International Journal of STD & AIDS > Volume 19, Number 11 > Pp. 772-774

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Original research articles

Prevalence of Mycoplasma genitalium in health clinic attendees complaining of vaginal discharge in Bangladesh

S Rahman MBBS PhD ^*  , S Garland MD FRANZCOG  , M Currie RN PhD ^**, S N Tabrizi MS PhD  , M Rahman MBBS PhD , K Nessa MPH PhD  and F J Bowden MD FRACP ^***

^* National Centre for Epidemiology and Population Health, College of Medicine and Health Sciences, The Australian National University, Canberra, Australia; Health System and Infectious Diseases Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh; Clinical Microbiology and Infectious Diseases, The Royal Women's Hospital, Carlton; Department of Microbiology, Royal Children's Hospitals, Victoria; ^** Academic Unit of Internal Medicine, The Canberra Hospital, Canberra; Department of Microbiology and Infectious Diseases Division of Laboratory Services, The Royal Women's Hospital, Carlton; Department of Obstetrics and Gynaecology, University of Melbourne, Victoria; Laboratory Sciences Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh; ^*** Medical School, The Australian National University, Canberra; Canberra Sexual Health Centre, The Canberra Hospital, Canberra, Australia

Correspondence to: Dr Saifur Rahman, National Centre for Epidemiology and Population Health (NCEPH), College of Medicine and Health Sciences, The Australian National University, Bldg 62, Mills Road, Canberra ACT 0200, Australia Email: saifur.rahman{at}anu.edu.au; saifur_r{at}hotmail.com

The objective of the study was to determine the prevalence of Mycoplasma genitalium in a sample of health clinic attendees complaining of vaginal discharge. A subsample of 399 vaginal and cervical swabs was randomly selected from 2579 samples collected during a study to determine the causes of vaginal discharge in women attending primary health-care clinics in Dhaka, Bangladesh. Cervical samples were tested for M. genitalium by polymerase chain reaction. In addition, the samples were tested for Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, bacterial vaginosis and candida. M. genitalium was detected in three samples (0.8%; 95% confidence interval: 0.00–1.6). The prevalence of C. trachomatis, N. gonorrhoeae T. vaginalis, bacterial vaginosis and candida was 1.3, 3.8, 8, 23.25 and 32.5%, respectively. Two women with M. genitalium were co-infected with T. vaginalis or candida. This is the first study to document the existence of M. genitalium in Bangladesh. Although the prevalence of this infection is low in the population tested, further research into this pathogen in other Bangladeshi populations is justified.

Key Words: RTIs • STIs, vaginal discharge • Mycoplasma genitalium

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