Sexually transmitted infections among brothel-based sex workers in Bangladesh: High prevalence of asymptomatic infection

Khalrun Nessa, Shama A. Waris, Anadil Alam, Mohsina Huq, Shamsun Nahar, Faisal Arif Hasan Chawdhury, Shirajum Monira, Monir Uddin Badal, Jinath Sultana, Kazi Faisal Mahmud, Joseph Das, Dipak Kumar Mitra, Zafar Sultan, Najmul Hossain, Motiur Rahman

Research output: Contribution to journalArticlepeer-review

40 Scopus citations

Abstract

Objective and Goal: The goal of this study was to study the prevalence of sexually transmitted infections (STIs)/reproductive tract infections (RTIs) among brothel-based sex workers (SWs) in Bangladesh. Study: A cross-sectional study was conducted among SWs in 4 randomly selected brothels. A sociodemographic and behavioral survey and pelvic examination was conducted. Specimens including endocervical swab, high vaginal swab, and blood were collected and were examined for Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis, bacterial vaginosis candidiasis, and syphilis. Results: A total of 439 SWs were enrolled and 49.6% had genital symptoms. Among all SWs, 17.5% were positive for N. gonorrhoeae; 15.5% for C. trachomatis; 7.5% for T. vaginalis, and 6.6% had active syphilis. A total of 67.4% SWs were positive for at least 1 cervical and/or vaginal infection. Conclusion: The prevalence of STIs/RTIs among SWs in brothels in Bangladesh is high. An intervention strategy addressing both symptomatic and asymptomatic infections and periodic screening of SWs for RTIs/STIs is essential for successful HIV and STIs prevention programs.

Original languageEnglish (US)
Pages (from-to)13-19
Number of pages7
JournalSexually transmitted diseases
Volume32
Issue number1
DOIs
StatePublished - Jan 2005
Externally publishedYes

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)
  • Infectious Diseases

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