Sexually transmitted bacterial infections among young women in Central Western Brazil

Lima, Yanna Andressa Ramos de; Turchi, Marília Dalva; Fonseca, Zulmirene Cardoso; García, F; Cardoso, Fernanda Alves de Brito e; Reis, Mônica Nogueira da Guarda; Guimarães, Eleuse Machado de Britto; Alves, Rosane Ribeiro Figueiredo; Carvalho, N.; Alves, Maria de Fátima Costa

doi:10.1016/j.ijid.2014.03.1389

Cited by 28 publications

(45 citation statements)

References 20 publications

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“…Similar evidence has been found in other studies [54, 55]. In our multivariate analysis, married women were 60% less likely to be at risk of STIs as compared to single women (OR = 0.4).…”

Section: Discussionsupporting

confidence: 91%

“…Our findings were consistent with other studies which reported that sexual activity with many partners increases the odds of STIs [53, 54]. However, the association was not statistically significant in our study following adjustment for all possible confounding factors (age, marital status, level of education, occupation, history of pregnancy, age at first sex, history of STIs, STIs treated in the past 12 months, and HIV status), which negatively confounded this relationship.…”

Section: Discussionsupporting

confidence: 90%

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Prevalence and risk factors associated with sexually transmitted infections (STIs) among women of reproductive age in Swaziland

Ginindza

Stefan

Tsoka-Gwegweni

et al. 2017

Infect Agents Cancer

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BackgroundSexually transmitted infections (STIs) remain an important public health problem with approximately half a billion new cases annually among persons aged 15–49 years. Epidemiological data on STIs among women of reproductive age in Swaziland are limited. The availability of epidemiological data on STIs and associated risk factors in this population is essential for the development of successful prevention, diagnosis and management strategies in the country. The study aimed to determine the prevalence and risk factors associated with STIs.MethodsA total of 655 women aged 15–49 years were systematically enrolled from five health facilities using a cross-sectional study design. Cervical specimen were tested using GeneXpert CT/NG Assays for Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG), GeneXpertTV Assay for Trichomonas vaginalis (TV), and GeneXpert HPV Assays for hr-HPV. Blood samples were tested using Alere Determine HIV-1/2Ag/Ab Combo and Trinity Biotech Uni-Gold Recombigen HIV test for confirmation for HIV, and Rapid Plasma Reagin and TPHA test for confirmation for Treponema pallidum (syphilis). Genital warts were assessed prior to specimen collection. Survey weighted analyses were done to estimate the population burden of STIs.ResultsThe four most common curable STIs: CT, NG, TV, Treponema pallidum (syphilis), as well as genital warts were considered in this study. The overall weighted prevalence of any of these five STIs was 19.4% (95% CI: 14.9–24.8), corresponding to 72 990 women with STIs in Swaziland. The estimated prevalences were 7.0% (95% CI: 4.1–11.2) for CT, 6.0% (95% CI: 3.8–8.8) for NG, 8.4% (95% CI: 5.4–12.8) for TV, 1.4% (95% CI: 1.1–10.2) for syphilis and 2.0% (95% CI: 1.0–11.4) for genital warts. The overall weighted HIV prevalence was 42.7% (95%CI: 35.7–46.2). Among hr-HPV positive women, 18.8% (95% CI: 13.1–26.3) had one STI, while 6.3% (95% CI: 3.3–11.7) had multiple STIs. Risk factors associated with STIs were being employed (OR = 2.2, 95% CI: 1.0–4.7), self-employed (OR = 2.8, 95% CI: 1.5–5.5) and being hr-HPV positive (OR = 2.0, 95% CI: 1.3–3.1). Age (0.9, 95% CI: 0.8–0.9), being married (OR = 0.4, 95% CI: 0.3–0.7) and not using condoms with regular partners (OR = 0.5, 95% CI: 0.3–0.9) were inversely associated with STIs.ConclusionSTIs are highly prevalent among women of reproductive age in Swaziland. Thus, a comprehensive STIs screening, surveillance and treatment programme would be justified and could potentially lower the burden of STIs in the country.

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“…Similar evidence has been found in other studies [54, 55]. In our multivariate analysis, married women were 60% less likely to be at risk of STIs as compared to single women (OR = 0.4).…”

Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 90%

Prevalence and risk factors associated with sexually transmitted infections (STIs) among women of reproductive age in Swaziland

Ginindza

Stefan

Tsoka-Gwegweni

et al. 2017

Infect Agents Cancer

View full text Add to dashboard Cite

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“…Chlamydia trachomatis causes long term complications such as pelvic inflammatory disease, chronic pelvic pain, ectopic pregnancy, and infertility (4). Gonorrhea is an infection due to Neisseria gonorrhoeae and usually involves mucosa of the cervix, urethra, endocervix, fallopian tubes, rectum, and throat (5, 6). Generally clinical symptoms for gonorrhoeae are not different from genital chlamydial infection and clinically are indistinguishable (4).…”

Section: Introductionmentioning

confidence: 99%

The frequency of gonorrheal and chlamydial infections in Zanjanian women in 2013-2014

