Acceptability and Feasibility of Integrating Point-of-Care Diagnostic Testing of Sexually Transmitted Infections into a South African Antenatal Care Program for HIV-Infected Pregnant Women
Background. Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), and Trichomonas vaginalis (TV) infections may increase the risk of vertical transmission of the human immunodeficiency virus (HIV). In resource-limited settings, symptomatic screening, and syndromic management of sexually transmitte...
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| Veröffentlicht in: | Infectious diseases in obstetrics and gynecology 2018, Vol.2018 (2018), p.1-6 |
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| creator | Medina-Marino, A. Klausner, Jeffrey D. McIntyre, J. A. Price, C. Joseph Davey, D. de Vos, L. Olivier, D. Mudau, M. Morikawa, E. Peters, R. P. |
| description | Background. Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), and Trichomonas vaginalis (TV) infections may increase the risk of vertical transmission of the human immunodeficiency virus (HIV). In resource-limited settings, symptomatic screening, and syndromic management of sexually transmitted infections (STIs) during pregnancy continue to be the standard of care. In the absence of diagnostic testing, asymptomatic infections in pregnant women go untreated. Objective. To describe the acceptability and feasibility of integrating diagnostic STI screening into first antenatal care visits for HIV-infected pregnant women. Methods. HIV-infected pregnant women were recruited during their first antenatal care visit from three antenatal care clinics in Tshwane District, South Africa, between June 2016 and October 2017. Self-collected vaginal swabs were used to screen for CT, NG, and TV with a diagnostic point-of-care (POC) nucleic acid amplification test. Those with STIs were provided treatment per South African national guidelines. Results. Of 442 eligible women, 430 (97.3%) agreed to participate and were tested. Of those with a positive STI test result ( n = 173; 40.2%), 159 (91.9%) received same-day results and treatment; 100% of STI-infected women were treated within seven days. Conclusions. Integration of POC diagnostic STI screening into first-visit antenatal care services was feasible and highly acceptable for HIV-infected pregnant women. |
| doi_str_mv | 10.1155/2018/3946862 |
| format | Article |
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A. ; Price, C. ; Joseph Davey, D. ; de Vos, L. ; Olivier, D. ; Mudau, M. ; Morikawa, E. ; Peters, R. P.</creator><contributor>Larsen, Bryan</contributor><creatorcontrib>Medina-Marino, A. ; Klausner, Jeffrey D. ; McIntyre, J. A. ; Price, C. ; Joseph Davey, D. ; de Vos, L. ; Olivier, D. ; Mudau, M. ; Morikawa, E. ; Peters, R. P. ; Larsen, Bryan</creatorcontrib><description>Background. Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), and Trichomonas vaginalis (TV) infections may increase the risk of vertical transmission of the human immunodeficiency virus (HIV). In resource-limited settings, symptomatic screening, and syndromic management of sexually transmitted infections (STIs) during pregnancy continue to be the standard of care. In the absence of diagnostic testing, asymptomatic infections in pregnant women go untreated. Objective. To describe the acceptability and feasibility of integrating diagnostic STI screening into first antenatal care visits for HIV-infected pregnant women. Methods. HIV-infected pregnant women were recruited during their first antenatal care visit from three antenatal care clinics in Tshwane District, South Africa, between June 2016 and October 2017. Self-collected vaginal swabs were used to screen for CT, NG, and TV with a diagnostic point-of-care (POC) nucleic acid amplification test. Those with STIs were provided treatment per South African national guidelines. Results. Of 442 eligible women, 430 (97.3%) agreed to participate and were tested. Of those with a positive STI test result ( n = 173; 40.2%), 159 (91.9%) received same-day results and treatment; 100% of STI-infected women were treated within seven days. Conclusions. Integration of POC diagnostic STI screening into first-visit antenatal care services was feasible and highly acceptable for HIV-infected pregnant women.