A six-year follow-up survey of sexually transmitted diseases in Brasilia, the capital of Brazil

Abstract

The notification of sexually transmitted diseases (STD) is a prime component of well-designed public health policy. However, peculiar aspects of STD must be taken into account for the correct management of surveillance activities. Here, we describe the distribution of the most common sexually transmitted diseases among patients attended by the gynecological clinics of the principal public hospitals of Brasilia and the Federal District, Brazilian capital, during six years. A total of 142,158 patients had their cervicovaginal samples collected for Papanicolaou preparations and eventual biopsies. Diagnosis was made according to cytological and histological alterations, distinguishing among vaginal infections, and pre-cancerous and cancerous cervical lesions. We also looked at the annual prevalence of the various types of infections and alterations. There was a high prevalence of bacterial vaginosis, trichomoniasis and candidiasis, with suggestive changes over the years. Pre-cancerous and cancerous lesions increased 2.2 fold during the six years. A large proportion of the cases involved late stages of cervical cancer, indicating the necessity of prompt attendance of the population in a routine gynecological prevention program

Prevalence of Trichomonas vaginalis in women of reproductive age at a family health clinic

“…This finding was consistent with that reported by other authors [21]. A survey that included more than 140,000 women in the Federal District, Midwest region of Brazil, found a prevalence of 7.3% [22].…”

“…A study conducted in the Federal District, (Simões-Barbosa et al, 2002) found a prevalence of 7.3% in a sample of 142,158 women. Infection with T. vaginalis was present in 10% of the inflammatory lesions [22]. In that research, the methodology used was the Pap smear, which has sensitivity for T. vaginalis detection lower than that of the culture method.…”

Chronic Trichomoniasis in a Woman with Mixed Vaginitis Infection in Bandar Abbas, Iran: A Case Report

“…Infection in men is often without clinical symptoms, and they actually play the role of the parasite carriers for women. Therefore, simultaneous treatment of both sexual partners (female and male) is recommended and necessary [1,5] . In this study, after the correct diagnosis of the disease, the patient under study and her husband were treated at the same time, causing the symptoms to be ameliorated.…”

“…Vaginitis as a vaginal inflammation is one of the most prevalent infectious diseases among patients referring to midwifery clinics. Bacterial vaginosis, candidiasis, and trichomoniasis are the main leading causes of vaginitis [1] . Bacterial vaginosis is the most common cause of vaginal infection, and the second most common form of vaginal infection among people is vaginal candidiasis [1,2] .…”

“…Bacterial vaginosis, candidiasis, and trichomoniasis are the main leading causes of vaginitis [1] . Bacterial vaginosis is the most common cause of vaginal infection, and the second most common form of vaginal infection among people is vaginal candidiasis [1,2] . Another important cause of vaginal infection accounting for 20-25 % of vaginitis is trichomoniasis, which is caused by Trichomonas vaginalis and also play an important role in disseminating human immunodeficiency virus (HİV) infection [3] .…”