michelo C" first="Charles" last="Michelo">Charles Michelo</name><affiliation><nlm:aff id="AFF3">Department of Public Health, University of Zambia School of Medicine, Lusaka, Zambia</nlm:aff></affiliation></author><author><name sortKey="Vwalika, Bellington" sort="Vwalika, Bellington" uniqKey="Vwalika B" first="Bellington" last="Vwalika">Bellington Vwalika</name><affiliation><nlm:aff id="AFF4">Department of Obstetrics and Gynaecology, University of Zambia School of Medicine, Lusaka, Zambia</nlm:aff></affiliation></author><author><name sortKey="Mharakurwa, Sungano" sort="Mharakurwa, Sungano" uniqKey="Mharakurwa S" first="Sungano" last="Mharakurwa">Sungano Mharakurwa</name><affiliation><nlm:aff id="AFF5">Faculty of Health Sciences, Africa University, Mutare, Zimbabwe</nlm:aff></affiliation><affiliation><nlm:aff id="AFF6">Department of Medical Microbiology and Immunology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland</nlm:aff></affiliation></author><author><name sortKey="Chaponda, Mike" sort="Chaponda, Mike" uniqKey="Chaponda M" first="Mike" last="Chaponda">Mike Chaponda</name><affiliation><nlm:aff id="AFF7">Department of Clinical Sciences, Tropical Diseases Research Centre, Ndola, Zambia</nlm:aff></affiliation></author><author><name sortKey="Chipeta, James" sort="Chipeta, James" uniqKey="Chipeta J" first="James" last="Chipeta">James Chipeta</name><affiliation><nlm:aff id="AFF8">Department of Paediatrics and Child Health, University of Zambia School of Medicine, Lusaka, Zambia</nlm:aff></affiliation></author><author><name sortKey="Chandramohan, Daniel" sort="Chandramohan, Daniel" uniqKey="Chandramohan D" first="Daniel" last="Chandramohan">Daniel Chandramohan</name><affiliation><nlm:aff id="AFF2">Department of Disease Control, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27672205</idno><idno type="pmc">5094219</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5094219</idno><idno type="RBID">PMC:5094219</idno><idno type="doi">10.4269/ajtmh.16-0370</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">001614</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001614</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Malarial Infection and Curable Sexually Transmitted and Reproductive Tract Infections among Pregnant Women in a Rural District of Zambia</title><author><name sortKey="Chaponda, Enesia Banda" sort="Chaponda, Enesia Banda" uniqKey="Chaponda E" first="Enesia Banda" last="Chaponda">Enesia Banda Chaponda</name><affiliation><nlm:aff id="AFF1">Department of Biological Sciences, University of Zambia, Lusaka, Zambia</nlm:aff></affiliation><affiliation><nlm:aff id="AFF2">Department of Disease Control, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom</nlm:aff></affiliation></author><author><name sortKey="Chico, R Matthew" sort="Chico, R Matthew" uniqKey="Chico R" first="R. Matthew" last="Chico">R. Matthew Chico</name><affiliation><nlm:aff id="AFF2">Department of Disease Control, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom</nlm:aff></affiliation></author><author><name sortKey="Bruce, Jane" sort="Bruce, Jane" uniqKey="Bruce J" first="Jane" last="Bruce">Jane Bruce</name><affiliation><nlm:aff id="AFF2">Department of Disease Control, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom</nlm:aff></affiliation></author><author><name sortKey="Michelo, Charles" sort="Michelo, Charles" uniqKey="Michelo C" first="Charles" last="Michelo">Charles Michelo</name><affiliation><nlm:aff id="AFF3">Department of Public Health, University of Zambia School of Medicine, Lusaka, Zambia</nlm:aff></affiliation></author><author><name sortKey="Vwalika, Bellington" sort="Vwalika, Bellington" uniqKey="Vwalika B" first="Bellington" last="Vwalika">Bellington Vwalika</name><affiliation><nlm:aff id="AFF4">Department of Obstetrics and Gynaecology, University of Zambia School of Medicine, Lusaka, Zambia</nlm:aff></affiliation></author><author><name sortKey="Mharakurwa, Sungano" sort="Mharakurwa, Sungano" uniqKey="Mharakurwa S" first="Sungano" last="Mharakurwa">Sungano Mharakurwa</name><affiliation><nlm:aff id="AFF5">Faculty of Health Sciences, Africa University, Mutare, Zimbabwe</nlm:aff></affiliation><affiliation><nlm:aff id="AFF6">Department of Medical Microbiology and Immunology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland</nlm:aff></affiliation></author><author><name sortKey="Chaponda, Mike" sort="Chaponda, Mike" uniqKey="Chaponda M" first="Mike" last="Chaponda">Mike Chaponda</name><affiliation><nlm:aff id="AFF7">Department of Clinical