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

Michelle J.L. Scoullar; Philippe Boeuf; Elizabeth Peach; Ruth Fidelis; Kerryanne Tokmun; Pele Melepia; Arthur Elijah; Catriona S. Bradshaw; Glenda Fehler; Peter M. Siba; Simon Erskine; Elisa Mokany; Elissa Kennedy; Alexandra J. Umbers; Stanley Luchters; Leanne J. Robinson; Nicholas C. Wong; Andrew J. Vallely; Steven G. Badman; Lisa M. Vallely; Freya J.I. Fowkes; Christopher Morgan; William Pomat; Brendan S. Crabb; James G. Beeson

doi:10.3201/eid2703.201783

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

Michelle J.L. Scoullar, Philippe Boeuf, Elizabeth Peach, Ruth Fidelis, Kerryanne Tokmun, Pele Melepia, Arthur Elijah, Catriona S. Bradshaw, Glenda Fehler, Peter M. Siba, Simon Erskine, Elisa Mokany, Elissa Kennedy, Alexandra J. Umbers, Stanley Luchters, Leanne J. Robinson, Nicholas C. Wong, Andrew J. Vallely, Steven G. Badman, Lisa M. VallelyFreya J.I. Fowkes, Christopher Morgan, William Pomat, Brendan S. Crabb, James G. Beeson

Internal Medicine, East Africa

Research output: Contribution to journal › Article › peer-review

12 Citations (Scopus)

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.

Original language	English
Pages (from-to)	894-904
Number of pages	11
Journal	Emerging Infectious Diseases
Volume	27
Issue number	3
DOIs	https://doi.org/10.3201/eid2703.201783
Publication status	Published - Mar 2021

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Scoullar, M. J. L., Boeuf, P., Peach, E., Fidelis, R., Tokmun, K., Melepia, P., Elijah, A., Bradshaw, C. S., Fehler, G., Siba, P. M., Erskine, S., Mokany, E., Kennedy, E., Umbers, A. J., Luchters, S., Robinson, L. J., Wong, N. C., Vallely, A. J., Badman, S. G., ... Beeson, J. G. (2021). Ycoplasma genitalium and other reproductive tract infections in pregnant women, Papua New Guinea, 2015-2017. Emerging Infectious Diseases, 27(3), 894-904. https://doi.org/10.3201/eid2703.201783

@article{e3e57cf8566449abb4f82eb221122d6f,

title = "Ycoplasma genitalium and other reproductive tract infections in pregnant women, Papua New Guinea, 2015-2017",

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.",

author = "Scoullar, {Michelle J.L.} and Philippe Boeuf and Elizabeth Peach and Ruth Fidelis and Kerryanne Tokmun and Pele Melepia and Arthur Elijah and Bradshaw, {Catriona S.} and Glenda Fehler and Siba, {Peter M.} and Simon Erskine and Elisa Mokany and Elissa Kennedy and Umbers, {Alexandra J.} and Stanley Luchters and Robinson, {Leanne J.} and Wong, {Nicholas C.} and Vallely, {Andrew J.} and Badman, {Steven G.} and Vallely, {Lisa M.} and Fowkes, {Freya J.I.} and Christopher Morgan and William Pomat and Crabb, {Brendan S.} and Beeson, {James G.}",

year = "2021",

month = mar,

doi = "10.3201/eid2703.201783",

language = "English",

volume = "27",

pages = "894--904",

journal = "Emerging Infectious Diseases",

issn = "1080-6040",

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Scoullar, MJL, Boeuf, P, Peach, E, Fidelis, R, Tokmun, K, Melepia, P, Elijah, A, Bradshaw, CS, Fehler, G, Siba, PM, Erskine, S, Mokany, E, Kennedy, E, Umbers, AJ, Luchters, S, Robinson, LJ, Wong, NC, Vallely, AJ, Badman, SG, Vallely, LM, Fowkes, FJI, Morgan, C, Pomat, W, Crabb, BS & Beeson, JG 2021, 'Ycoplasma genitalium and other reproductive tract infections in pregnant women, Papua New Guinea, 2015-2017', Emerging Infectious Diseases, vol. 27, no. 3, pp. 894-904. https://doi.org/10.3201/eid2703.201783

TY - JOUR

T1 - Ycoplasma genitalium and other reproductive tract infections in pregnant women, Papua New Guinea, 2015-2017

AU - Scoullar, Michelle J.L.

AU - Boeuf, Philippe

AU - Peach, Elizabeth

AU - Fidelis, Ruth

AU - Tokmun, Kerryanne

AU - Melepia, Pele

AU - Elijah, Arthur

AU - Bradshaw, Catriona S.

AU - Fehler, Glenda

AU - Siba, Peter M.

AU - Erskine, Simon

AU - Mokany, Elisa

AU - Kennedy, Elissa

AU - Umbers, Alexandra J.

AU - Luchters, Stanley

AU - Robinson, Leanne J.

AU - Wong, Nicholas C.

AU - Vallely, Andrew J.

AU - Badman, Steven G.

AU - Vallely, Lisa M.

AU - Fowkes, Freya J.I.

AU - Morgan, Christopher

AU - Pomat, William

AU - Crabb, Brendan S.

AU - Beeson, James G.

PY - 2021/3

Y1 - 2021/3

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=85101622858&partnerID=8YFLogxK

U2 - 10.3201/eid2703.201783

DO - 10.3201/eid2703.201783

M3 - Article

C2 - 33622474

AN - SCOPUS:85101622858

SN - 1080-6040

VL - 27

SP - 894

EP - 904

JO - Emerging Infectious Diseases

JF - Emerging Infectious Diseases

IS - 3

ER -

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

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