Atenção integral às Pessoas com Infecções Sexualmente Transmissíveis

Galvão, Taís Freire; Costa, Carlos Henrique Nery; García, Leila Posenato

doi:10.1590/s1679-4974202100001.especial

Cited by 10 publications

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References 2 publications

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“…3 Ademais, foram publicados três números especiais que destacaram assuntos relevantes na área da vigilância em saúde. [18][19][20] O período também foi marcado pela realização de atividades de divulgação científica, de formação de autores e revisores, e pelo estabelecimento e fortalecimento de parcerias com outras revistas da área, a exemplo da Revista Brasileira de Epidemiologia, da Revista da Sociedade Brasileira de Medicina Tropical e da Revista Pan-Amazônica de Saúde. Destaca-se a criação, em 2012, do Prêmio RESS Evidencia, para reconhecimento ao melhor artigo original publicado na RESS a cada ano.…”

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Epidemiologia e Serviços de Saúde, 2011 a 2021: uma década virtuosa

García

2021

Epidemiol. Serv. Saúde

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A Epidemiologia e Serviços de Saúde: revista do Sistema Único de Saúde do Brasil (RESS) foi criada em 1992, como Informe Epidemiológico do SUS (IESUS), e, em 2003, adotou o formato de revista científica. 1 Em 2011, a partir das sólidas bases construídas em seu histórico, iniciou-se uma nova fase de impulso ao desenvolvimento da revista, com a ampliação do Comitê Editorial e da equipe editorial. 2,3 Procedeu-se à revisão do plano de fortalecimento da RESS, visando reforçar o caráter científico do periódico e alcançar padrões de publicação para atendimento aos critérios de indexação de bases bibliográficas nacionais e internacionais. As instruções aos autores foram revisadas, a submissão de manuscritos via correio foi abandonada e o processo editorial passou a ser realizado de forma totalmente eletrônica. Foram realizados esforços para assegurar a publicação de 15 artigos originais por número, com regularidade e pontualidade. Como resultado, em um curto intervalo de tempo, a RESS foi indexada nas coleções SciELO Brasil ( 2014) 4 e SciELO Saúde Pública (2015), assim como nas bases bibliográficas Medline (2016), 5 Scopus (2017), Embase ( 2017), Emerging Sources Citation Index (2017) 6 e AmeliCA (2020).

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Epidemiologia e Serviços de Saúde, 2011 a 2021: uma década virtuosa

García

2021

Epidemiol. Serv. Saúde

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Patterns of Chlamydia trachomatis and Neisseria gonorrhoeae in different anatomical sites among Pre-Exposure Prophylaxis (PrEP) users in Brazil

Antonini,

Vettore,

Øgård-Repål

et al. 2024

BMC Infect Dis

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Background The presence of untreated sexually transmitted infections (STIs) significantly increases the chance of acquiring HIV. In Brazil, testing for Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) among Pre-Exposure Prophylaxis (PrEP) users is insufficient, and syndromic treatment is a priority in clinical practice. Multi-site testing for CT/NG improves thescreening of asymptomatic cases and ensures timely treatment. Therefore, it is essential for HIV prevention. This study aims to test the importance of two-site testing for better screening of these pathogens and to determine whether the presence of symptoms is an indicator of CT/NG infection. Methods This is a cross-sectional study carried out in four public infectious diseases clinics in São Paulo State, Brazil between January of 2022 and March of 2023. All participants had an anal swab and a first-pass or mid-stream urine collected for CT/NG analysis by Polymerase chain reaction (PCR). Data about sociodemographic, sexual behavioural and clinical aspects were collected. Pathway analysis was used to examine the direct and indirect relationships between variables according to the theoretical model. Results We screened 171 PrEP users which had two samples collected, resulting in 342 samples. Comparing the anatomic sites, the urine samples showed lower sensitivity for CT and NG than anal samples. Gonorrhoea was directly linked to lower age (β= -0.161, p = 0.001). Time of PrEP use was directly associated with CT infection (β = 0.202; p = 0.042) and inversely associated with dysuria (β= -0.121, p = 0.009). Lower occurrence of yellow-green secretion was linked to detection of CT (β= -0.089, p = 0.005) and NG (β= -0.048, p = 0.002) infections. Foul-smelling discharge was directly associated with CT (β = 0.275, p = 0.004) and NG (β = 0.295, p = 0.037) infection. Conclusion The symptoms are a bad indicator of CT and NG infection, and the screening must be done in more than one site since most of the positive results would be missed if only urines were tested. In the case of testing only one anatomical site, specifically the urethra, the CT/NG incidence and prevalence would be underestimated. The two-sites testing improves detection rates of CT/NG, and PrEP follow-up benefits people offering STI testing.

