{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T21:58:45Z","timestamp":1780091925937,"version":"3.54.0"},"reference-count":45,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T00:00:00Z","timestamp":1770595200000},"content-version":"vor","delay-in-days":38,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000060","name":"National Institute of Allergy and Infectious Diseases","doi-asserted-by":"publisher","award":["U01AI141308"],"award-info":[{"award-number":["U01AI141308"]}],"id":[{"id":"10.13039\/100000060","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000060","name":"National Institute of Allergy and Infectious Diseases","doi-asserted-by":"publisher","award":["K24AI188458"],"award-info":[{"award-number":["K24AI188458"]}],"id":[{"id":"10.13039\/100000060","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000060","name":"National Institute of Allergy and Infectious Diseases","doi-asserted-by":"publisher","award":["T32AI007641"],"award-info":[{"award-number":["T32AI007641"]}],"id":[{"id":"10.13039\/100000060","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health & Human Development","doi-asserted-by":"publisher","award":["K99\/R00 HD111572"],"award-info":[{"award-number":["K99\/R00 HD111572"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In sub-Saharan Africa, sexually transmitted and reproductive tract infections (STIs\/RTIs) are important but underdiagnosed risk factors for adverse pregnancy outcomes. Sulfadoxine\u2013pyrimethamine (SP), used for the intermittent preventive treatment of malaria in pregnancy (IPTp), may reduce the STI\/RTI burden due to its antimicrobial activity. We assessed the impact of IPTp regimens on STI\/RTI prevalence and evaluated associations between STIs\/RTIs and adverse birth outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a secondary analysis of a randomized\u2013controlled trial comparing monthly IPTp with SP, dihydroartemisinin\u2013piperaquine (DP), or DP+SP among pregnant women in Uganda. Vaginal swabs collected at or near delivery were tested for Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, and Group B Streptococcus (GBS) by using GeneXpert; bacterial vaginosis was assessed by using Nugent scoring. Log-binomial regression was used to compare STI\/RTI prevalence between IPTp arms; IPTp-DP served as the reference arm. Multivariable Poisson regression with robust standard errors was used to evaluate associations between infections and preterm delivery, term low birthweight (LBW), overall LBW, and small-for-gestational age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among the 2265 participants assessed, the IPTp-SP arm had an 80% [95% confidence interval (CI): 67%\u201388%] lower prevalence of C. trachomatis (2.5% vs 12.4%) and a 35% (95% CI: 1%\u201357%) lower prevalence of GBS (7.7% vs 11.7%) at delivery compared with the IPTp-DP arm. Chlamydia trachomatis was associated with increased preterm delivery [prevalence ratio (PR)\u2009=\u20091.86, 95% CI: 1.07\u20133.25] and GBS was associated with increased term LBW (PR\u2009=\u20092.08, 95% CI: 1.06\u20134.08).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Monthly IPTp-SP may reduce the risk of adverse birth outcomes through its activity against C. trachomatis and GBS, highlighting its potential non-malarial benefits.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ije\/dyag005","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T12:37:42Z","timestamp":1768567062000},"source":"Crossref","is-referenced-by-count":2,"title":["Impact of intermittent preventive treatment of malaria in pregnancy with sulfadoxine\u2013pyrimethamine on sexually transmitted and reproductive tract infections: results from a randomized 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Kampala,","place":["Uganda"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam","family":"Nakalembe","sequence":"additional","affiliation":[{"name":"Department of Medicine, College of Health Sciences, Makerere University , Kampala,","place":["Uganda"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bishop","family":"Opira","sequence":"additional","affiliation":[{"name":"Infectious Diseases Research Collaboration , Kampala,","place":["Uganda"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamara D","family":"Clark","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of California San Francisco , San Francisco, CA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moses R","family":"Kamya","sequence":"additional","affiliation":[{"name":"Infectious Diseases Research Collaboration , Kampala,","place":["Uganda"]},{"name":"Department of Medicine, College of Health 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