Publisher: University of Calabar Teaching Hospital

Prevalence of Sexually Transmitted Diseases In Pregnant Women In Calabar, Cross River State, Nigeria.

V. U. Usanga, L. Abia- Bassey, S. M. Udoh, E. Archibong
KEYWORDS: Pregnant women, STDs, Diagnosis, Calabar, Nigeria

ABSTRACT:

The prevalence of sexually transmitted diseases (STDs) in pregnant women in Calabar was studied. Blood, high vaginal swabs (HVS) and Endocervical swabs (ECS) samples were aseptically collected from five hundred and sixty two (562) antenatal pregnant women attending two tertiary hospitals in Calabar (the General Hospital and the University of Calabar Teaching Hospital ), and investigated for various etiologic agents of STOs including Neisseria gonon-hoeae, Candida albicans, Trichomonas vaginal is, Gardnerel/a vagina/is (Bacterial vaginosis), Treponema pallidum (Syphilis), Hepatitis B surface Antigen (HBsAg), Human immunodeficiency virus and Chlamydiae species, using standard microbiological methods. The HVS and the ECS swabs were analyzed using direct wet smear, Gram-stained smear and culture techniques while blood samples were examined serologically using standard proprietory reagents. Of the 562 pregnant women examined, 250(44.5%) were infected with various aetiologic agents. Candida albicans had the highest percentage ofinfections 121(21.5%) followed by HIV 38(6.8%) and Chlamydiae species 35(6.2%). Others were Hepatitis B surface antigen (HBsAg) 8( 1.4%); Trichomonas vagi11alis, 29( 5.2%); Gardnerella vagina/is (Bacterial vagillosis). 12(2. l %) and Trepo11ema pallidum (Syphilis) 7( l .2%). Neisseria gonon-lzoeae was not isolated in this study. The prevalent rates of infections were inversely associated with increase in age and educational status. Increased pre/post conception screening for STDs is essential in preventing


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