Diagnóstico precoce e os fatores associados às infecções sexualmente transmissíveis em mulheres atendidas na atenção primária

Luppi, Carla Gianna; Oliveira, Rute Loreto Sampaio de; Veras, Maria Amélia; Lippman, Sheri A.; Jones, Heidi E.; Jesus, Christiane Herold de; Pinho, Adriana de Araújo; Ribeiro, Mauro C. C.; Caiaffa-Filho, Hélio H.

doi:10.1590/s1415-790x2011000300011

Cited by 27 publications

(29 citation statements)

References 26 publications

(28 reference statements)

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“…vaginalis infection among non-pregnant women (1.4%) was lower than the rates observed in other studies of non-pregnant females aged 12 to 52 years conducted in Ceará (4.1%) [31]; São Paulo, SP (3.2%) [32]; and Minas Gerais (2.6%) [33]. In contrast, the prevalence of T .…”

Section: Discussionmentioning

confidence: 58%

The prevalence of trichomoniasis and associated factors among women treated at a university hospital in southern Brazil

et al. 2017

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BackgroundTrichomoniasis is the most prevalent non-viral sexually transmitted disease (STD) in the world; however, it remains a neglected parasitic disease. This study aimed to determine the prevalence of trichomoniasis and its associated epidemiological factors among women treated at a hospital in southern Brazil.Methodology/Principal findingsA cross-sectional study was performed to determine the prevalence of this infection in women treated at Hospital Universitário (HU) in Rio Grande, Rio Grande do Sul, Brazil, between January 2012 and January 2015. This study consisted a self-administered questionnaire regarding demographic, clinical, and behavioural data and a molecular diagnosis with polymerase chain reaction (PCR) using the TVK3/7 primer set, which was confirmed with sequence analysis. Of the 345 women surveyed, the overall prevalence of Trichomonas vaginalis (T. vaginalis) was 4.1% (14/345). The prevalence rates were 5.9% among pregnant women, 8.5% among HIV-positive women, and 10.1% among HIV-positive pregnant women. The rates for groups with other significant demographic and clinical features were as follows: 6.6% among women with white skin, 12.3% among women with an income below the minimum monthly wage, 7.4% among women with a vaginal pH greater than or equal to 4.6, and 7.9% among women with a comorbid STD. The multivariate analysis confirmed that pregnant women who were HIV-positive (p = 0.001) and had low incomes (p = 0.026) were the most likely to have this infection.ConclusionsA multivariate analysis confirmed that HIV-positive pregnant women with low incomes were the participants most likely to have trichomoniasis. These results are important because this Brazilian region presents a high prevalence of HIV-1 subtype C, which is associated with greater transmissibility. Additionally, low family income reveals a socioeconomic fragility that might favour the transmission of this STD.

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Section: Discussionmentioning

confidence: 58%

The prevalence of trichomoniasis and associated factors among women treated at a university hospital in southern Brazil

et al. 2017

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“…Em relação à prevalência da NG, observamos apenas dois casos de coinfecção na amostra incluída no estudo. Essa porcentagem é, porém, semelhante à encontrada em outras investigações que incluíram casos na mesma faixa etária e empregando a mesma técnica diagnóstica 5,14,[23][24][25] . Em uma clínica de planejamento familiar em Salvador, Bahia, a prevalência de infecção por NG foi de apenas 0,5% 24 .…”

Section: Discussionunclassified

“…As taxas de prevalência das infecções por CT e NG variam amplamente segundo a população pesquisada, o sítio de onde a amostra é coletada e o teste utilizado para o diagnóstico 14 . Os testes diretos, como a pesquisa de antígenos e ácidos nucleicos, apresentam maior sensibilidade e especificidade para o diagnóstico, embora impliquem em maior custo.…”

Section: Introductionunclassified

Infecção por Chlamydia trachomatis e Neisseria gonorrhoeae: fatores associados à infertilidade em mulheres atendidas em um serviço público de reprodução humana

Fernandes¹,

Arruda²,

Approbato³

et al. 2014

Rev. Bras. Ginecol. Obstet.

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“…In our study, the rate of Trichomonas vaginalis infection was low, about 1%. In Brazil, the prevalence of T. vaginalis was 3.2% in women aged form 18 to 40 years followed at a primary care health service [20]. The literature unveils great variability in the prevalence rates of trichomoniasis, that may be due to heterogeneity regarding the diagnostic methods used and the group evaluated.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Risk Factors for Bacterial Vaginosis and Other Vulvovaginitis in a Population of Sexually Active Adolescents from Salvador, Bahia, Brazil

Mascarenhas

Machado

Silva

et al. 2012

Infectious Diseases in Obstetrics and Gynecology

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Bacterial vaginosis, trichomoniasis, and genital candidiasis are considered the main etiologies of vulvovaginitis. Few studies estimate the prevalence of vulvovaginitis among adolescents, especially in Brazil. This study aimed to determine the prevalence and main risk factors associated with bacterial vaginosis and genital infection by C. albicans and Trichomonas vaginalis among a group of adolescents from Salvador, Bahia, Brazil. One hundred sexually active adolescents followed at an adolescent gynecology clinic were included. Endocervical and vaginal samples were obtained during gynecological examination. Nugent criteria were applied for the diagnosis of bacterial vaginosis. For Candida albicans and Trichomonas vaginalis detection, culture in Sabouraud agar plates and Papanicolaou cytology were used, respectively. The mean age of participants was 16.6 ± 1.6 years. The prevalence of bacterial vaginosis was 20% (95% CI 12–28) and of genital infection by Candida was 22% (95% CI 14–30). Vaginal cytology detected Trichomonas vaginalis in one patient. Alcohol, tobacco, and illegal drug use (P = 0.02) and multiple lifetime partners were statistically related to bacterial vaginosis (P = 0.01). The prevalence of bacterial vaginosis and genital candidiasis was similar to other studies carried out among adolescents worldwide.

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Diagnóstico precoce e os fatores associados às infecções sexualmente transmissíveis em mulheres atendidas na atenção primária

Abstract: The high prevalence found among these women indicates the need for the implementation of STI screening strategies in primary care settings in Brazil.

Cited by 27 publications

References 26 publications

The prevalence of trichomoniasis and associated factors among women treated at a university hospital in southern Brazil

The prevalence of trichomoniasis and associated factors among women treated at a university hospital in southern Brazil

Infecção por Chlamydia trachomatis e Neisseria gonorrhoeae: fatores associados à infertilidade em mulheres atendidas em um serviço público de reprodução humana

Prevalence and Risk Factors for Bacterial Vaginosis and Other Vulvovaginitis in a Population of Sexually Active Adolescents from Salvador, Bahia, Brazil

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