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Article ; Online: Eve's garden: myths, legends and secrets unmasked.

Crucitti, Tania

2017 Volume 168, Issue 9-10, Page(s) 773–781

Abstract: This special issue of Research in Microbiology aims to provide some insights in one of women's most fascinating interacting microbial communities: the vaginal microbiome. Even in the 21st century, with many advanced methods at hand, the definition of the ...

Abstract	This special issue of Research in Microbiology aims to provide some insights in one of women's most fascinating interacting microbial communities: the vaginal microbiome. Even in the 21st century, with many advanced methods at hand, the definition of the healthy vaginal microbiome remains under debate. The interest in studying the dysbiosis of the vaginal microbiome is increasing and goes well beyond the study of bacterial vaginosis. The selection of contributions in this issue summarizes what is currently known in terms of inter- and intra-microorganisms interaction as well as the virulence factors that some of them may deploy.
MeSH term(s)	Dysbiosis/microbiology ; Female ; Humans ; Lactobacillus/isolation & purification ; Microbiota/physiology ; Vagina/microbiology ; Vaginosis, Bacterial/microbiology
Language	English
Publishing date	2017-11
Publishing country	France
Document type	Introductory Journal Article
ZDB-ID	1004220-9
ISSN	1769-7123 ; 0923-2508
ISSN (online)	1769-7123
ISSN	0923-2508
DOI	10.1016/j.resmic.2017.07.004
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Article ; Online: Antimicrobial susceptibility profile of

Rafetrarivony, Lala Fanomezantsoa / Rabenandrasana, Mamitina Alain Noah / Hariniaina, Elisoa Ratsima / Randrianirina, Frédérique / Smith, Anthony Marius / Crucitti, Tania

Sexually transmitted infections

2024 Volume 100, Issue 1, Page(s) 25–30

Abstract: Objectives: Antimicrobial-resistant : Methods: We retrieved retrospective data (N=395) from patients with NG isolated during 2014-2020 by the CBC. We retested 46 viable isolates including 6 found ceftriaxone and 2 azithromycin resistant, as well as ... ...

Abstract	Objectives: Antimicrobial-resistant Methods: We retrieved retrospective data (N=395) from patients with NG isolated during 2014-2020 by the CBC. We retested 46 viable isolates including 6 found ceftriaxone and 2 azithromycin resistant, as well as 33 isolated from 2020. We determined minimal inhibitory concentrations for ceftriaxone, ciprofloxacin, azithromycin, penicillin, tetracycline and spectinomycin using Etest. We obtained whole-genome sequences and identified the gene determinants associated with antimicrobial resistance and the sequence types (STs). Results: Over the study period, ceftriaxone-resistant isolates exceeded the threshold of 5% in 2017 (7.4% (4 of 54)) and 2020 (7.1% (3 of 42)). All retested isolates were found susceptible to ceftriaxone, azithromycin and spectinomycin, and resistant to ciprofloxacin. The majority were resistant to penicillin (83% (38 of 46)) and tetracycline (87% (40 of 46)). We detected chromosomal mutations associated with antibiotic resistance in Conclusions: Our report provides a detailed dataset obtained through phenotypical and genotypical methods which will serve as a baseline for future surveillance of NG. We could not confirm the occurrence of ceftriaxone-resistant isolates. Our results highlight the importance of implementing quality-assured gonococcal antimicrobial resistance surveillance in Madagascar.
MeSH term(s)	Humans ; Neisseria gonorrhoeae ; Ceftriaxone/pharmacology ; Azithromycin/pharmacology ; Spectinomycin/pharmacology ; Retrospective Studies ; Madagascar/epidemiology ; Anti-Bacterial Agents/pharmacology ; Gonorrhea/drug therapy ; Gonorrhea/epidemiology ; Tetracycline/pharmacology ; Ciprofloxacin/pharmacology ; Penicillins/pharmacology ; Anti-Infective Agents/pharmacology ; Microbial Sensitivity Tests ; Genomics
Chemical Substances	Ceftriaxone (75J73V1629) ; Azithromycin (83905-01-5) ; Spectinomycin (93AKI1U6QF) ; Anti-Bacterial Agents ; Tetracycline (F8VB5M810T) ; Ciprofloxacin (5E8K9I0O4U) ; Penicillins ; Anti-Infective Agents
Language	English
Publishing date	2024-01-17
Publishing country	England
Document type	Journal Article
ZDB-ID	1420303-0
ISSN	1472-3263 ; 1368-4973
ISSN (online)	1472-3263
ISSN	1368-4973
DOI	10.1136/sextrans-2023-055878
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Article: Eve's garden: myths, legends and secrets unmasked

