Sexually transmitted infections among HIV-infected and HIV-uninfected women in the Tapajós region, Amazon, Brazil: Self-collected vs. clinician-collected samples

Detalhes bibliográficos
Autor(a) principal: Rodrigues, Luana L. S.
Data de Publicação: 2019
Outros Autores: Hardick, Justin, Nicol, Alcina F., Morgado, Mariza G., Martinelli, Katrini G., Paula, Vanessa S. de, Pilotto, José H., Gaydos, Charlotte A.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/33354
Resumo: Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de AIDS e Imunologia Molecular. Rio de Janeiro, RJ, Brasil / Universidade Federal do Oeste do Pará. Instituto de Saúde Coletiva. Santarém, PA, Brasil.
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spelling Rodrigues, Luana L. S.Hardick, JustinNicol, Alcina F.Morgado, Mariza G.Martinelli, Katrini G.Paula, Vanessa S. dePilotto, José H.Gaydos, Charlotte A.2019-06-04T12:56:03Z2019-06-04T12:56:03Z2019RODRIGUES, Luana L. S. et al. Sexually transmitted infections among HIVinfected and HIV-uninfected women in the Tapajós region, Amazon, Brazil: self-collected vs. clinician-collected samples. Plos One, v. 14, n. 4, p. 1-21, Apr. 23, 2019.1932-6203https://www.arca.fiocruz.br/handle/icict/3335410.1371/journal.pone.02150011932-6203engPublic Library of ScienceSexually transmitted infections among HIV-infected and HIV-uninfected women in the Tapajós region, Amazon, Brazil: Self-collected vs. clinician-collected samplesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de AIDS e Imunologia Molecular. Rio de Janeiro, RJ, Brasil / Universidade Federal do Oeste do Pará. Instituto de Saúde Coletiva. Santarém, PA, Brasil.Johns Hopkins University School of Medicine. Division of Infectious Diseases. Baltimore, MD, USA.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de AIDS e Imunologia Molecular. Rio de Janeiro, RJ, Brasil.Universidade Federal do Espírito Santo. Departamento de Medicina Social. Vitória, ES, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de e Virologia Molecular. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de AIDS e Imunologia Molecular. Rio de Janeiro, RJ, Brasil.Johns Hopkins University School of Medicine. Division of Infectious Diseases. Baltimore, MD, USA.The anogenital prevalence of sexually transmitted infections (STIs) and the use of cervico-vaginal self-collected vs. clinician-collected samples were evaluated for the diagnosis of human immunodeficiency virus (HIV)-infected and HIV-uninfected women in the Tapajós region, Amazon, Brazil. We recruited 153 women for a cross-sectional study (112 HIV-uninfected and 41 HIV-infected) who sought health services. Anal and cervical scrapings and cervico-vaginal self-collection samples were collected. Real-time polymerase chain reaction methods were used for Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis and Mycoplasma genitalium. A syphilis test was also performed. Risk factors for STIs were identified by multivariate analysis. The overall prevalence of STIs was 30.4% (34/112) in HIV-uninfected women and 24.4% (10/41) in HIV-infected women. Anogenital Chlamydia trachomatis infection was the most prevalent in both groups of women (20.5% vs 19.5%). There was significant agreement for each STI between self-collected and clinician-collected samples: 91.7%, kappa 0.67, 95% confidence interval (CI) 0.49-0.85 for Chlamydia trachomatis; 99.2%, kappa 0.85, 95% CI 0.57-1.00 for Neisseria gonorrhoeae; 97.7%, kappa 0.39, 95% CI -0.16-0.94 for Trichomonas vaginalis; and 94.7%, kappa 0.51, 95% CI 0.20-0.82 for Mycoplasma genitalium. Women with human papillomavirus had coinfection or multiple infections with other STIs. Risk factors