Sciences, Tropical Diseases Research Centre, Ndola, Zambia</nlm:aff></affiliation></author><author><name sortKey="Chipeta, James" sort="Chipeta, James" uniqKey="Chipeta J" first="James" last="Chipeta">James Chipeta</name><affiliation><nlm:aff id="AFF8">Department of Paediatrics and Child Health, University of Zambia School of Medicine, Lusaka, Zambia</nlm:aff></affiliation></author><author><name sortKey="Chandramohan, Daniel" sort="Chandramohan, Daniel" uniqKey="Chandramohan D" first="Daniel" last="Chandramohan">Daniel Chandramohan</name><affiliation><nlm:aff id="AFF2">Department of Disease Control, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom</nlm:aff></affiliation></author></analytic><series><title level="j">The American Journal of Tropical Medicine and Hygiene</title><idno type="ISSN">0002-9637</idno><idno type="eISSN">1476-1645</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Malarial infection and curable sexually transmitted and reproductive tract infections (STIs/RTIs) are important causes of adverse birth outcomes. Reducing the burden of these infections in pregnancy requires interventions that can be easily integrated into the antenatal care (ANC) package. However, efforts to integrate the control of malarial infection and curable STIs/RTIs in pregnancy have been hampered by a lack of evidence related to their coinfection. Thus, we investigated the prevalence of coinfection among pregnant women of rural Zambia. A prospective cohort study was conducted in Nchelenge District, Zambia, involving 1,086 first ANC attendees. We screened participants for peripheral malarial infection and curable STIs/RTIs (syphilis, <italic>Chlamydia</italic>, gonorrhea, trichomoniasis, and bacterial vaginosis), and collected relevant sociodemographic data at booking. Factors associated with malarial and STI/RTI coinfection were explored using univariate and multivariate regression models. Among participants with complete results (<italic>N</italic> = 1,071), 38.7% (95% confidence interval [CI] = 35.7–41.6) were coinfected with malaria parasites and at least one STI/RTI; 18.9% (95% CI = 16.5–21.2) were infected with malaria parasites only; 26.0% (95% CI = 23.5–28.8) were infected with at least one STI/RTI but no malaria parasites, and 16.4% (95% CI = 14.1–18.6) had no infection. Human immunodeficiency virus (HIV)-infected women had a higher risk of being coinfected than HIV-uninfected women (odds ratio [OR] = 3.59 [95% CI = 1.73–7.48], <italic>P</italic> < 0.001). The prevalence of malarial and STI/RTI coinfection was high in this population. An integrated approach to control malarial infection and STIs/RTIs is needed to reduce this dual burden in pregnancy.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Trop Med Hyg</journal-id><journal-id journal-id-type="iso-abbrev">Am. J. Trop. Med. Hyg</journal-id><journal-id journal-id-type="publisher-id">tpmd</journal-id><journal-title-group><journal-title>The American Journal of Tropical Medicine and Hygiene</journal-title></journal-title-group><issn pub-type="ppub">0002-9637</issn><issn pub-type="epub">1476-1645</issn><publisher><publisher-name>The American Society of Tropical Medicine and Hygiene</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27672205</article-id><article-id pub-id-type="pmc">5094219</article-id><article-id pub-id-type="doi">10.4269/ajtmh.16-0370</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group></article-categories><title-group><article-title>Malarial Infection and Curable Sexually Transmitted and Reproductive Tract Infections among Pregnant Women in a Rural District of Zambia</article-title><alt-title alt-title-type="left-running-head">CHAPONDA AND OTHERS</alt-title><alt-title alt-title-type="right-running-head">Malaria infection and curable sexually transmitted and reproductive tract infections in pregnancy</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Chaponda</surname><given-names>Enesia Banda</given-names></name><xref ref-type="aff" rid="AFF1">1</xref><xref ref-type="aff" rid="AFF2">2</xref><xref ref-type="corresp" rid="COR1">*</xref></contrib><contrib contrib-type="author"><name><surname>Chico</surname><given-names>R. Matthew</given-names></name><xref ref-type="aff" rid="AFF2">2</xref></contrib><contrib contrib-type="author"><name><surname>Bruce</surname><given-names>Jane</given-names></name><xref ref-type="aff" rid="AFF2">2</xref></contrib><contrib contrib-type="author"><name><surname>Michelo</surname><given-names>Charles</given-names></name><xref