Crucitti, Tania

Institut Pasteur Research in microbiology. 2017 Nov., Dec., v. 168, no. 9-10

2017

Abstract	This special issue of Research in Microbiology aims to provide some insights in one of women's most fascinating interacting microbial communities: the vaginal microbiome. Even in the 21st century, with many advanced methods at hand, the definition of the healthy vaginal microbiome remains under debate. The interest in studying the dysbiosis of the vaginal microbiome is increasing and goes well beyond the study of bacterial vaginosis. The selection of contributions in this issue summarizes what is currently known in terms of inter- and intra-microorganisms interaction as well as the virulence factors that some of them may deploy.
Keywords	gardens ; microbial communities ; microbiology ; microbiome ; virulence ; women
Language	English
Dates of publication	2017-11
Size	p. 773-781.
Publishing place	Elsevier Masson SAS
Document type	Article
ZDB-ID	1004220-9
ISSN	1769-7123 ; 0923-2508
ISSN (online)	1769-7123
ISSN	0923-2508
DOI	10.1016/j.resmic.2017.07.004
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Article ; Online: LAMP assays for the simple and rapid detection of clinically important urinary pathogens including the detection of resistance to 3rd generation cephalosporins.

Rivoarilala, Lalainasoa Odile / Victor, Jeannoda / Crucitti, Tania / Collard, Jean Marc

BMC infectious diseases

2021 Volume 21, Issue 1, Page(s) 1037

Abstract: Background: Timely and accurate identification of uropathogens and determination of their antimicrobial susceptibility is paramount to the management of urinary tract infections (UTIs). The main objective of this study was to develop an assay using LAMP ...

Abstract	Background: Timely and accurate identification of uropathogens and determination of their antimicrobial susceptibility is paramount to the management of urinary tract infections (UTIs). The main objective of this study was to develop an assay using LAMP (Loop mediated isothermal amplification) technology for simple, rapid and sensitive detection of the most common bacteria responsible for UTIs, as well as for the detection of the most prevalent genes (encoding cefotaximases from CTX-M group 1) responsible for resistance to 3rd generation of cephalosporins. Method: We designed primers targeting Proteus mirabilis, while those targeting Escherichia coli, Klebsiella pneumoniae and Enterococcus faecalis and the CTX-M group 1 resistance gene were benchmarked from previous studies. The amplification reaction was carried out in a warm water bath for 60 min at 63 ± 0.5 °C. The amplicons were revealed by staining with Sybr Green I. Specificity and sensitivity were determined using reference DNA extracts spiked in sterile urine samples. The analytical performance of the assays was evaluated directly on pellets of urine samples from patients suspected of UTI and compared with culture. Results: We found a high specificity (100%) for LAMP assays targeting the selected bacteria (P. mirabilis, E. coli, K. pneumoniae, E. faecalis) and the CTX-M group 1 when using DNA extracts spiked in urine samples. The sensitivities of the assays were around 1.5 10 Conclusion: We showed that the LAMP assays were simple and fast. The tests showed high sensitivity and specificity using a simple procedure for DNA extraction. In addition, the assays could be performed without the need of an expensive device such as a thermal cycler. These LAMP assays could be useful as an alternative or a complementary tool to culture reducing the time to diagnosis and guiding for more effective treatment of UTIs but also as a powerful diagnostic tool in resource-limited countries where culture is not available in primary health care structures.
MeSH term(s)	Cephalosporins ; Escherichia coli/genetics ; Humans ; Molecular Diagnostic Techniques ; Nucleic Acid Amplification Techniques
Chemical Substances	Cephalosporins
Language	English
Publishing date	2021-10-06
Publishing country	England
Document type	Journal Article
ISSN	1471-2334
ISSN (online)	1471-2334
DOI	10.1186/s12879-021-06720-5
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Article ; Online: High adherence to intermittent and continuous use of a contraceptive vaginal ring among women in a randomized controlled trial in Kigali, Rwanda.

