Detection and treatment of bacterial vaginosis and sexually transmitted infections
INFECTIOUS DISEASES, NAIROBI
At baseline, swabs for CT/NG were shipped weekly for processing at the University of Nairobi Institute for Tropical and Infectious Diseases; from the 12-month visit, onward swabs for CT/NG were processed in Kisumu at Nyanza Reproductive Health Society. All swabs for TV and BV were processed in Kisumu at Nyanza Reproductive Health Society for the duration of the study. Following manufacturer protocol, vaginal swabs were tested for CT/NG using the GeneXpert (Cepheid, Sunnydale, California, United States). Swabs for TV were processed immediately upon receipt using the OSOM TV antigen detection assay (Sekisui, Lexington, MA, US). Air-dried smears were Gram stained and evaluated according to Nugent’s criteria within 48 hours of receipt; a score of 7 to 10 was defined as BV [