</description><identifier>ISSN: 1064-7449</identifier><identifier>EISSN: 1098-0997</identifier><identifier>DOI: 10.1155/2018/3946862</identifier><identifier>PMID: 29861622</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Adult ; Antiretroviral drugs ; Asymptomatic Infections ; Chlamydia Infections - diagnosis ; Chlamydia Infections - epidemiology ; Diagnostic tests ; Disease transmission ; Feasibility Studies ; Female ; Gonorrhea - diagnosis ; Gonorrhea - epidemiology ; HIV ; HIV (Viruses) ; HIV Infections - complications ; Human immunodeficiency virus ; Humans ; Medical tests ; Patient Acceptance of Health Care - statistics & numerical data ; Point-of-Care Testing ; Pregnancy ; Pregnancy Complications, Infectious - diagnosis ; Pregnancy Complications, Infectious - epidemiology ; Pregnant women ; Prenatal Care - methods ; Sexually transmitted diseases ; South Africa - epidemiology ; STD ; Studies ; Systematic review ; Trichomonas Infections - diagnosis ; Trichomonas Infections - epidemiology ; Womens health</subject><ispartof>Infectious diseases in obstetrics and gynecology, 2018, Vol.2018 (2018), p.1-6</ispartof><rights>Copyright © 2018 E. Morikawa et al.</rights><rights>COPYRIGHT 2018 John Wiley & Sons, Inc.</rights><rights>Copyright Hindawi Limited 2018</rights><rights>Copyright © 2018 E. Morikawa et al. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4842-a1483fef487d904632d05a744c67a14bb08f6972304786ebfe217662a93b78693</citedby><cites>FETCH-LOGICAL-c4842-a1483fef487d904632d05a744c67a14bb08f6972304786ebfe217662a93b78693</cites><orcidid>0000-0002-6922-7364 ; 0000-0001-8582-9018</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5971359/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5971359/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,4010,27900,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29861622$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Larsen, Bryan</contributor><creatorcontrib>Medina-Marino, A.</creatorcontrib><creatorcontrib>Klausner, Jeffrey D.</creatorcontrib><creatorcontrib>McIntyre, J. A.</creatorcontrib><creatorcontrib>Price, C.</creatorcontrib><creatorcontrib>Joseph Davey, D.</creatorcontrib><creatorcontrib>de Vos, L.</creatorcontrib><creatorcontrib>Olivier, D.</creatorcontrib><creatorcontrib>Mudau, M.</creatorcontrib><creatorcontrib>Morikawa, E.</creatorcontrib><creatorcontrib>Peters, R. P.</creatorcontrib><title>Acceptability and Feasibility of Integrating Point-of-Care Diagnostic Testing of Sexually Transmitted Infections into a South African Antenatal Care Program for HIV-Infected Pregnant Women</title><title>Infectious diseases in obstetrics and gynecology</title><addtitle>Infect Dis Obstet Gynecol</addtitle><description>Background. Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), and Trichomonas vaginalis (TV) infections may increase the risk of vertical transmission of the human immunodeficiency virus (HIV). In resource-limited settings, symptomatic screening, and syndromic management of sexually transmitted infections (STIs) during pregnancy continue to be the standard of care. In the absence of diagnostic testing, asymptomatic infections in pregnant women go untreated. Objective. To describe the acceptability and feasibility of integrating diagnostic STI screening into first antenatal care visits for HIV-infected pregnant women. Methods. HIV-infected pregnant women were recruited during their first antenatal care visit from three antenatal care clinics in Tshwane District, South Africa, between June 2016 and October 2017. Self-collected vaginal swabs were used to screen for CT, NG, and TV with a diagnostic point-of-care (POC) nucleic acid amplification test. Those with STIs were provided treatment per South African national guidelines. Results. Of 442 eligible women, 430 (97.3%) agreed to participate and were tested. Of those with a positive STI test result ( n = 173; 40.2%), 159 (91.9%) received same-day results and treatment; 100% of STI-infected women were treated within seven days. Conclusions. Integration of POC diagnostic STI screening into first-visit antenatal care services was feasible and highly acceptable for HIV-infected pregnant women.</description><subject>Adult</subject><subject>Antiretroviral drugs</subject><subject>Asymptomatic Infections</subject><subject>Chlamydia Infections - diagnosis</subject><subject>Chlamydia Infections - epidemiology</subject><subject>Diagnostic tests</subject><subject>Disease transmission</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Gonorrhea - diagnosis</subject><subject>Gonorrhea - epidemiology</subject><subject>HIV</subject><subject>HIV (Viruses)</subject><subject>HIV Infections - complications</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Medical tests</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Point-of-Care Testing</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Infectious - diagnosis</subject><subject>Pregnancy Complications, Infectious - epidemiology</subject><subject>Pregnant women</subject><subject>Prenatal Care - methods</subject><subject>Sexually transmitted diseases</subject><subject>South Africa - epidemiology</subject><subject>STD</subject><subject>Studies</subject><subject>Systematic review</subject><subject>Trichomonas Infections - diagnosis</subject><subject>Trichomonas Infections - epidemiology</subject><subject>Womens