Molaei

Mohmmadian

Eftekhar

et al. 2017

IJRM

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Background: Chlamydia trachomatis and Neisseria gonorrhoeae are the most prevalent bacterial sexually transmitted diseases in women.Objective:The purpose of this study was to investigate the prevalence of gonorrheal and chlamydial infections and determination of related risk factors in married women with vaginal discharge attending gynecological outpatient department (OPD) in Zanjan in 2013-2014.Materials and Methods: In this cross sectional study, 100 married women aged 18-49 years with vaginal discharge were evaluated for signs and symptoms of gonococcal and chlamydial infections. Then cervical discharge samples and blood samples were collected from each subject for the detection of Nisseria gonorrhea and Chlamydia trachomatis by bacterial culture and serological tests, respectively. Results: The overall prevalence of Chlamydia trachomatis and Nisseria gonorrhoeae were 16% and 4%, respectively. There was no significant relationship between the contraception methods, previous history of vaginal infections, previous history of urinary tract infections, number of coitus per week and self-reported symptoms (itching, burning, abdominal pain) with prevalence of Nisseria gonorrhoeae and Chlamydia trachomatis. Conclusion: According to our results, the prevalence of gonococci infection in Zanjan was remarkable and relatively was higher than other parts of Iran, therefore it is necessary to put emphasis on education and further preventive and therapeutic programs.

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“…No Brasil, a prevalência de infecções por C. trachomatis varia entre 4,3% e 31,0%, conforme estudos de base populacional/comunitária de grandes centros urbanos e estudos de base clínica, realizados com participantes frequentadoras de ambulatórios e clínicas ginecológicas 10,11,12,13,14,15,16,17,18,19 . Nas comunidades amazônicas, há escassez de conhecimento sobre a epidemiologia da infecção endocervical por C. trachomatis, o que impossibilita a criação de diretrizes que estabeleçam o rastreio e controle dessa infecção.…”

Section: Introductionunclassified

Prevalência da infecção endocervical de Chlamydia trachomatis em universitárias do estado do Pará, Região Amazônica, Brasil

Santos

Ulian

Trindade

et al. 2017

Revista Pan-Amazônica de Saúde

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RESUMOOBJETIVOS: Descrever a prevalência e os fatores associados à infecção endocervical por Chlamydia trachomatis em estudantes de uma universidade da capital e de três de seus campi do interior do estado do Pará, Amazônia, Brasil. MATERIAIS E MÉTODOS: Estudo transversal, com mulheres de idade igual ou superior a 18 anos, que realizaram o preventivo do câncer do colo uterino, de setembro de 2010 a outubro de 2014. O DNA da secreção cérvico-vaginal foi extraído pelo método fenol-clorofórmio e submetido à amplificação dos genes da β-globina humana e ompA de C. trachomatis por reação em cadeia da polimerase. Foram utilizados os testes de Mann-Whitney, estimação da proporção e odds ratio para análises estatísticas. O p ≤ 0,05 foi considerado estatisticamente significativo para um intervalo de confiança (IC) de 95%. RESULTADOS: A prevalência de C. trachomatis foi de 11,9% [54/454 (IC 95% 8,9-14,9)]. A infecção foi identificada em 10,4% [36/345 (IC 95% 7,2-13,7)] das estudantes da Capital e em 16,5% [18/109 (IC 95% 10,3-24,6)] das estudantes dos campi do interior (p = 0,12), sendo de 7,1% (2/28) no Interior 1, 22,2% (6/27) no Interior 2 e 18,5% (10/54) no Interior 3. Não foi observada associação entre as variáveis investigadas e a infecção endocervical por C. trachomatis. CONCLUSÃO: A prevalência da infecção por C. trachomatis entre as universitárias se assemelhou à média encontrada no Brasil e não se mostrou associada às condições sociodemográficas e comportamentais das universitárias investigadas. ARTIGO ORIGINAL | ORIGINAL ARTICLEABSTRACT OBJECTIVES: To describe the prevalence and factors associated with endocervical infection by Chlamydia trachomatis in students from a university in the capital and three campuses in inland towns of Pará State, Amazon, Brazil. MATERIALS AND METHODS: A cross-sectional study with women aged 18 years or older who underwent cervical cancer prevention from September 2010 to October 2014. DNA from cervicovaginal secretion was extracted using the phenol-chloroform method and subjected to the amplification of the human β-globin and ompA genes of C. trachomatis by polymerase chain reaction. Mann-Whitney tests, proportion estimation, and odds ratio were used for statistical analysis. The p ≤ 0.05 was considered statistically significant for a confidence interval (CI) of 95%. RESULTS: The prevalence of C. trachomatis was 11.9% ]. Infection was identified in 10.4% [36/345 (95% CI 7.2-13.7)] of the students in the Capital and in 16.5% ) of students from the campuses in the inland towns (p = 0.12), with 7.1% (2/28) in the Town 1, 22.2% (6/27) in the Town 2, and 18.5% (10/54) in the Town 3. No association between the investigated variables and the endocervical infection by C. trachomatis was observed. CONCLUSION: The prevalence of C. trachomatis infection among those university students was similar to the average found in Brazil and was not associated with the sociodemographic and behavioral conditions of the university students investigated.

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Sexually transmitted bacterial infections among young women in Central Western Brazil

Abstract: We observed a high prevalence of chlamydial infection and sexual risk behaviors in this population. These findings are important to guide screening strategies in Brazil.

Cited by 28 publications

References 20 publications

Prevalence and risk factors associated with sexually transmitted infections (STIs) among women of reproductive age in Swaziland

Prevalence and risk factors associated with sexually transmitted infections (STIs) among women of reproductive age in Swaziland

The frequency of gonorrheal and chlamydial infections in Zanjanian women in 2013-2014

Prevalência da infecção endocervical de Chlamydia trachomatis em universitárias do estado do Pará, Região Amazônica, Brasil

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