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A Peer-Led Digital Intervention to Reduce HIV Prevention and Care Disparities Among Young Brazilian Transgender Women (The BeT Study): Protocol for an Intervention Study

Jalil¹,

Wilson²,

Monteiro³

et al. 2023

JMIR Res Protoc

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Background The HIV epidemic continues to disproportionately burden marginalized populations despite the availability of effective preventive and therapeutic interventions. Transgender women are severely affected by HIV worldwide including in Brazil and other low- and middle-income countries, with evidence of increasing new infections among young people. There is an urgent need for youth-specific HIV prevention and care interventions for young transgender women in Brazil. Objective This study aims to (1) address stigma in the Brazilian public health system and (2) reduce barriers to HIV care and prevention with systems navigation among young transgender women aged 18-24 years in Rio de Janeiro, Brazil. Methods The Brilhar e Transcender (BeT) study is a status-neutral, peer-led, single-arm digital intervention study enrolling 150 young transgender women in Rio de Janeiro, Brazil. The intervention was pilot tested and refined using data from a formative phase. The BeT intervention takes place over 3 months, is delivered remotely via mobile phone and in person by peers, and comprises three components: (1) BeT sessions, (2) digital interactions, and (3) automated messages. Eligibility criteria include identifying as transgender women, being aged 18-24 years, speaking in Portuguese, and living in the Rio de Janeiro metropolitan area in Brazil. The primary outcomes are HIV incidence, pre-exposure prophylaxis uptake, linkage to HIV care, and viral suppression. Primary outcomes were assessed at baseline and quarterly for 12 months. Participants respond to interviewer-based surveys and receive tests for HIV and sexually transmitted infections. Results The study has been approved by the Brazilian and the US local institutional review boards in accordance with all applicable regulations. Study recruitment began in February 2022 and was completed in early July 2022. Plans are to complete the follow-up assessment of study participants on July 2023, analyze the study data, and disseminate intervention results by December 2023. Conclusions Interventions to engage a new generation of transgender women in HIV prevention and care are needed to curb the epidemic. The BeT study will evaluate a digital peer-led intervention for young transgender women in Brazil, which builds on ways young people engage in systems and uses peer-led support to empower transgender youth in self-care and health promotion. A promising evaluation of the BeT intervention may lead to the availability of this rapidly scalable status-neutral HIV intervention that can be translated throughout Brazil and other low- and middle-income countries for young transgender women at high risk of or living with HIV. Trial Registration ClinicalTrials.gov NCT05299645; https://clinicaltrials.gov/ct2/show/NCT05299645 International Registered Report Identifier (IRRID) DERR1-10.2196/44157

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Atenção integral às Pessoas com Infecções Sexualmente Transmissíveis

Cited by 10 publications

References 2 publications

Epidemiologia e Serviços de Saúde, 2011 a 2021: uma década virtuosa

Epidemiologia e Serviços de Saúde, 2011 a 2021: uma década virtuosa

Patterns of Chlamydia trachomatis and Neisseria gonorrhoeae in different anatomical sites among Pre-Exposure Prophylaxis (PrEP) users in Brazil

A Peer-Led Digital Intervention to Reduce HIV Prevention and Care Disparities Among Young Brazilian Transgender Women (The BeT Study): Protocol for an Intervention Study

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