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Volume 27, Number 3—March 2021

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

Michelle J.L. ScoullarComments to Author , 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. BeesonComments to Author , and Healthy Mothers Healthy Babies Study Team1
Author affiliations: Burnet Institute, Melbourne, Victoria, Australia (M.J.L. Scoullar, P. Boeuf, E. Peach, R. Fidelis, K. Tokmun, P. Melepia, E. Kennedy, A.J. Umbers, S. Luchters, L.J. Robinson, F.J.I. Fowkes, C. Morgan, B.S. Crabb, J.G. Beeson); Burnet Institute, Kokopo, Papua New Guinea (M.J.L. Scoullar, P. Boeuf, E. Peach, R. Fidelis, K. Tokmun, P. Melepia, E. Kennedy, A.J. Umbers, S. Luchters, L.J. Robinson, F.J.I. Fowkes, C. Morgan, B.S. Crabb, J.G. Beeson); University of Melbourne, Melbourne (M.J.L Scoullar, P. Boeuf, C.S. Bradshaw, L.J. Robinson, F.J.I. Fowkes, C. Morgan, B.S. Crabb, J.G. Beeson); University of Papua New Guinea, Port Moresby, Papua New Guinea (A. Elijah); Melbourne Sexual Health Centre, Melbourne (C.S. Bradshaw, G. Fehler); Monash University, Melbourne (C.S. Bradshaw, S. Luchters, L.J. Robinson, N.C. Wong, F.J.I. Fowkes, C. Morgan, B.S. Crabb, J.G. Beeson); Papua New Guinea Institute of Medical Research, Goroka, Papua New Guinea (P.M. Siba, L.J. Robinson, A. Vallely, L.M. Vallely, W. Pomat); SpeeDx Pty Ltd, Sydney, New South Wales, Australia (S. Erskine, E. Mokany); Aga Khan University, Nairobi, Kenya (S. Luchters); Ghent University, Ghent, Belgium (S. Luchters); University of New South Wales, Sydney (A. Vallely, S.G. Badman, L.M. Vallely); James Cook University, Townsville, Queensland, Australia (L.M. Vallely)

Main Article

Table 3

Screening question for RTIs in pregnant women, East New Britain, Papua New Guinea, 2015–2017*

Category (22) Screening question as per syndromic management guidelines: Do you currently have any abnormal vaginal discharge?
Alternative question: Have you experienced any abnormal vaginal discharge earlier in the pregnancy or now?
No Yes Total No Yes Total
599 (85.9)
98 (14.1)

563 (80.7)
135 (19.3)
Reproductive tract infection
No current RTI† 112 (93.3) 8 (6.7) 120 108 (89.3) 13 (10.7) 121
No current STI‡ 265 (88.0) 36 (12.0) 301 249 (82.5) 53 (17.5) 302
Mycoplasma genitalium 66 (84.6) 12 (15.4) 78 61 (78.2) 17 (21.8) 78
Chlamydia trachomatis 98 (80.3) 24 (19.7) 122 90 (73.8) 32 (26.2) 122
Neisseria gonorrhoeae 28 (80.0) 7 (20.0) 35 26 (74.3) 9 (25.7) 35
Trichomonas vaginalis 94 (80.3) 23 (19.7) 117 83 (70.9) 34 (29.1) 117
Syphilis§ 68 (86.1) 11 (13.9) 79 65 (82.3) 14 (17.7) 79
Bacterial vaginosis 146 (85.9) 24 (14.1) 170 136 (80.0) 34 (20.0) 170
Vulvovaginal candidiasis
199 (81.2)
46 (18.8)

182 (74.3)
63 (25.7)
>1 Current RTI 292 (84.4) 54 (15.6) 346 268 (77.5) 78 (22.5) 346
>1 Current STI 154 (84.2) 29 (15.8) 183 141 (77.0) 42 (23.0) 183
>1 Infection diagnosed by GeneXpert¶ 141 (80.6) 34 (19.4) 175 127 (72.6) 48 (27.4) 175
>1 Vaginal infection# 298 (82.3) 64 (17.7) 362 271 (74.9) 91 (25.1) 362
>1 BV or VVC infection
314 (83.5)
62 (16.5)

290 (77.1)
86 (22.9)
Any 2 current STIs 58 (77.3) 17 (22.7) 75 53 (70.7) 22 (29.3) 75

*Values are frequency, no. (%). Missing data for 1 woman who responded yes to the alternative question had a missing response to the standard question. BV, bacterial vaginosis; CT, Chlamydia trachomatis; MG, Mycoplasma genitalium; NG, Neisseria gonorrhoeae; RTI, reproductive tract infection; STI, sexually transmitted infection; TV, Trichomonas vaginalis; VVC, vulvovaginal candidiasis.
RTIs include MG, CT, NG, TV, BC, and VVC (syphilis not included).
STIs include MG, CT, NG, TV (syphilis not included).
§Diagnosed with Alere Determine Syphilis TP (Abbott,
¶CT, NG, and TV infections diagnosed with GeneXpert (Cepheid,
#Vaginal infections include BV, TV, and VVC.

Main Article

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1Members of this group are listed at the end of this article.

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