health</subject><issn>1064-7449</issn><issn>1098-0997</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkk1v1DAQQCMEoqVw44wsISEkSOt8OfYFabVQulIlVuoCx2iSjLOuEnuxHWD_Gz8Op7u0XcQB5eDYfvPGHk8UPU_oaZIUxVlKE36WiZxxlj6IjhMqeEyFKB9O_yyPyzwXR9ET564ppZyy4nF0lArOEpamx9GvWdPgxkOteuW3BHRLzhGc2s-NJAvtsbPgle7I0ijtYyPjOVgk7xV02jivGrJCdwME_gp_jtD3W7KyoN2gvMc2SCQ2XhntSDAYAuTKjH5NZtKqBjSZhSQaPPTkxry0JqQciDSWXCy-xLvw4Fla7DRoT76aAfXT6JGE3uGz_XgSfT7_sJpfxJefPi7ms8u4yXmexpDkPJMoc162guYsS1taQKhLw8qwV9eUSybKNKN5yRnWEtOkZCwFkdVhQWQn0buddzPWA7YNam-hrzZWDWC3lQFVHe5ota46870qRJlkxSR4vRdY820MtaoG5Rrse9BoRlelNBciC2dNAvryL_TajFaH600ULTMmeHZHddBjpbQ0IW8zSatZwXNepLSkgTr9BxW-FgfVGI1ShfWDgFf3AtYIvV870483L3cIvt2BjTXOWZS3xUhoNbVlNbVltW_LgL-4X8Bb-E8fBuDNDlgr3cIP9Z86DAxKuKMTxihj2W_VUvPb</recordid><startdate>2018</startdate><enddate>2018</enddate><creator>Medina-Marino, A.</creator><creator>Klausner, Jeffrey D.</creator><creator>McIntyre, J. 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A. ; Price, C. ; Joseph Davey, D. ; de Vos, L. ; Olivier, D. ; Mudau, M. ; Morikawa, E. ; Peters, R. 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A.</au><au>Price, C.</au><au>Joseph Davey, D.</au><au>de Vos, L.</au><au>Olivier, D.</au><au>Mudau, M.</au><au>Morikawa, E.</au><au>Peters, R. P.</au><au>Larsen, Bryan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acceptability and Feasibility of Integrating Point-of-Care Diagnostic Testing of Sexually Transmitted Infections into a South African Antenatal Care Program for HIV-Infected Pregnant Women</atitle><jtitle>Infectious diseases in obstetrics and gynecology</jtitle><addtitle>Infect Dis Obstet Gynecol</addtitle><date>2018</date><risdate>2018</risdate><volume>2018</volume><issue>2018</issue><spage>1</spage><epage>6</epage><pages>1-6</pages><issn>1064-7449</issn><eissn>1098-0997</eissn><abstract>Background. Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), and Trichomonas vaginalis (TV) infections may increase the risk of vertical transmission of the human immunodeficiency virus (HIV). In resource-limited settings, symptomatic screening, and syndromic management of sexually transmitted infections (STIs) during pregnancy continue to be the standard of care. In the absence of diagnostic testing, asymptomatic infections in pregnant women go untreated. Objective. To describe the acceptability and feasibility of integrating diagnostic STI screening into first antenatal care visits for HIV-infected pregnant women. Methods. HIV-infected pregnant women were recruited during their first antenatal care visit from three antenatal care clinics in Tshwane District, South Africa, between June 2016 and October 2017. Self-collected vaginal swabs were used to screen for CT, NG, and TV with a diagnostic point-of-care (POC) nucleic acid amplification test. Those with STIs were provided treatment per South African national guidelines. Results. Of 442 eligible women, 430 (97.3%) agreed to participate and were tested. Of those with a positive STI test result ( n = 173; 40.2%), 159 (91.9%) received same-day results and treatment; 100% of STI-infected women were treated within seven days. Conclusions. Integration of POC diagnostic STI screening into first-visit antenatal care services was feasible and highly acceptable for HIV-infected pregnant women.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>29861622</pmid><doi>10.1155/2018/3946862</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-6922-7364</orcidid><orcidid>https://orcid.org/0000-0001-8582-9018</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1064-7449 |
| ispartof | Infectious diseases in obstetrics and gynecology, 2018, Vol.2018 (2018), p.1-6 |
| issn | 1064-7449 1098-0997 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5971359 |
| source | MEDLINE; Wiley Online Library Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection; PubMed Central Open Access |
| subjects | Adult Antiretroviral drugs Asymptomatic Infections Chlamydia Infections - diagnosis Chlamydia Infections - epidemiology Diagnostic tests Disease transmission Feasibility Studies Female Gonorrhea - diagnosis Gonorrhea - epidemiology HIV HIV (Viruses) HIV Infections - complications Human immunodeficiency virus Humans Medical tests Patient Acceptance of Health Care - statistics & numerical data Point-of-Care Testing Pregnancy Pregnancy Complications, Infectious - diagnosis Pregnancy Complications, Infectious - epidemiology Pregnant women Prenatal Care - methods Sexually transmitted diseases South Africa - epidemiology STD Studies Systematic review Trichomonas Infections - diagnosis Trichomonas Infections - epidemiology Womens health |
| title | Acceptability and Feasibility of Integrating Point-of-Care Diagnostic Testing of Sexually Transmitted Infections into a South African Antenatal Care Program for HIV-Infected Pregnant Women |
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