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Mycoplasma genitalium and Other Reproductive Tract Infections in Pregnant Women, Papua New Guinea, 2015–2017

Authors
  • 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.
  • And 5 more
Type
Published Article
Journal
Emerging Infectious Diseases
Publisher
Centers For Disease Control and Prevention
Publication Date
Mar 01, 2021
Volume
27
Issue
3
Pages
894–904
Identifiers
DOI: 10.3201/eid2703.201783
PMID: 33622474
PMCID: PMC7920647
Source
PubMed Central
Keywords
Disciplines
  • Mycoplasma genitalium and Other Reproductive Tract Infections in Pregnant Women, Papua New Guinea, 2
License
Unknown

Abstract

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.

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