Karley J. Dutra

Sexually Transmitted Infection Screening and Positivity in Pregnant Women Living in Areas with High Social Vulnerability Indices

Gweneth Bratton Lazenby, Jeffrey E. Korte, Ekatrina Pekar, John L. Pearce et autres

OBJECTIVES: Pregnant women living in rural areas of the United States are not equitably served by healthcare systems and may be disproportionately affected by sexually transmitted infections (STIs). We examined the impact of location of pregnancy care on STI screening and positivity …

us, gb, jp (code pays fourni par la source)

Male partner treatment for bacterial vaginosis (letter to the editor)

Karley J. Dutra, Ryan Sobel, Jenell S. Coleman

us (code pays fourni par la source)

Hepatitis C treatment during pregnancy: time for a practice change

Karley J. Dutra, Jonathan M. Fenkel

us (code pays fourni par la source)

Effects of Integrase Strand Transfer Inhibitors Versus Non-INSTI Regimen Exposures in Pregnancy Outcomes, Maternal Weight Gain, and Human Immunodeficiency Virus Viral Suppression

Fouzia Zahid Ali Khan, Karley J. Dutra, Gweneth Bratton Lazenby, Anna Maya Powell

Background: Integrase strand transfer inhibitors (INSTIs) with and without tenofovir alafenamide fumarate (TAF) are recommended in first-line regimens for pregnant people living with human immunodeficiency virus (PWH), with mixed data emerging on pregnancy outcomes and maternal weight gain. Methods: This is a …

us (code pays fourni par la source)

Patterns of Intravaginal Boric Acid and Probiotics Use Among Patients With Chronic Vulvovaginal Symptoms

Julia Dambly, Karley J. Dutra, Ryan Sobel, R Stephens et autres

OBJECTIVE: The study aimed to assess the use of boric acid and probiotics among patients treated at a tertiary care vulvovaginal health center. METHODS: The authors conducted a cross-sectional survey of 206 new patients from October 2024 and January 2025. Participants completed …

us (code pays fourni par la source)

Sexually Transmitted Infection Considerations Following Sexual Assault

Karley J. Dutra, Ariana L Lewis, Rachel Counts

Sexual assault is common, disproportionately impacting women, persons of color, and young adults. Evaluation should include a history and exam, collection of forensic evidence, and evaluation for mental health disorders. Management of sexually transmitted infections (STI) is important, as 15% will acquire …

us (code pays fourni par la source)

Relationship between high adverse childhood experience score, HIV risk behavior, and previous HIV testing in the South Carolina behavioral risk factor surveillance system

Karley J. Dutra, Gweneth Bratton Lazenby, Miyonta Mavins

Identifying HIV risk factors is important for screening. High adverse childhood experience (ACE) scores (≥ 4) reflect childhood trauma and are associated with HIV risk behaviors. Studies examining ACE and HIV testing are limited, with mixed results. We performed a retrospective cross-sectional …

us (code pays fourni par la source)

Long‐Acting Cabotegravir/Rilpivirine for HIV Antiretroviral Therapy Throughout Pregnancy: A Case Report and Literature Review

Sarah Boudová, Karley J. Dutra, Carol Lynn Robbins, Joy Lander-Roe et autres

Cabotegravir/rilpivirine (CAB/RPV) is a long-acting injectable antiretroviral therapy (ART) with limited data on safety and efficacy during pregnancy. We report a patient who maintained viral suppression on CAB/RPV every 2 months throughout pregnancy. MV was a 33-year-old G4P1021 with HIV and hypertension. …

us (code pays fourni par la source)

Pneumonia Vaccines: Indications for Use and Current Safety Data in Pregnancy

Karley J. Dutra, Hayley Berry, Gweneth Bratton Lazenby

Streptococcus pneumoniae is a leading cause of pneumonia, meningitis, and invasive pneumococcal disease among adults in the United States, with higher rates of disease occurring among individuals with chronic medical and immunocompromising conditions. Pregnant individuals, especially those with comorbid conditions, are also …

us (code pays fourni par la source)

Association Between Adverse Childhood Experience Scores and Sexually Transmitted Infections in Pregnant and Postpartum People

Karley J. Dutra, Gweneth Bratton Lazenby, Miyonta Mavins

Adverse childhood experiences (ACEs) are associated with numerous adverse health outcomes, including risky sexual behaviors and sexually transmitted infections (STIs) in non-pregnant individuals. However, limited data exist on the relationship between high ACE scores (≥ 4) and STIs during pregnancy. This study …

ACE Scores and STI Rates Among Pregnant and Postpartum Persons at a University Hospital [ID 2683476]

Karley J. Dutra, Gweneth Bratton Lazenby, Miyonta Moore

INTRODUCTION: Sexually transmitted infections (STIs) have increased across the United States. Universal screening for HIV, hepatitis B, hepatitis C, and syphilis is recommended each pregnancy. Risk-based screening is recommended for chlamydia, gonorrhea, and trichomonas. Adverse childhood experiences (ACEs) quantify exposure to adverse …

us (code pays fourni par la source)

Relationship Between High ACE Score, HIV Risk Behavior, and Previous HIV Testing in the South Carolina BRFSS [ID 2683384]

Karley J. Dutra, Gweneth Bratton Lazenby, Miyonta Moore

INTRODUCTION: The incidence of human immunodeficiency virus (HIV) in the United States is stable among women. Due to stigma, 13% of persons with HIV are unaware of their diagnosis. Adverse childhood experiences (ACEs) describe negative events during childhood using a standardized questionnaire. …

us (code pays fourni par la source)