Objectives: To estimate the prevalence of condylomata acuminata/HPV and evaluate associated predictors in infected patients. Methods: In this cross-sectional and retrospective study, medical records of patients who attended a public health referral center located in Southern Brazil, Parana, between April 2012 and March 2017 were reviewed. Epidemiological, clinical, and laboratory data were analyzed using the chi-square and odds ratio (OR) with 95% confidence interval (CI). Results: The overall prevalence of condylomata acuminata/HPV in 3,447 patients was 33.1% (n = 1,140). Coinfection of condylomata/HPV with other STI was noted in 23.7% (n = 270) of cases. The population was characterized by a high prevalence (43.8%) in patients aged < 20 years, women (37.4%), white (33.3%), educational level with more than 8 years of study (33.7%), widowed (39.2%), heterosexual (36.7%), and ages between 13 and 19 years at first sexual intercourse (41.1%). A significant association was observed between male sex and multiple partners and between male sex and irregular use of condoms (p < 0.001). The predictors associated with HPV infection were the age group of up to 29 years (OR 2.0, 95% CI 1.3–3.7, p < 0.013) and homosexual/bisexual (OR 0.2, 95% CI 0.12–0.66, p = 0.003). Conclusion: The findings showed a high prevalence of condylomata acuminata in a public health center study, with emphasis on the age range below the third decade of life and sexual behavior predictors. These predictors are important for the determination of preventive measures against the transmission of infection and the development of cancer.
Introdução: O número de casos de sífilis têm aumentado significativamente nos últimos anos. Por ser enquadrada como uma doença de notificação compulsória, segundo o Ministério da Saúde, encontra-se em terceiro lugar como infecção sexualmente transmissível (IST) mais prevalente na população. A doença é preocupante devido às suas consequências, como problemas de fertilidade até a morte, se não tratada; além do fato de aumentar duas a três vezes o risco de contrair o HIV e outras IST. Objetivo: Este trabalho teve por objetivo estimar a prevalência e as variáveis preditoras associadas à sífilis em pacientes atendidos em um centro de referência no Sul do Brasil. Métodos: Trata-se de um estudo transversal e descritivo, realizado com prontuários de pacientes atendidos em um centro de referência em saúde situado no município de Cascavel, Paraná, sul do Brasil, no período de abril de 2012 a março de 2017. Resultados: no período de estudo foram atendidos 2795 pacientes portadores de infecções sexualmente transmissíveis, sendo que destes, 884 eram portadores de sífilis. Verificou-se maior prevalência em homens (65,16%), solteiros (60,71%), que não fazem o uso do preservativo (54,76%), com faixa etária de 20 a 39 anos (61,56%). Houve um significativo aumento na prevalência de sífilis com o decorrer do tempo de estudo, sendo de 8,37% em março de 2012 saltando para 21,83% em março de 2017. Conclusão: Apesar dos avanços preventivos e terapêuticos, a sífilis continua sendo uma IST preocupante na região de Cascavel, Paraná, exigindo constante vigilância epidemiológica.
Background: Sexually transmitted diseases (DSTs) are pathologies that affect millions of people, bringing various consequences to public health. Diseases such as Syphilis and Virus Immunodeficiency Human (HIV) are very prevalent and affect both sexes. Objective: To identify the prevalence and general characteristics of female patients (pregnant or not pregnant) with syphilis and HIV, in a health center in southern Brazil.Methods & Materials: A secondary epidemiological study was conducted in the Northwest region of the state of Paran , through the collection of data from medical records of female patients. The data collected refer to epidemiological, clinical and laboratory aspects of the patients seen between 2013 and 2015. The study was approved by the Ethics Committee on Research in Human Beings, according to opinion 1.375.279 of 12/18/2015Results: The results were analyzed in EpiData (r) 3.1 and Stata (r) 9.1 software, using effect measures, Odds Ratio and 95% confidence interval. 95%. With the analysis of 6993 records, 167 (2.39%) had a positive report for Syphilis and HIV, of these positive cases, 28 (16.77%) were pregnant women. The mean age of the women was 32 years���3.1, the majority were pregnant 3192 (56.23%), with education level of more than eight years of study 4798 (73.53%), lived in urban area 6275 (95.25%) reported using some type of drug 2153 (32.48%) and 3673 (59.27%) women reported not using a condom with a partner during intercourse. Conclusion:This study provides information relevant to preventive, control and related to the diagnosis and early treatment of women with DSTs. In the case of pregnant women the early detection becomes essential for the adoption of prophylactic measures trying to reduce the risk of vertical transmission.
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