Table 2. Diagnostic test results and FGS prevalence in 603 Zambian women living in S. haematobium endemic areas near the Zambezi river.
Characteristics | Overall (n = 603) % (n) |
Community-A (n = 319) % (n) |
Community-B (n = 284) % (n) |
p-value |
---|---|---|---|---|
Hematuria | 28.7 (173) | 31.0 (99) | 26.1 (74) | 0.2 |
Urine Microscopy | 5.5 (33/603) | 8.2 (26/319) | 2.5 (7/284) | 0.002 |
Median egg count per 15mL‡ | 18 | 17.5 | 18 | |
IQR | 5–35 | 5–35 | 8–90 | |
Urine CAA* | 15.1 (91/601) | 20.5 (65/317) | 9.2 (26/284) | <0.001 |
Median pg/mL‡ | 9.10 | 11.46 | 5.93 | |
IQR | 2.2–58.6 | 2.3–42.1 | 2.2–112.0 | |
Urine PCR* | 4.3 (26/601) | 6.3 (20/317) | 2.1 (6/284) | 0.012 |
Median Ct‡ | 29.6 | 30.2 | 29.3 | |
IQR | 27.8–33.5 | 26.4–34.9 | 29.0–32.7 | |
Active schistosome Infection* [any urine test positive] |
15.6 (94/601) | 21.1 (67/317) | 9.5 (27/284) | <0.001 |
PCR–CVL† | 2.7 (14/527) | 3.8 (11/290) | 1.3 (3/237) | 0.06** |
Median Ct‡ | 34.6 | 35.3 | 33.2 | |
IQR | 33.0–37.0 | 33.0–37.0 | 21.0–38.0 | |
PCR–Cervical Swab | 3.3 (20/603) | 4.4 (14/319) | 2.1 (6/284) | 0.12 |
Median Ct‡ | 35.3 | 35.8 | 33.3 | |
IQR | 29.6–37.1 | 29.4–37.2 | 29.7–36.3 | |
PCR–Vaginal Swab | 2.5 (15/603) | 2.5 (8/319) | 2.5 (7/284) | 0.97 |
Median Ct‡ | 34.3 | 35.4 | 32.2 | |
IQR | 23.6–37.1 | 30.6–37.2 | 23.2–35.2 | |
Any PCR Positive Sample†† | 5.7 (30/529) | 7.6 (22/291) | 3.4 (8/238) | 0.02 |
PCR positive–Vaginal or Cervical Swab | 4.0 (24/603) | 5.3 (17/319) | 2.5 (7/284) | 0.07 |
*2 urine vials arrived at LUMC empty (n = 601)
** Calculated by Fisher’s exact (otherwise by chi-squared)
† 527 women presented for CVL– 290 Community-A and 237 Community-B
‡ Median egg count, CAA concentrations and PCR Ct-value restricted to positive tests
††One participant from each of Site-1 and Site-2 had positive self-collected PCR specimens but did not present to clinic (n = 529)
Abbreviations: CAA—Circulating Anodic Antigen, CVL–Cervicovaginal Lavage, PCR–Polymerase Chain Reaction for the detection of Schistosoma DNA