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Schistosomiasis among obstetric fistula patients in Lilongwe, Malawi

BACKGROUND: Schistosoma haematobium infection has been documented as an uncommon cause of vesicovaginal fistula (VVF) and can result in impaired wound healing of urogenital tissues. For these reasons, it could potentially be linked to an increased rate of obstetric fistula among women who experience...

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Autores principales: Drew, Laura B, Tang, Jennifer H, Norris, Alison, Reese, Patricia Carr, Mwale, Mwawi, Mataya, Ronald, Wilkinson, Jeffrey P
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Medical Association Of Malawi 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6863410/
https://www.ncbi.nlm.nih.gov/pubmed/31798799
http://dx.doi.org/10.4314/mmj.v30i4.3
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author Drew, Laura B
Tang, Jennifer H
Norris, Alison
Reese, Patricia Carr
Mwale, Mwawi
Mataya, Ronald
Wilkinson, Jeffrey P
author_facet Drew, Laura B
Tang, Jennifer H
Norris, Alison
Reese, Patricia Carr
Mwale, Mwawi
Mataya, Ronald
Wilkinson, Jeffrey P
author_sort Drew, Laura B
collection PubMed
description BACKGROUND: Schistosoma haematobium infection has been documented as an uncommon cause of vesicovaginal fistula (VVF) and can result in impaired wound healing of urogenital tissues. For these reasons, it could potentially be linked to an increased rate of obstetric fistula among women who experience obstructed labor and/or in a higher failure rate of fistula repair. Therefore, the primary objective of our study was to determine the prevalence of S. haematobium infection among women undergoing obstetric VVF repair in Lilongwe, Malawi. Our secondary objectives were to assess if S. haematobium infection could be a risk factor for obstetric fistula development or unsuccessful VVF repair in our patient population. METHODS: From July to October 2013, we conducted S. haematobium testing via urine microscopy on 96 patients undergoing obstetric VVF repair surgery at the Fistula Care Centre in Lilongwe, Malawi. RESULTS: The prevalence of S. haematobium infection among women undergoing obstetric VVF repair was 2% (n=2). Both women with S. haematobium had successful VVF repairs. CONCLUSIONS: Although S. haematobium has the potential to be a risk factor for obstetric VVF formation or unsuccessful VVF repair, it was uncommon among the women in our clinic with obstetric VVF.
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spelling pubmed-68634102019-12-03 Schistosomiasis among obstetric fistula patients in Lilongwe, Malawi Drew, Laura B Tang, Jennifer H Norris, Alison Reese, Patricia Carr Mwale, Mwawi Mataya, Ronald Wilkinson, Jeffrey P Malawi Med J Original Research BACKGROUND: Schistosoma haematobium infection has been documented as an uncommon cause of vesicovaginal fistula (VVF) and can result in impaired wound healing of urogenital tissues. For these reasons, it could potentially be linked to an increased rate of obstetric fistula among women who experience obstructed labor and/or in a higher failure rate of fistula repair. Therefore, the primary objective of our study was to determine the prevalence of S. haematobium infection among women undergoing obstetric VVF repair in Lilongwe, Malawi. Our secondary objectives were to assess if S. haematobium infection could be a risk factor for obstetric fistula development or unsuccessful VVF repair in our patient population. METHODS: From July to October 2013, we conducted S. haematobium testing via urine microscopy on 96 patients undergoing obstetric VVF repair surgery at the Fistula Care Centre in Lilongwe, Malawi. RESULTS: The prevalence of S. haematobium infection among women undergoing obstetric VVF repair was 2% (n=2). Both women with S. haematobium had successful VVF repairs. CONCLUSIONS: Although S. haematobium has the potential to be a risk factor for obstetric VVF formation or unsuccessful VVF repair, it was uncommon among the women in our clinic with obstetric VVF. The Medical Association Of Malawi 2018-12 /pmc/articles/PMC6863410/ /pubmed/31798799 http://dx.doi.org/10.4314/mmj.v30i4.3 Text en © 2018 The College of Medicine and the Medical Association of Malawi. This work is licensed under the Creative Commons Attribution 4.0 International License. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Original Research
Drew, Laura B
Tang, Jennifer H
Norris, Alison
Reese, Patricia Carr
Mwale, Mwawi
Mataya, Ronald
Wilkinson, Jeffrey P
Schistosomiasis among obstetric fistula patients in Lilongwe, Malawi
title Schistosomiasis among obstetric fistula patients in Lilongwe, Malawi
title_full Schistosomiasis among obstetric fistula patients in Lilongwe, Malawi
title_fullStr Schistosomiasis among obstetric fistula patients in Lilongwe, Malawi
title_full_unstemmed Schistosomiasis among obstetric fistula patients in Lilongwe, Malawi
title_short Schistosomiasis among obstetric fistula patients in Lilongwe, Malawi
title_sort schistosomiasis among obstetric fistula patients in lilongwe, malawi
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6863410/
https://www.ncbi.nlm.nih.gov/pubmed/31798799
http://dx.doi.org/10.4314/mmj.v30i4.3
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