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Female genital schistosomiasis in the cervical mucosa is associated with increased vascularity. If FGS is associated with the presence of hemoglobin in cervicovaginal lavage (CVL), the use of urinary reagent strips to detect hemoglobin in CVL could supplement FGS diagnosis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Nonmenstruating, nonpregnant, sexually active women aged 18\u201331 participating in the HPTN 071 (PopART) Population-Cohort were invited in 2 Zambian communities. Genital self-swabs and a urine specimen were collected at a home visit, and CVL and hand-held colposcopy were performed at a midwife led clinic visit. Urinary reagent strips were used to identify hemoglobin in CVL. Eggs and circulating anodic antigen (CAA) were detected from urine. Visual-FGS was defined as the presence of sandy patches, rubbery papules, or abnormal blood vessels. Polymerase chain reaction (PCR)-FGS was defined as Schistosoma deoxyribonucleic acid detected by real-time PCR on CVL or cervical or vaginal swab.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of 209 women with home genital swabs and companion CVL specimens, 66% (138 of 209) had detectable CVL hemoglobin, 13.4% (28 of 209) had PCR-defined FGS, and 17.2% (36 of 209) had visual-FGS. Active Schistosoma infection, diagnosed by CAA or urine microscopy, was present in 21.0% (44 of 209) participants. Active Schistosoma infection (P = .4), PCR-FGS (P = 0.7), and visual-FGS (P = 0.3) were not associated with CVL hemoglobin presence. Results did not differ in subgroups with high infection burden (cycle threshold &amp;lt; 35 or 2\u20133 positive genital PCR).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Polymerase chain reaction-FGS, visual-FGS, and active Schistosoma infection were not associated with the presence of CVL hemoglobin. Further research is needed to establish accessible community-based FGS diagnostics.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ofid\/ofac586","type":"journal-article","created":{"date-parts":[[2022,12,16]],"date-time":"2022-12-16T19:31:53Z","timestamp":1671219113000},"source":"Crossref","is-referenced-by-count":3,"title":["The Presence of Hemoglobin in Cervicovaginal Lavage Is Not Associated With Genital Schistosomiasis in Zambian Women From the BILHIV Study"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3437-3334","authenticated-orcid":false,"given":"Amy S","family":"Sturt","sequence":"first","affiliation":[{"name":"Department of Infectious Diseases, Veterans Affairs Health Care System , Palo Alto, California , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4019-7456","authenticated-orcid":false,"given":"Emily L","family":"Webb","sequence":"additional","affiliation":[{"name":"MRC 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Parasitology, Leiden University Medical Center , Leiden , The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul L A M","family":"Corstjens","sequence":"additional","affiliation":[{"name":"Department of Cell and Chemical Biology, Leiden University Medical Center , Leiden , The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Ayles","sequence":"additional","affiliation":[{"name":"Zambart , Lusaka , Zambia"},{"name":"Department of Clinical Research, London School of Hygiene and Tropical Medicine , London , United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard J","family":"Hayes","sequence":"additional","affiliation":[{"name":"MRC International Statistics and Epidemiology Group, London School of Hygiene and Tropical Medicine , London , United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzanna 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