Trichomonas vaginalis and associated factors among women living with HIV/AIDS in Amazonas, Brazil
Braz. j. infect. dis
;
17(6): 701-703, Nov.-Dec. 2013. tab
Artigo
em Inglês
| LILACS
| ID: lil-696972
ABSTRACT
OBJECTIVES:
Our goal was to determine the prevalence of Trichomonas vaginalis and its associated factors among women living with HIV attending an AIDS clinic in Manaus, Amazonas, Brazil.METHODS:
Cross-sectional study among women attending an AIDS clinic in Manaus between March and December 2010 for gynecological examination were invited to participate. Enrolled patients answered a face-to-face interview including demographic, behavioral and clinical data. They also underwent a gynecological evaluation and cervical scrape samples were collected for wet mount, Gram stain, culture and cytological analysis. A blood sample was obtained to determine TCD4+ lymphocytes and viral load.RESULTS:
A total of 341 (91.2%) women participated in the study. The prevalence of T. vaginalis was 4.1% (95% CI 2.0-6.2%). Median age was 32 (interquartile range 27-38) years and median years of schooling was 9.0 (interquartile range 4-11). A total of 165 (53.2%) HIV women were classified as patients with AIDS. In multivariate analyses, squamous intraepithelial lesions in cytology [OR = 2.46 (95% CI 1.31-4.63, p = 0.005)] and anal sex practice [OR = 3.62 (95% CI 1.08-12.19, p = 0.037)] were associated with T. vaginalis.CONCLUSIONS:
These results highlight that HIV-infected women should be screened for T. vaginalis. The control of this infection may have an impact on preventing reproductive complications among these women.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Vaginite por Trichomonas
/
Infecções Oportunistas Relacionadas com a AIDS
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Estudo de prevalência
/
Pesquisa qualitativa
/
Fatores de risco
Limite:
Adulto
/
Feminino
/
Humanos
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
Braz. j. infect. dis
Assunto da revista:
Doenças Transmissíveis
Ano de publicação:
2013
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Universidade do Estado Amazonas/BR
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