Kestelyn, Evelyne / Van Nuil, Jennifer Ilo / Umulisa, Marie Michelle / Umutoni, Grace / Uwingabire, Alice / De Baetselier, Irith / Uwineza, Mireille / Agaba, Stephen / Crucitti, Tania / Delvaux, Thérèse / van de Wijgert, Janneke H H M

Frontiers in global women's health

2024 Volume 5, Page(s) 1278981

Abstract: Background: The introduction of female-initiated drug-delivery methods, including vaginal rings, have proven to be a promising avenue to address sexually transmitted infections and unintended pregnancies, which disproportionally affects women and girls ... ...

Abstract	Background: The introduction of female-initiated drug-delivery methods, including vaginal rings, have proven to be a promising avenue to address sexually transmitted infections and unintended pregnancies, which disproportionally affects women and girls in sub-Saharan Africa. Efficient uptake of existing and new technologies such as vaginal rings requires in depth understanding of product adherence. This remains a major challenge as data on adherence to vaginal rings from African countries is limited. In this study, we explored adherence of contraceptive vaginal ring (NuvaRing®) use in Kigali, Rwanda using a mixed methods approach. Methods: We collected quantitative and qualitative data at multiple time points from women participating in a clinical trial exploring the safety and acceptability of either intermittent or continuous use of the NuvaRing®. Various adherence categories were used including monthly and cumulative adherence measurement. The quantitative data were analysed using R and the qualitative data were analysed using a deductive, content-analytical approach based on categories related to the quantitative adherence measures. All data were compared and triangulated. Results: Data from 120 enrolled participants showed that self-reported adherence was high at every study visit in both study groups. At first study visit 80% of the intermittent ring users and 79.7% of the continuous ring users reported perfect adherence (assessed as "the ring was never out"). Reporting of ring expulsions and removals were highest (28.3%) at the beginning of the trial. Self-reported perfect ring adherence increased during the study and reports of ring expulsions and removals declined as familiarity with this contraceptive method increased. The percentage of women with perfect cumulative adherence was non-significantly higher in the intermittent (61.7%) than in the continuous use group (54.3%). The low rate of discrepant adherence data after triangulation (6%) is in line with the perception of the participants as adherent throughout the study. Conclusions: Self-reported adherence in both study groups was high with removals and expulsions being within the expected product range. Comprehensive adherence data triangulation allowed for a deeper understanding of context-driven behaviour that shaped adherence patterns and challenges. Our data categorisation and triangulation approach has shown potential for implementation in future vaginal ring studies aiming to better understand and measure adherence.
Language	English
Publishing date	2024-04-11
Publishing country	Switzerland
Document type	Journal Article
ISSN	2673-5059
ISSN (online)	2673-5059
DOI	10.3389/fgwh.2024.1278981
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Article ; Online: Does gonorrhoea screening intensity play a role in the early selection of antimicrobial resistance in men who have sex with men (MSM)? A comparative study of Belgium and the United Kingdom.

Kenyon, Chris R / De Baetselier, Irith / Crucitti, Tania

F1000Research

2018 Volume 7, Page(s) 569

Abstract: Background: ...

