Aetiology of sexually transmitted infections in Maputo, Mozambique
Introduction: The study sought to ascertain the prevalence of the aetiological agents of genital discharge and genital ulcer diseases in Maputo, Mozambique. Methodology: Consecutive consenting patients presenting to the Centro de Saúde do Porto in Maputo between March and April 2005 with genital...
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The Journal of Infection in Developing Countries
2010-09-01
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| Series: | Journal of Infection in Developing Countries |
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| Online Access: | https://jidc.org/index.php/journal/article/view/1179 |
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| author | Tomas Francisco Zimba Teke Apalata Willem Adrian Sturm Prashini Moodley |
| author_facet | Tomas Francisco Zimba Teke Apalata Willem Adrian Sturm Prashini Moodley |
| author_sort | Tomas Francisco Zimba |
| collection | DOAJ |
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Introduction: The study sought to ascertain the prevalence of the aetiological agents of genital discharge and genital ulcer diseases in Maputo, Mozambique.
Methodology: Consecutive consenting patients presenting to the Centro de Saúde do Porto in Maputo between March and April 2005 with genital discharge syndrome and/or genital ulcer diseases were recruited. Specimens were collected for the identification of STI pathogens.
Results: Of 346 recruited patients, 164 were male and 182 female. The prevalence of confirmed single aetiological agents for male urethritis was as follows: N. gonorrhoeae, 35%; C. trachomatis, 10%; and M. genitalium 4%. For vaginal discharge, N. gonorrhoeae was found in11% of the women tested, followed by C. trachomatis (6.5%), bacterial vaginosis (34%), and T. vaginalis (2%). The prevalence of genital ulcers was as follows: Herpes simplex virus type 2, 62%; H. ducreyi 4 %; and C. trachomatis biovar LGV, 4%. Five percent of patients with genital ulcers had a positive syphilis serology (RPR ≥ 1:8 and confirmed by TPHA) and 35% of all tested patients were HIV-1/2 infected.
Cases of mixed infections were present in 5%, 11% and 3% of patients with male urethritis, vaginal discharge, and genital ulcers respectively.
Conclusion: The classic sexually transmitted infection aetiologies are still prevalent in Maputo. The study highlights the need for a periodic surveillance to inform syndromic management protocols.
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| format | Article |
| id | doaj-art-17c0ec3acf8844b5bf18c3fe992d10e6 |
| institution | Kabale University |
| issn | 1972-2680 |
| language | English |
| publishDate | 2010-09-01 |
| publisher | The Journal of Infection in Developing Countries |
| record_format | Article |
| series | Journal of Infection in Developing Countries |
| spelling | doaj-art-17c0ec3acf8844b5bf18c3fe992d10e62025-08-20T03:48:58ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802010-09-0150110.3855/jidc.1179Aetiology of sexually transmitted infections in Maputo, MozambiqueTomas Francisco Zimba0Teke Apalata1Willem Adrian Sturm2Prashini Moodley3Department of Infection Prevention and Control, Medical Microbiology Research Laboratories, NRMSM, UKZN and Central Hospital de Maputo, MozambiqueDepartment of Infection Prevention and Control, Nelson R Mandela School of Medicine, University of KwaZulu-NatalDepartment of Infection Prevention and Control, Medical Microbiology Research Laboratories, Nelson R Mandela School of Medicine, University of KwaZulu-NatalDepartment of Infection Prevention and Control, Medical Microbiology Research Laboratories, Nelson R Mandela School of Medicine, University of KwaZulu-Natal Introduction: The study sought to ascertain the prevalence of the aetiological agents of genital discharge and genital ulcer diseases in Maputo, Mozambique. Methodology: Consecutive consenting patients presenting to the Centro de Saúde do Porto in Maputo between March and April 2005 with genital discharge syndrome and/or genital ulcer diseases were recruited. Specimens were collected for the identification of STI pathogens. Results: Of 346 recruited patients, 164 were male and 182 female. The prevalence of confirmed single aetiological agents for male urethritis was as follows: N. gonorrhoeae, 35%; C. trachomatis, 10%; and M. genitalium 4%. For vaginal discharge, N. gonorrhoeae was found in11% of the women tested, followed by C. trachomatis (6.5%), bacterial vaginosis (34%), and T. vaginalis (2%). The prevalence of genital ulcers was as follows: Herpes simplex virus type 2, 62%; H. ducreyi 4 %; and C. trachomatis biovar LGV, 4%. Five percent of patients with genital ulcers had a positive syphilis serology (RPR ≥ 1:8 and confirmed by TPHA) and 35% of all tested patients were HIV-1/2 infected. Cases of mixed infections were present in 5%, 11% and 3% of patients with male urethritis, vaginal discharge, and genital ulcers respectively. Conclusion: The classic sexually transmitted infection aetiologies are still prevalent in Maputo. The study highlights the need for a periodic surveillance to inform syndromic management protocols. https://jidc.org/index.php/journal/article/view/1179sexually transmitted infectionssyndrome aetiologiesMaputo |
| spellingShingle | Tomas Francisco Zimba Teke Apalata Willem Adrian Sturm Prashini Moodley Aetiology of sexually transmitted infections in Maputo, Mozambique Journal of Infection in Developing Countries sexually transmitted infections syndrome aetiologies Maputo |
| title | Aetiology of sexually transmitted infections in Maputo, Mozambique |
| title_full | Aetiology of sexually transmitted infections in Maputo, Mozambique |
| title_fullStr | Aetiology of sexually transmitted infections in Maputo, Mozambique |
| title_full_unstemmed | Aetiology of sexually transmitted infections in Maputo, Mozambique |
| title_short | Aetiology of sexually transmitted infections in Maputo, Mozambique |
| title_sort | aetiology of sexually transmitted infections in maputo mozambique |
| topic | sexually transmitted infections syndrome aetiologies Maputo |
| url | https://jidc.org/index.php/journal/article/view/1179 |
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