Mycoplasma genitalium and other reproductive tract infections in pregnant women, Papua New Guinea, 2015-2017

Scoullar, Michelle J.L., Boeuf, Philippe, Peach, Elizabeth, Fidelis, Ruth, Tokmun, Kerryanne, Melepia, Pele, Elijah, Arthur, Bradshaw, Catriona S., Fehler, Glenda, Siba, Peter M., Erskine, Simon, Mokany, Elisa, Kennedy, Elissa, Umbers, Alexandra J., Luchters, Stanley, Robinson, Leanne J., Wong, Nicholas C., Vallely, Andrew J., Badman, Steven G., Vallely, Lisa M., Fowkes, Freya J.I., Morgan, Christopher, Pomat, William, Crabb, Brendan S., Beeson, James G., and Healthy mothers healthy babies study team, (2021) Mycoplasma genitalium and other reproductive tract infections in pregnant women, Papua New Guinea, 2015-2017. Emerging Infectious Diseases, 27 (3). pp. 894-904.

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Much about the range of pathogens, frequency of coinfection, and clinical effects of reproductive tract infections (RTIs) among pregnant women remains unknown. We report on RTIs (Mycoplasma genitalium, Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, Treponema pallidum subspecies pallidum, bacterial vaginosis, and vulvovaginal candidiasis) and other reproductive health indicators in 699 pregnant women in Papua New Guinea during 2015-2017. We found M. genitalium, an emerging pathogen in Papua New Guinea, in 12.5% of participants. These infections showed no evidence of macrolide resistance. In total, 74.1% of pregnant women had >1 RTI; most of these infections were treatable. We detected sexually transmitted infections (excluding syphilis) in 37.7% of women. Our findings showed that syndromic management of infections is greatly inadequate. In total, 98.4% of women had never used barrier contraception. These findings will inform efforts to improve reproductive healthcare in Papua New Guinea.

Item ID: 70513
Item Type: Article (Research - C1)
ISSN: 1080-6059
Keywords: Chlamydia trachomatis; Mycoplasma genitalium; Neisseria gonorrhoeae; Papua New Guinea; Treponema pallidum; Trichomonas vaginalis; bacteria; bacterial vaginosis; fungi; pregnancy; pregnant women; reproductive tract infections; sexually transmitted infections; vulvovaginal candidiasis.
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The Healthy Mothers Healthy Babies Study Team also includes: Hadlee Supsup, Dukduk Kabiu, Priscah Hezeri, Primrose Homiehombo, Rose Suruka, Benishar Kombut, Thalia Wat, Noelyne Taraba, Chris Sohenaloe, Dorish Palangat, Zoe Saulep, Elizabeth Walep, Lucy Au, Irene Daniels, Gabriella Kalimet-Tade, Noreen Tamtilik, Ellen Kavang, Wilson Philip, Wilson Kondo, Allan Tirang, Michael Palauva, Ioni Pidian, Teddy Wanahau, and Eremas Amos.

Funders: National Health and Medical Research Council of Australia (NHMRC).
Date Deposited: 04 May 2022 22:39
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