The Detection of Seven Sexually Transmitted Infections in Women with Sexual Risk Behaviors Using the Multiplex Real-Time PCR Method
DOI:
https://doi.org/10.14456/taj.2023.3Keywords:
sexually transmitted infections (STIs), multiplex real-time polymerase chain reaction, female high-risk sexual behaviorAbstract
This cross-sectional study was conducted between January and June 2018, of which 100 symptomatic and asymptomatic participants were selected from the patients of sexual transmitted diseases clinic, Bangrak Medical Center, Division of AIDS and STIs. The participants were divided into two groups, the general women group (N=50) and the female sex worker group (N=50). An individual cervical swab was collected from each participant to test for seven sexually transmitted infections: Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), Mycoplasma genitalium (MG), Mycoplasma hominis (MH), Ureaplasma urealyticum (UU), Ureaplasma parvum (UP) and Trichomonas vaginalis (TV), using the multiplex real-time polymerase chain reaction method with AnyplexTM II STI-7 Detection. The results were analyzed using Seegene Viewer program. Descriptive statistics were applied to analyze the results. The findings revealed that Ureaplasma parvum had the highest rate of bacterial infection (48%), followed by Ureaplasma urealyticum (20%), Mycoplasma hominis (17%), Neisseria gonorrhoeae (11%), Chlamydia trachomatis (9%), Mycoplasma genitalium (6%). The rate of parasite infection was Trichomonas vaginalis (3%).There was no statistically significant difference between the two groups in terms of the seven sexual transmitted infections (p>0.05). However, the asymptomatic female sex worker group had a higher rate of these infections, indicating an increased risk of transmission. Therefore, screening tests for these seven sexually transmitted infections in female sex workers are needed for prevention and control of infection.
Downloads
References
Hivhub.ddc.moph.go.th [Internet]. Nonthaburi: Division of AIDS and STIs, Department of Disease Control; 2022 [cited 2023 Apr 3]. Available from: https://hivhub.ddc.moph.go.th/epidemic.php (in Thai)
Kongkergkiat N, Kittiyaowamarn R, Daengsaard E, editors. Sexually transmitted infections treatment guideline 2015. 2nd ed. Bangkok: Aksorn Graphic and Design Publisher; 2015. (in Thai)
Mensforth S, Thorley N, Radcliffe K. Auditing the use and assessing the clinical utility of microscopy as a point-of-care test for Neisseria gonorrhoeae in a Sexual Health clinic. Int J STD AIDS. 2018;29(2):157-63.
Meyer T, Buder S. The laboratory diagnosis of Neisseria gonorrhoeae: current testing and future demands. Pathogens. 2020;9(2):91.
Shao L, Guo Y, Jiang Y, Liu Y, Wang M, You C, et al. Sensitivity of the standard Chlamydia trachomatis culture method is improved after one additional in vitro passage. J Clin Lab Anal. 2016;30(5):697-701.
Gupta K, Brown L, Bakshi RK, Press CG, Chi X, Gorwitz RJ, et al. Performance of Chlamydia trachomatis OmcB enzyme-linked immunosorbent assay in serodiagnosis of Chlamydia trachomatis Infection in Women. J Clin Microbiol. 2018,56(9):275-18.
Bio-rad. Mycoplasma duo kit: identification and differential titration of genital mycoplasmas (Instruction manual). Paris: Bio-rad; 2010.
Radonjic IV, Dzamic AM, Mitrovic SM, Arsic Arsenijevic VS, Popadic DM, Kranjcic Zec IF. Diagnosis of Trichomonas vaginalis infection: the sensitivities and specificities of microscopy, culture and PCR assay. Eur J Obstet Gynecol Reprod Biol. 2006;126(1):116-20.
Ongwandee S, Kiatburanakul S, Avihingsanon A, Sukkul A, Rangsima Lolekha. editor. Thailand national guidelines on HIV/AIDS treatment and prevention 2017. Bangkok: Agricultural Co-operative Federation of Thailand; 2017. (in Thai)
Muralidhar S. Molecular methods in the laboratory diagnosis of sexually transmitted infections. Indian J Sex Transm Dis AIDS. 2015;36(1):9-17.
Fernández G, Martró E, González V, Saludes V, Bascuñana E, Marcó C, et al. Usefulness of a novel multiplex real-time PCR assay for the diagnosis of sexually-transmitted infections. Enferm Infecc Microbiol Clin. 2016;34(8):471-6.
Seegene Inc. User manual Seeegene’s Product AnyplexTM II STI-7 Detection (V1.1). Seoul: Seegene Inc; 2011.
Cazanave C, Manhart LE, Bébéar C. Mycoplasma genitalium, an emerging sexually transmitted pathogen. Med Mal Infect. 2012;42(9):381-92.
Glass JI, Lefkowitz EJ, Glass JS, Heiner CR, Chen EY, Cassell GH. The complete sequence of the mucosal pathogen Ureaplasma urealyticum. Nature. 2000;407(6805):757–62.
Kokkayil P, Dhawan B. Ureaplasma: current perspectives. Indian J Med Microbiol. 2015;33(2):205-14.
Taylor-Robinson D, Jensen JS. Mycoplasma genitalium: from chrysalis to multicolored butterfly. Clin Microbiol Rev. 2011;24(3):498–514.
Horner PJ, Martin DH. Mycoplasma genitalium infection in men. J Infect Dis. 2017;216 (suppl_2):S396-S405.
Lis R, Rowhani-Rahbar A, Manhart LE. Mycoplasma genitalium infection and female reproductive tract disease: a meta- analysis. Clin Infect Dis. 2015;61(3):418-26.
Ross JD, Brown L, Saunders P, Alexander S. Mycoplasma genitalium in asymptomatic patients: implications for screening. Sex Transm Infect. 2009;85(6):436-7.
Choe HS, Lee DS, Lee SJ, Hong SH, Park DC, Lee MK, et al. Performance of AnyplexTM II multiplex real-time PCR for the diagnosis of seven sexually transmitted infections: comparison with currently available method. Int J Infect Dis. 2013;17(12):e1134-40.