Prevalence of Chlamydia trachomatis and Neisseria gonorrhea and associated factors among women living with Human Immunodeficiency Virus in Brazil: a multicenter study

Miranda, Angélica Espinosa; Silveira, Mariângela F.; Travassos, Ana Gabriela; Tenório, Teresinha; Val, Isabel Cristina Chulvis do; Lannoy, Leonor; Mattos, Hortensio Simões de; Carvalho, Newton Sérgio de

doi:10.1016/j.bjid.2017.03.014

Cited by 18 publications

(27 citation statements)

References 19 publications

(24 reference statements)

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“…Assuming a loss of 10%, the final sample of 850 women size was distributed proportionally in each clinic: 95 women at each clinic. The results regarding gonorrhea and Chlamydia infection were reported in previous publication …”

Section: Methodsmentioning

confidence: 59%

“…The questionnaire included sociodemographic characteristics (age, schooling, marital status, family income, place of residence); behavioral characteristics (smoking, use of alcohol and illicit drugs, use condoms, number sexual partners, sexual practices) and clinical information (presence of vaginal discharge, previous STI, stage of HIV infection, CD4 cells count, and viral load). After the interview, gynecological examination was conducted to collect conventional cervical cytology and vaginal secretion using thinprep to test for Chlamydia trachomatis , Neisseria gonorrhoeae, and HPV tests through molecular biology . The HPV screening was performed using qPCR in closed system—In vitro Diagnostic (IVD), COBAS ® HPV Roche.…”

Section: Methodsmentioning

confidence: 99%

“…The results regarding gonorrhea and Chlamydia infection were reported in previous publication. 18 A face-to-face interview, performed by health professionals, with 20 min duration was conducted using a standardized questionnaire (validated in a pilot study). The questionnaire included sociodemographic characteristics (age, schooling, marital status, family income, place of residence); behavioral characteristics (smoking, use of alcohol and illicit drugs, use condoms, number sexual partners, sexual practices) and clinical information (presence of vaginal discharge, previous STI, stage of HIV infection, CD4 cells count, and viral load).…”

Section: Methodsmentioning

confidence: 99%

“…After the interview, gynecological examination was conducted to collect conventional cervical cytology and vaginal secretion using thinprep to test for Chlamydia trachomatis, Neisseria gonorrhoeae, and HPV tests through molecular biology. 18 The HPV screening was performed using qPCR in…”

Section: Methodsmentioning

confidence: 99%

“…7 Persistent HPV infection with specific HR-HPV is related with high-grade intraepithelial lesions (HSIL). 8 HPV types 16,18,31, and 33 are the most prevalent [high-risk genotypes] in HSIL and the high prevalence of these types in HSIL is likely to be associated with a type-specific progression risk. 9 HPV 16 and HPV 18 are present in approximately 70% of cases of invasive cervical cancer worldwide.…”

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confidence: 99%

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High‐risk papillomavirus infection among women living with human Immunodeficiency virus: Brazilian multicentric study

Miranda

Silveira

Travassos³

et al. 2017

Journal of Medical Virology

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Cervical cancer is an important health issue in Latin America. Although HPV infections can have spontaneous clearance, persistence of high-risk (HR) HPV is a risk factor for cervical cancer among women and it is even higher in HIV-infected women. To determine the prevalence of HR-HPV and risk factors among HIV-infected women attending reference services for HIV/AIDS in different regions of Brazil. Cross-sectional study conducted among HIV-infected women attended at referral care centers for HIV/AIDS in nine states of Brazil. Women from 18 to 49 years that accept to participate and were not pregnant at the time of the approach were recruited for the study. The HPV screening was realized using qPCR in closed system, in vitro Diagnostic, COBAS -HPV Roche. The cytology results were available by the Bethesda System. A total of 802(89.1%) from the selected women agreed to participate in the study. Median age was 39(Inter quartile range [IQR34-46]) years and median education was 9(IQR6-11) years. General prevalence of HR-HPV was 28.4%(228/802). HPV-16 prevalence rate was 8.1%(65/802), HPV-18 was 3.7%(30/802) and other types of HR-HPV were 23.6% (189/802). Risk factors for HR-HPV infection in the multivariate logistic regression analysis were: age ranging from 18 to 34 years (OR = 1.43[95%CI:1.18-1.75]), illicit drugs use (OR = 1.61[95%CI:1.10-2.42]) and abnormal cervical cytology (OR = 1.56[95%CI:1.34-1.81]). Results showed a prevalence rate of 28.4% of HR-HPV infection in women living with HIV in Brazil. These infections were significantly associated with having less than 35 years old, illicit drug use and abnormal cervical cytology.

