RESUMEN
Tick-borne relapsing fever (TBRF) borreliae are one of the main causes of fever in rural Africa and can cause miscarriages. This article reports Borrelia crocidurae as a probable cause of spontaneous miscarriage, which was detected through vaginal self-sampling. This appears to be the first such report.
Asunto(s)
Aborto Espontáneo/microbiología , Borrelia/aislamiento & purificación , Fiebre Recurrente/microbiología , Vagina/microbiología , Adulto , Borrelia/clasificación , Borrelia/genética , Femenino , Humanos , Embarazo , Fiebre Recurrente/diagnóstico , Población Rural/estadística & datos numéricos , SenegalAsunto(s)
Aborto Espontáneo/microbiología , Listeria monocytogenes/aislamiento & purificación , Listeriosis/diagnóstico , Manejo de Especímenes/métodos , Vagina/microbiología , Aborto Espontáneo/epidemiología , Femenino , Humanos , Listeriosis/epidemiología , Embarazo , Autoadministración , Senegal/epidemiologíaRESUMEN
Vaginal self-sampling and human papillomavirus (HPV) DNA testing can be useful tools for women with limited access to health care living in sub-Saharan Africa. To assess the feasibility and acceptability of vaginal self-sampling and high-risk HPV prevalence in two villages of central Senegal, women were asked to self-sample vaginal swabs for HPV detection in May, 2016. Vaginal swabs were collected from 133 women and were tested for HPV genotyping. The acceptability rate of vaginal self-sampling was 98.5%, and 99.2% of the women (133/134) used the device correctly. The quality of self-sampling was satisfactory in 100% of the samples; 10.5% of the samples were positive for HPV, including 6% with high-risk HPV types and 4% with low-risk HPV types. This preliminary study indicates that vaginal self-sampling is a valuable strategy for high-risk HPV detection and cervical cancer screening in a population of women not attending gynecologic screening in rural areas of Senegal.