HIV-infected women of Burkina Faso : a "reservoir" of mycoplasma infection.

Djigma F, Ouedraogo C, Sagna T, Ouermi D, Sanogo K, Bisseye C, Kabre A, Pietra V, Simpore J, Nikiema JB, Musumeci S.

J Infect Dev Ctries. 2011 Mar 21 ;5(3):176-81.

PMID : 21444986 [PubMed - indexed for MEDLINE] ;

INTRODUCTION : The objective of this work was to assess the prevalence of bacterial vaginosis (BV) and genital mycoplasma colonization in 251 HIV-positive compared to 200 HIV-negative women at the Maternal and Child Health (MCH) service of Saint Camille Medical Center Ouagadougou (Burkina Faso).
METHODOLOGY : After revealing the cervix with a speculum, we collected swabs of vaginal discharge for the detection of pathogenic bacteria.
RESULTS : Among HIV-positive and HIV-negative women, we identified respectively : Mycoplasma hominis (16.7% versus 5.5%) ; Ureaplasma urealyticum (16.3% versus 0.0%) ; co-infection M. hominis with U. urealyticum (13.14% versus 0.0%) ; Candida albicans (21.11% versus 41.5%) ; E. coli (9.96% versus 4.0%) ; and the presence of abundant vaginal discharge (27.5% versus 5.0%) respectively. The Nugent’s score, utilized for the diagnosis of BV, was significantly higher in HIV-positive women (p < 0.001) associated with poor vaginal hygiene practices (p < 0.01) and no use of condoms (p < 0.01). Enterobacter, Klebsiella pneumonia, Klebsiella oxitocica, Staphylococcus epidermidis and Staphylococcus aureus, Streptococcus agalactiae, Trichomonas vaginalis, and Gardnerella vaginalis were also isolated, but in a low prevalence ranging from 0% to 5%.
CONCLUSION : These results demonstrate that the HIV-positive women of Burkina Faso are frequently affected by BV and represent a reservoir for mycoplasma infection. Since these germs can lead to sterility and premature delivery, it is important to develop a policy of screening.

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