Infecciones de transmisión sexual en mujeres de un establecimiento penitenciario de Lima, Perú

Abstract

Con el objetivo de determinar la prevalencia de infecciones de transmisión sexual (ITS) en mujeres privadas de libertad del Establecimiento Penitenciario Chorrillos I en la ciudad de Lima, Perú, se realizó un estudio de tipo transversal que incluyó mediante un muestreo aleatorio simple a mujeres en edades entre los 18 a 54 años. En ellas se analizaron 180 muestras serológicas y 168 muestras de secreción cérvico vaginal. Los agentes etiológicos más prevalentes obtenidos a través de estas muestras fueron Chlamydia trachomatis en 42,3%, Gardnerella vaginalis en 24,4% y Trichomonas vaginalis en 10,1%; para muestras de suero fueron sífilis y VIH ambas en el 2,2%. Se concluye que existe una alta prevalencia de infecciones de transmisión sexual en mujeres privadas de libertad del Establecimiento Penitenciario Chorrillos I en la ciudad de Lima, Perú. Se debería establecer sistemas de tamizaje de rutina para el diagnóstico y tratamiento de las ITS dentro del sistema carcelario, e incluir a esta población en los programas de salud sexual y reproductiva.

Prevalence of syphilis and HIV infection during pregnancy in incarcerated women and the incidence of congenital syphilis in births in prison in Brazil

“…Previous studies had already demonstrated worse social conditions 3,15,20,26 , the elevated prevalence of smoking 6,15,26,27 , alcohol and drug use 15,21,26,27 and mental disturbances 27 in incarcerated women.…”

“…Studies carried out in several countries, including Brazil, showed a high prevalence of HIV and syphilis infections in incarcerated men 3,5,10,11,12,13 and women 2,3,6,14,15,16,17,18,19,20,21 , reinforcing the importance of serological diagnosis in prisons for the implementation of available intervention. However, Brazilian studies have been carried out in isolated prison units.…”

Genital Infection by Gardnerella vaginalis and Candida spp. among Women in Nova Iguacu City, Rio de Janeiro Province, Brazil

“…Sexually transmitted infections were studied by Garaycochea et al [14] Vasconcelos et al [15] performed a documentary and retrospective research involving women attended at family health centers in the city of Fortaleza, Ceará, Brazil, and identified in colpocytological examinations vaginal affections suggestives of an inflammatory process were caused by G. vaginalis (25.3%), Candida albicans (10.2%) and T. vaginalis (3.1%), with a higher incidence than we found in the city of Nova Iguaçu. These authors commented that in 66.7% of reports of cervical intraepithelial neoplasia type I/HPV, G. vaginalis was present, suggesting a significant association between Human Papilloma Virus DNA and bacterial vaginosis microbiota.…”

Infecções sexualmente transmissíveis e as vivências de mulheres em situação de reclusão

“…Quando questionadas sobre os comportamentos de risco vivenciados, as mulheres entrevistadas citaram a múltipla parceria sexual e o envolvimento com drogas, com ênfase para as práticas sexuais desprotegidas. O uso incomum de preservativo durante as relações sexuais também foi evidenciado em outros estudos 2,11 . Além disso, acrescenta-se que, na população carcerária, o aumento do número de casos de HIV também está relacionado ao uso de drogas e à presença de outras IST/AIDS…”