Vaginal infections in pregnant women in Jamaica: Prevalence and risk factors

Academic Article

Abstract

  • Trichomoniasis, bacterial vaginosis (BV) and candidiasis are reproductive tract infections (RTIs) of the vagina. We conducted a cross-sectional study in 4 prenatal clinics in Kingston, Jamaica, to estimate the prevalence of these infections and the risk factors that may facilitate their transmission among pregnant women. Of the 269 women studied, 18.0% had culture-positive trichomoniasis, 44.1%, had BV (Nugent score ≥ 7) and 30.7% were positive for candidiasis by wet mount. A multiple logistic regression analysis showed that having a malodorous discharge was associated with trichomoniasis (odd ratios [OR] = 3.9, confidence intervals [CI] = 1.04-14.7) and BV (OR = 3.4, CI = 1.3-8.7). Women who took action to prevent HIV infection had lower BV prevalence (OR = 0.34, CI = 0.12-0.98). Women who were employed were less likely to have any of the infections (OR = 0.61, CI = 0.36-1.03). The strong association of a symptomatic presentation with trichomoniasis and BV suggests the merit of considering syndromic management of vaginitis in this population.
  • Published In

    Digital Object Identifier (doi)

    Pubmed Id

  • 25525876
  • Author List

  • Kamara P; Hylton-Kong T; Brathwaite A; Del Rosario GR; Kristensen S; Patrick N; Weiss H; Figueroa PJ; Vermund SH; Jolly PE
  • Start Page

  • 516
  • End Page

  • 520
  • Volume

  • 11
  • Issue

  • 8