Abstract	Background:
MeSH term(s)	Adult ; Anti-Bacterial Agents/pharmacology ; Anti-Bacterial Agents/therapeutic use ; Belgium ; Drug Resistance, Bacterial ; Female ; Gonorrhea/diagnosis ; Gonorrhea/drug therapy ; Homosexuality, Male ; Humans ; Male ; Microbial Sensitivity Tests ; Neisseria gonorrhoeae/drug effects ; United Kingdom ; Young Adult
Chemical Substances	Anti-Bacterial Agents
Language	English
Publishing date	2018-05-10
Publishing country	England
Document type	Journal Article
ZDB-ID	2699932-8
ISSN	2046-1402 ; 2046-1402
ISSN (online)	2046-1402
ISSN	2046-1402
DOI	10.12688/f1000research.14869.2
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Article ; Online: Worryingly high prevalence of resistance-associated mutations to macrolides and fluoroquinolones in Mycoplasma genitalium among men who have sex with men with recurrent sexually transmitted infections.

De Baetselier, Irith / Vuylsteke, Bea / Reyniers, Thijs / Smet, Hilde / Van den Bossche, Dorien / Kenyon, Chris / Crucitti, Tania

International journal of STD & AIDS

2022 Volume 33, Issue 4, Page(s) 385–390

Abstract: Background: Men who have sex with men (MSM) using pre-exposure prophylaxis (PrEP) recurrently infected with STIs are playing a pivotal role in contemporary Sexually transmitted infections (STI) epidemics. Our aim was to assess whether these individuals ... ...

Abstract	Background: Men who have sex with men (MSM) using pre-exposure prophylaxis (PrEP) recurrently infected with STIs are playing a pivotal role in contemporary Sexually transmitted infections (STI) epidemics. Our aim was to assess whether these individuals had more Methods: The study was performed on 179 Belgian MSM PrEP users that were followed up for 18 months. STIs including Results: A total of 91 new Conclusions: MSM recurrently infected with STIs play a central role in the emergence of antimicrobial resistance in
MeSH term(s)	Anti-Bacterial Agents/pharmacology ; Anti-Bacterial Agents/therapeutic use ; Drug Resistance, Bacterial/genetics ; Fluoroquinolones/pharmacology ; Fluoroquinolones/therapeutic use ; Homosexuality, Male ; Humans ; Macrolides/pharmacology ; Macrolides/therapeutic use ; Male ; Mutation ; Mycoplasma Infections/drug therapy ; Mycoplasma Infections/epidemiology ; Mycoplasma genitalium/genetics ; Prevalence ; Sexual and Gender Minorities ; Sexually Transmitted Diseases/drug therapy
Chemical Substances	Anti-Bacterial Agents ; Fluoroquinolones ; Macrolides
Language	English
Publishing date	2022-01-29
Publishing country	England
Document type	Journal Article
ZDB-ID	1018089-8
ISSN	1758-1052 ; 0956-4624
ISSN (online)	1758-1052
ISSN	0956-4624
DOI	10.1177/09564624211070704
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Article ; Online: Frequent chlamydia and gonorrhoea but very infrequent syphilis among men who have sex with men using HIV pre-exposure prophylaxis in West Africa.

Dah, Ter Tiero Elias / De Baetselier, Irith / Cuer, Benjamin / Anoma, Camille / Mensah, Ephrem / Koné, Amadou / Diandé, Souba / Dagnra, Claver Anoumou / Faye-Kette, Hortense Yaobla / Yeo, Alain / Yaya, Issifou / Spire, Bruno / Keita, Bintou Dembélé / Crucitti, Tania / Vuylsteke, Bea / Laurent, Christian

Sexually transmitted infections

2024

Abstract: Objectives: Although oral pre-exposure prophylaxis (PrEP) for HIV is being rolled out in West Africa, data on sexually transmitted infections (STIs) in PrEP users are scarce. We assessed the prevalence, incidence and determinants of bacterial STIs in ... ...