ref-type="aff" rid="AFF3">3</xref></contrib><contrib contrib-type="author"><name><surname>Vwalika</surname><given-names>Bellington</given-names></name><xref ref-type="aff" rid="AFF4">4</xref></contrib><contrib contrib-type="author"><name><surname>Mharakurwa</surname><given-names>Sungano</given-names></name><xref ref-type="aff" rid="AFF5">5</xref><xref ref-type="aff" rid="AFF6">6</xref></contrib><contrib contrib-type="author"><name><surname>Chaponda</surname><given-names>Mike</given-names></name><xref ref-type="aff" rid="AFF7">7</xref></contrib><contrib contrib-type="author"><name><surname>Chipeta</surname><given-names>James</given-names></name><xref ref-type="aff" rid="AFF8">8</xref></contrib><contrib contrib-type="author"><name><surname>Chandramohan</surname><given-names>Daniel</given-names></name><xref ref-type="aff" rid="AFF2">2</xref></contrib></contrib-group><aff id="AFF1"><label>1</label>Department of Biological Sciences, University of Zambia, Lusaka, Zambia</aff><aff id="AFF2"><label>2</label>Department of Disease Control, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom</aff><aff id="AFF3"><label>3</label>Department of Public Health, University of Zambia School of Medicine, Lusaka, Zambia</aff><aff id="AFF4"><label>4</label>Department of Obstetrics and Gynaecology, University of Zambia School of Medicine, Lusaka, Zambia</aff><aff id="AFF5"><label>5</label>Faculty of Health Sciences, Africa University, Mutare, Zimbabwe</aff><aff id="AFF6"><label>6</label>Department of Medical Microbiology and Immunology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland</aff><aff id="AFF7"><label>7</label>Department of Clinical Sciences, Tropical Diseases Research Centre, Ndola, Zambia</aff><aff id="AFF8"><label>8</label>Department of Paediatrics and Child Health, University of Zambia School of Medicine, Lusaka, Zambia</aff><author-notes><corresp id="COR1">*Address correspondence to Enesia Banda Chaponda, Department of Biological Sciences (Room 405), University of Zambia, P.O. Box 32379, Lusaka 10101, Zambia. E-mail: <email>enesia.chaponda@gmail.com</email></corresp></author-notes><pub-date pub-type="ppub"><day>02</day><month>11</month><year>2016</year></pub-date><volume>95</volume><issue>5</issue><fpage>1069</fpage><lpage>1076</lpage><history><date date-type="received"><day>10</day><month>5</month><year>2016</year></date><date date-type="accepted"><day>09</day><month>8</month><year>2016</year></date></history><permissions><copyright-statement>©The American Society of Tropical Medicine and Hygiene</copyright-statement><copyright-year>2016</copyright-year></permissions><abstract><p>Malarial infection and curable sexually transmitted and reproductive tract infections (STIs/RTIs) are important causes of adverse birth outcomes. Reducing the burden of these infections in pregnancy requires interventions that can be easily integrated into the antenatal care (ANC) package. However, efforts to integrate the control of malarial infection and curable STIs/RTIs in pregnancy have been hampered by a lack of evidence related to their coinfection. Thus, we investigated the prevalence of coinfection among pregnant women of rural Zambia. A prospective cohort study was conducted in Nchelenge District, Zambia, involving 1,086 first ANC attendees. We screened participants for peripheral malarial infection and curable STIs/RTIs (syphilis, <italic>Chlamydia</italic>, gonorrhea, trichomoniasis, and bacterial vaginosis), and collected relevant sociodemographic data at booking. Factors associated with malarial and STI/RTI coinfection were explored using univariate and multivariate regression models. Among participants with complete results (<italic>N</italic> = 1,071), 38.7% (95% confidence interval [CI] = 35.7–41.6) were coinfected with malaria parasites and at least one STI/RTI; 18.9% (95% CI = 16.5–21.2) were infected with malaria parasites only; 26.0% (95% CI = 23.5–28.8) were infected with at least one STI/RTI but no malaria parasites, and 16.4% (95% CI = 14.1–18.6) had no infection. Human immunodeficiency virus (HIV)-infected women had a higher risk of being coinfected than HIV-uninfected women (odds ratio [OR] = 3.59 [95% CI = 1.73–7.48], <italic>P</italic> < 0.001). The prevalence of malarial and STI/RTI coinfection was high in this population. An integrated approach to control malarial infection and STIs/RTIs is needed to reduce this dual burden in pregnancy.</p></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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