Alta incidência da infecção urogenital por Chlamydia trachomatis em mulheres parturientes de Belém, Estado do Pará, Brasil

Santos, Leonardo Miranda dos; Souza, Ildson Rosemberg Alves de; Holanda, Luiz Henrique Campos; Vaz, Jorge Oliveira; Tsutsumi, Mihoko Yamamoto; Ishikawa, Edna Aoba Yassui; Sousa, Maísa Silva de

doi:10.5123/s2176-62232016000400012

Cited by 7 publications

(8 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Studies have shown that CT infection was found predominantly in pregnant women up to 25 years old 5 , 7 , 21 , 34 , 35 , showing that young women are at higher risk of acquiring this infection, which was also observed in this study. Studies have shown that the highest rates of CT infection are found in developing countries, among poorer and least educated 5 , 6 , 36 people, and this finding is in agreement with our results: our tested group is composed of women living in a poor and geographically isolated urban center, an inland town in the State of Amazonas, located in the Northern region of Brazil. Brazil is a country of continental dimensions, showing great discrepancy in socioeconomical indexes between the South and the North of the country; and excepting for State capitals, most people living in cities of the Northern Region of Brazil have low levels of education and more difficult access to basic health services 37 .…”

Section: Discussionsupporting

confidence: 93%

“…The main risk factor for CT infection in this study was the highest number of partners in the last 12 months, with a prevalence of 44.4% among women who reported this condition. In this population, considering the history of preterm birth and spontaneous abortion - clinical outcomes related to CT infection - our study found no association between CT infection and these variables, which is in agreement with some Brazilian studies that also fail to find these associations 6 , 7 . On the contrary, other authors clearly found association between these variables and CT infection 4 , 5 .…”

Section: Discussionsupporting

confidence: 90%

“…In urine samples the prevalence of CT infection was 15%, which is among the highest rates found in pregnant women in studies conducted both in Brazil and in other countries. In Brazilian studies, we found rates of CT infection in urine samples from pregnant women ranging from 6.9% to 18% 5 , 6 and in other countries a prevalence between 6.4 and 18.1% 21 - 23 . In the cervical-vaginal samples, the prevalence of CT infection was 11% in our study, similar to the results found in other studies conducted in Brazil or abroad using this type of sample 7 - 9 , 24 , 25 .…”

Section: Discussionsupporting

confidence: 89%

See 2 more Smart Citations

High prevalence of Chlamydia trachomatis in pregnant women attended at Primary Health Care services in Amazon, Brazil

Azevedo

Nunes

Oliveira

et al. 2019

Rev. Inst. Med. trop. S. Paulo

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 89%

See 1 more Smart Citation

High prevalence of Chlamydia trachomatis in pregnant women attended at Primary Health Care services in Amazon, Brazil

Azevedo

Nunes

Oliveira

et al. 2019

Rev. Inst. Med. trop. S. Paulo

View full text Add to dashboard Cite

show abstract

“…Access to health services is precarious in some parts of northern Brazil, such as Marajó Island, mainly due to its geographical characteristics [20,21]. In addition to being more common in younger women, the infection was also associated with a low family income.…”

Section: Discussionmentioning

confidence: 99%

“…In the Brazilian Amazon region, many communities are located far from major urban centers, and have little access to public healthcare services or other resources [19, 20]. Understanding the diversity and distribution of the genotypes is essential for the monitoring of the infection, although few studies are available on the genotypes of sexual C .…”

Section: Introductionmentioning

confidence: 99%

High prevalence of sexual Chlamydia trachomatis infection in young women from Marajó Island, in the Brazilian Amazon

et al. 2018

Self Cite

View full text Add to dashboard Cite

BackgroundChlamydia trachomatis is the most prevalent bacterial sexually transmitted infection (STI) in the world. Approximately 80% of infected women are asymptomatic, although this infection can lead to serious complications in the female reproductive tract. Few data on Chlamydia infection are available in rural Amazonian communities.ObjectivesTo evaluate the prevalence of sexual C. trachomatis infection in women from Marajó Archipelago communities in the Amazon region of Brazil and to identify associated factors and genotypes.MethodsWe utilized amplification of the ompA gene by nested PCR. Positive samples were genotyped by sequencing. Study participants completed a questionnaire on social, epidemiological, and reproductive health variables. A Poisson regression was used to evaluate the degree of association of these variables with the infection.ResultsThe sexual infection by C. trachomatis was observed in 4% (16/393) of the subjects, and was more often found in women aged ≤25 (14.3%; 95% CI = 2.83–35.47; p <0.001), and in women with a household income of less than one Brazilian monthly minimum wage (5.2%; 95% CI = 1.33–11.37; p = 0.014). The ompA gene was sequenced in 13 samples, revealing F genotypes (38.4%, n = 5), D (23%, n = 3), E (15.3%, n = 2), Ia (7.6%, N = 1), J (7.6%, n = 1) and B (7.6%, n = 1).ConclusionsWe recorded a high prevalence of sexual infection by C. trachomatis in young and poor women from the interior of the Brazilian Amazon. This high prevalence and the frequencies of the main genotypes were similar to those found in major Brazilian urban centers. Our results reinforce the importance of the screening of this neglected infection, and the prevention of later sequelae in young women from rural and urban areas of Brazil.

show abstract

High prevalence of rectal chlamydia among pregnant adolescents in La Romana, Dominican Republic warrants extragenital STI testing

Bancalari

Nicholas

Halpern³

et al. 2021

Int J STD AIDS

View full text Add to dashboard Cite

To our knowledge, there are no studies estimating the prevalence of extragenital sexually transmitted infections (STIs) among pregnant adolescents in the Caribbean. This study sought to fill this gap by assessing the prevalence and correlates of oral, genital, and rectal chlamydia (CT) among a sample of pregnant adolescents in La Romana, Dominican Republic. Two hundred pregnant youths, aged 15–24 years, were recruited by systematic sampling during their first prenatal visit to a maternal care unit. A sociodemographic and behavioral questionnaire was administered and urine and oral/anal swabs were collected and tested for CT. Descriptive analyses and Fisher’s exact tests were performed. The prevalence of oral, genital, and rectal CT was 6%, 15%, and 23%, respectively, although less than 5% of participants reported ever engaging in receptive anal intercourse. This discrepancy could be explained by autoinoculation, concurrent transmission during sex, undertreatment of rectal CT, or underreporting of anal sex. Almost half of CT infections would have been missed if only genital samples were collected, as current protocol dictates. More research is needed to understand sexual behaviors and rectal STI risk factors among heterosexual adolescent women. STI screening procedures for pregnant and sexually active adolescents should include routine testing of extragenital sites.

show abstract

Alta incidência da infecção urogenital por Chlamydia trachomatis em mulheres parturientes de Belém, Estado do Pará, Brasil

Cited by 7 publications

References 10 publications

High prevalence of Chlamydia trachomatis in pregnant women attended at Primary Health Care services in Amazon, Brazil

High prevalence of Chlamydia trachomatis in pregnant women attended at Primary Health Care services in Amazon, Brazil

High prevalence of sexual Chlamydia trachomatis infection in young women from Marajó Island, in the Brazilian Amazon

High prevalence of rectal chlamydia among pregnant adolescents in La Romana, Dominican Republic warrants extragenital STI testing

Contact Info

Product

Resources

About