Abstract	Objectives: Although oral pre-exposure prophylaxis (PrEP) for HIV is being rolled out in West Africa, data on sexually transmitted infections (STIs) in PrEP users are scarce. We assessed the prevalence, incidence and determinants of bacterial STIs in men who have sex with men (MSM) taking PrEP in Burkina Faso, Côte d'Ivoire, Mali and Togo. Methods: A prospective cohort study among MSM initiating PrEP as part of a comprehensive HIV prevention package was conducted between 2017 and 2021 in community-based clinics in the four study countries. Molecular screening for Results: A total of 598 participants with a median age of 24.7 years were included. Prevalence of CT and/or NG was 24.4% (95% CI 21.0 to 28.1), 22.4% (95% CI 18.4 to 26.8) and 29.0% (95% CI 24.2 to 34.1) at months 0, 6 and 12, respectively. The prevalence of syphilis ranged from 0.2% (95% CI 0.0 to 0.9) at month 0 to 0.8% (95% CI 0.2 to 2.4) at month 12. Ninety incident CT and/or NG infections occurred during a total follow-up time of 280.6 person-years (incidence rate 32.1 per 100 person-years, 95% CI 25.8 to 39.4). Three incident syphilis infections were detected during a total follow-up time of 459.7 person-years (incidence rate 0.7 per 100 person-years, 95% CI 0.1 to 1.9). CT and/or NG incidence was associated with condomless insertive anal sex (adjusted incidence rate ratio 1.96, 95% CI 1.04 to 3.71, p=0.038). Conclusions: CT and NG were frequent but syphilis was very infrequent in MSM using HIV PrEP in West Africa. HIV programme managers should integrate STI services into PrEP programmes.
Language	English
Publishing date	2024-04-11
Publishing country	England
Document type	Journal Article
ZDB-ID	1420303-0
ISSN	1472-3263 ; 1368-4973
ISSN (online)	1472-3263
ISSN	1368-4973
DOI	10.1136/sextrans-2023-056000
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Article ; Online: Associations between age of menarche, early sexual debut and high-risk sexual behaviour among urban Tanzanian schoolgirls: A cross-sectional study.

Whitworth, Hilary S / Baisley, Kathy J / Nnko, Soori / Irani, Julia / Aguirre-Beltran, Aura / Changalucha, John / Crucitti, Tania / Francis, Suzanna / Hashim, Ramadhan / Hansen, Christian Holm / Hayes, Richard J / Buvé, Anne / Watson-Jones, Deborah

Tropical medicine & international health : TM & IH

2023 Volume 28, Issue 3, Page(s) 237–246

Abstract: Objectives: This cross-sectional survey aimed to explore associations between age of menarche, early sexual debut and high-risk sexual behaviour among urban Tanzanian schoolgirls.: Methods: Secondary schoolgirls aged 17-18 years from Mwanza, Tanzania, ...

Abstract	Objectives: This cross-sectional survey aimed to explore associations between age of menarche, early sexual debut and high-risk sexual behaviour among urban Tanzanian schoolgirls. Methods: Secondary schoolgirls aged 17-18 years from Mwanza, Tanzania, participated in structured face-to-face questionnaire-based interviews, conducted by nurses and clinicians. Age of menarche was evaluated in categories of 11-12, 13-14, 15-16 or ≥17 years. Primary outcome measures were self-reported early sexual debut (first vaginal sex at <16 years) and high-risk sexual behaviour, including non-use of condoms, having sex for gifts/money, having older sexual partners and/or other risky behaviours. Results: Of 401 girls enrolled, 174 (43.4%) reported prior vaginal sex. Prevalence of early sexual debut was 14.2% but pressured/forced sex and risky sexual behaviours were common. Adjusted for potential confounding, younger age at menarche was associated with early sexual debut (adjusted odds ratio for linear trend: 1.88 per category, 95% confidence interval: 1.21-2.92, p = 0.005). This association remained after excluding girls with first sex at <8 years or experiencing pressure or force at first sex. Further, adjusted for potential confounding (including ever experiencing forced sex), early sexual debut was associated with high-risk sexual behaviour (adjusted odds ratio: 2.85, 95% confidence interval: 1.38-5.88, p = 0.004). Conclusions: Among urban Tanzanian school girls, younger age of menarche was associated with early sexual debut, and early sexual debut was associated with high-risk sexual behaviour. Researchers and public health professionals developing and delivering interventions aimed at preventing adverse sexual health outcomes should consider the impact of these early biological and sexual exposures.
MeSH term(s)	Female ; Humans ; Cross-Sectional Studies ; Tanzania/epidemiology ; Menarche ; Sexual Behavior ; Sexual Partners
Language	English
Publishing date	2023-02-15
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1314080-2
ISSN	1365-3156 ; 1360-2276
ISSN (online)	1365-3156
ISSN	1360-2276
DOI	10.1111/tmi.13858
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Article: Lymphogranuloma venereum among patients presenting at the HIV/STI clinic in Antwerp, Belgium : a case series.

