‘Mycoplasma hominis does not share common risk factors with other genital pathogens’: Findings from a South African pregnant cohort

Southern African Journal of Infectious Diseases

 
 
Field Value
 
Title ‘Mycoplasma hominis does not share common risk factors with other genital pathogens’: Findings from a South African pregnant cohort
 
Creator Naicker, Meleshni Dessai, Fazana Singh, Ravesh Mitchev, Nireshni Tinarwo, Partson Abbai, Nathlee S.
 
Subject Health Sciences Mycoplasma hominis; vaginal infections; pregnant women; risk factors ; HIV infection; bacterial vaginosis
Description Background: The role of Mycoplasma hominis (M. hominis) as a genital tract pathogen was still debatable. This study identified the risk factors associated with the prevalence of M. hominis in South African pregnant women.Methods: This was a cross-sectional analysis of n = 221 prenatal patients attending a Durban hospital during November 2017 to April 2018. M. hominis was detected from urine samples using the quantitative polymerase chain reaction. The population characteristics were described using frequencies stratified by the infection status of M. hominis. In addition, a univariate analysis was used to assess the relationship between each risk factor and infection status. The analysis further considered logistic regression to assess the influence of these risk factors univariately and in the presence of other factors. The coinfection rate between M. hominis and bacterial vaginosis (BV), Trichomonas vaginalis (T. vaginalis), Mycoplasma genitalium (M. genitalium) and Candida species was also determined. All the tests were conducted at 5% level of significance.Results: The prevalence of M. hominis in this study population was 48% (106/221). In the univariate analysis, factors significantly associated with M. hominis positivity included having past abnormal vaginal discharge (p = 0.037), having current abnormal vaginal discharge (p = 0.010) and a borderline significance (p = 0.052), which were noted for previous pre-term delivery. However, none of these factors were sustained in the multivariate analysis. There was a statistically significant association between M. hominis and BV positivity (p 0.001). Similarly, M. hominis and M. genitalium positivity was significant (p = 0.006).Conclusion: This study showed that M. hominis does not share common risk factors with known genital tract pathogens in a population of pregnant women and therefore cannot be considered a genital tract pathogen.
 
Publisher AOSIS Publishing
 
Contributor National Research Foundation
Date 2021-05-19
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Observational
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajid.v36i1.207
 
Source Southern African Journal of Infectious Diseases; Vol 36, No 1 (2021); 8 pages 2313-1810 2312-0053
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://sajid.co.za/index.php/sajid/article/view/207/627 https://sajid.co.za/index.php/sajid/article/view/207/626 https://sajid.co.za/index.php/sajid/article/view/207/628 https://sajid.co.za/index.php/sajid/article/view/207/625
 
Coverage Durban, South Africa All gestational ages pregnant women
Rights Copyright (c) 2021 Meleshni Naicker, Fazana Dessai, Ravesh Singh, Nireshni Mitchev, Partson Tinarwo, Nathlee S. Abbai https://creativecommons.org/licenses/by/4.0
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