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Section: Methodsmentioning

confidence: 59%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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High‐risk papillomavirus infection among women living with human Immunodeficiency virus: Brazilian multicentric study

Miranda

Silveira

Travassos³

et al. 2017

Journal of Medical Virology

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Burden of Disease of Gonorrhoea in Latin America: Systematic Review and Meta-analysis

et al. 2023

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Introduction Neisseria gonorrhoeae causes gonorrhoea, a globally neglected but increasing disease. This systematic review and meta-analysis reviewed the epidemiology and economic burden of gonorrhoea in Latin America and the Caribbean (LAC). Methods We searched PubMed, EMBase, Cochrane Library, EconLIT, CINAHL, CRD, LILACS, Global Health, Global Dissertations and Theses, SciELO, Web of Science databases, countries’ ministries of health, and the IHME’s Global Burden of Disease databases. Studies published in the last 10 years (20 years for economic studies) were included if conducted in any LAC country, without language restrictions. The main outcome measures were incidence/prevalence, proportion of co-infections, case fatality rates, specific mortality/hospitalisation rates, direct/indirect costs, and impact of gonorrhoea on quality of life. To assess evidence quality, we used a checklist developed by the US National Heart, Lung, and Blood Institute for observational studies and trial control arms, the Cochrane Effective Practice Organization of Care Group tool for randomised controlled trials, and the CICERO checklist for economic studies. Results We identified 1290 articles; 115 included epidemiological studies and one included an economic study. Ministry of health data from Argentina, Brazil, Chile, Colombia, Mexico, and Uruguay were identified. Gonorrhoea prevalence was 1.46% (95% confidence interval [CI] 1.00–2.00%) from 48 studies and 5.68% (95% CI 4.23–7.32%) from 58 studies for non-high-risk and high-risk populations, respectively. Cumulative incidence for the high-risk population was 2.05 cases per 100 persons/year. Few published studies were rated as “good” in the risk of bias assessments. Variations in the methodology of the sources and limited information found in the countries’ surveillance systems hinder the comparison of data. Conclusion The burden of gonorrhoea in LAC is not negligible. Our results provide public health and clinical decision support to assess potential interventions to prevent gonorrhoea. Trial Registration The protocol is registered on PROSPERO (CRD42021253342). The study was funded by GlaxoSmithKline Biologicals SA (GSK study identifier VEO-000025). Supplementary Information The online version contains supplementary material available at 10.1007/s40121-023-00814-0.

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Epidemiological profile and genetic resistance of Neisseria gonorrhoeae infection in women in a poor region of São Paulo, Brazil

Tavares,

Alverga,

Felix

et al. 2024

Acta Tropica

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Prevalence of Chlamydia trachomatis and Neisseria gonorrhea and associated factors among women living with Human Immunodeficiency Virus in Brazil: a multicenter study

Abstract: The control of STI represents a unique opportunity to improve reproductive health of women living with HIV. STI diagnosis can change their behavior and reduce the sexual transmission of HIV and bacterial STI.

Cited by 18 publications

References 19 publications

High‐risk papillomavirus infection among women living with human Immunodeficiency virus: Brazilian multicentric study

High‐risk papillomavirus infection among women living with human Immunodeficiency virus: Brazilian multicentric study

Burden of Disease of Gonorrhoea in Latin America: Systematic Review and Meta-analysis

Epidemiological profile and genetic resistance of Neisseria gonorrhoeae infection in women in a poor region of São Paulo, Brazil

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