Apers, Ludwig / Florence, Eric / Crucitti, Tania / Anwar, Nabila

Acta gastro-enterologica Belgica

2017 Volume 80, Issue 3, Page(s) 385–387

Abstract: Objective of this study was to describe the patient characteristics and clinical presentation of laboratory confirmed lymphogranuloma venereum (LGV) cases, diagnosed at the Institute of Tropical Medicine (ITM), Antwerp, Belgium. Demographic and ... ...

Abstract	Objective of this study was to describe the patient characteristics and clinical presentation of laboratory confirmed lymphogranuloma venereum (LGV) cases, diagnosed at the Institute of Tropical Medicine (ITM), Antwerp, Belgium. Demographic and biomedical characteristics of all patients with chlamydia-positive sample results were retrieved for the years 2013 and 2014. Samples were obtained from both symptomatic and asymptomatic patients who consulted at the HIV/STI clinic. Fifty four patients with laboratory confirmed LGV were detected among 3885 nucleic acid amplification tests (NAATs) performed for the detection of chlamydia during the two years under review. Fifty three were men and equally fifty three had sex with men only (MSM). HIV (87%) and HCV (31.5%) were common concomitant infections, whilst anal gonorrhoea and syphilis were detected at the moment of the LGV diagnosis among 19 (35.2%) and 6 (11.0%) cases respectively. All cases were symptomatic, except one. The most frequent symptoms that were recorded could be categorised as proctitis (in 40 patients (74%)). Lymphadenopathy, anal and genital ulcers were signs that were present in 7 (13.0%), 4 (7.4%) and 2 patients (3.7%) respectively. LGV remains an important sexually transmitted disease among MSM. In this retrospective study, the far majority of LGV was detected amongst symptomatic persons. HCV, HIV, anal gonorrhoea and syphilis were associated co-infections. Proctitis in a high risk patient should alert the clinician for the possibility of an STI.
MeSH term(s)	Adult ; Belgium/epidemiology ; Chlamydia trachomatis/isolation & purification ; Coinfection/epidemiology ; Coinfection/microbiology ; Female ; HIV Infections/epidemiology ; HIV Infections/microbiology ; Humans ; Lymphogranuloma Venereum/diagnosis ; Lymphogranuloma Venereum/epidemiology ; Lymphogranuloma Venereum/microbiology ; Male ; Microbiological Techniques/methods ; Microbiological Techniques/statistics & numerical data ; Proctitis/diagnosis ; Proctitis/epidemiology ; Proctitis/etiology ; Retrospective Studies ; Risk Assessment ; Sexual and Gender Minorities/statistics & numerical data ; Sexually Transmitted Diseases/complications ; Sexually Transmitted Diseases/diagnosis ; Sexually Transmitted Diseases/epidemiology ; Sexually Transmitted Diseases/microbiology ; Symptom Assessment/statistics & numerical data
Language	English
Publishing date	2017-07
Publishing country	Belgium
Document type	Journal Article
ZDB-ID	127060-6
ISSN	1784-3227 ; 0001-5644
ISSN	1784-3227 ; 0001-5644
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