for STIs were being ≤ 25 years old, being employed or a student, reporting a history of STI and having a positive HPV test. A high prevalence of STIs in women in the Tapajós region was found. Cervico-vaginal self-collection is a useful tool for STI screening and can be used in prevention control programs in low-resource settings, such as in northern Brazil.HIVWomenTapajós regionAmazonBrazilinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83104https://www.arca.fiocruz.br/bitstream/icict/33354/1/license.txt79178e5f2a0eb066867a274556814938MD51ORIGINALve_Rodrigues_Luana_etal_INI_2019.pdfve_Rodrigues_Luana_etal_INI_2019.pdfapplication/pdf1496088https://www.arca.fiocruz.br/bitstream/icict/33354/2/ve_Rodrigues_Luana_etal_INI_2019.pdfb9b8f7ac1af86e16b71501a5ad75d93dMD52TEXTve_Rodrigues_Luana_etal_INI_2019.pdf.txtve_Rodrigues_Luana_etal_INI_2019.pdf.txtExtracted texttext/plain67565https://www.arca.fiocruz.br/bitstream/icict/33354/3/ve_Rodrigues_Luana_etal_INI_2019.pdf.txt6efeccb5b9d8c739db0a219f789dd310MD53icict/333542019-06-05 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dc.title.pt_BR.fl_str_mv Sexually transmitted infections among HIV-infected and HIV-uninfected women in the Tapajós region, Amazon, Brazil: Self-collected vs. clinician-collected samples
title Sexually transmitted infections among HIV-infected and HIV-uninfected women in the Tapajós region, Amazon, Brazil: Self-collected vs. clinician-collected samples
spellingShingle Sexually transmitted infections among HIV-infected and HIV-uninfected women in the Tapajós region, Amazon, Brazil: Self-collected vs. clinician-collected samples
Rodrigues, Luana L. S.
HIV
Women
Tapajós region
Amazon
Brazil
title_short Sexually transmitted infections among HIV-infected and HIV-uninfected women in the Tapajós region, Amazon, Brazil: Self-collected vs. clinician-collected samples
title_full Sexually transmitted infections among HIV-infected and HIV-uninfected women in the Tapajós region, Amazon, Brazil: Self-collected vs. clinician-collected samples
title_fullStr Sexually transmitted infections among HIV-infected and HIV-uninfected women in the Tapajós region, Amazon, Brazil: Self-collected vs. clinician-collected samples
title_full_unstemmed Sexually transmitted infections among HIV-infected and HIV-uninfected women in the Tapajós region, Amazon, Brazil: Self-collected vs. clinician-collected samples
title_sort Sexually transmitted infections among HIV-infected and HIV-uninfected women in the Tapajós region, Amazon, Brazil: Self-collected vs. clinician-collected samples
author Rodrigues, Luana L. S.
author_facet Rodrigues, Luana L. S.
Hardick, Justin
Nicol, Alcina F.
Morgado, Mariza G.
Martinelli, Katrini G.
Paula, Vanessa S. de
Pilotto, José H.
Gaydos, Charlotte A.
author_role author
author2 Hardick, Justin
Nicol, Alcina F.
Morgado, Mariza G.
Martinelli, Katrini G.
Paula, Vanessa S. de
Pilotto, José H.
Gaydos, Charlotte A.
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Rodrigues, Luana L. S.
Hardick, Justin
Nicol, Alcina F.
Morgado, Mariza G.
Martinelli, Katrini G.
Paula, Vanessa S. de
Pilotto, José H.
Gaydos, Charlotte A.
dc.subject.en.pt_BR.fl_str_mv HIV
Women
Tapajós region
Amazon
Brazil
topic HIV
Women
Tapajós region
Amazon
Brazil
description Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de AIDS e Imunologia Molecular. Rio de Janeiro, RJ, Brasil / Universidade Federal do Oeste do Pará. Instituto de Saúde Coletiva. Santarém, PA, Brasil.
publishDate 2019
dc.date.accessioned.fl_str_mv 2019-06-04T12:56:03Z
dc.date.available.fl_str_mv 2019-06-04T12:56:03Z
dc.date.issued.fl_str_mv 2019
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv RODRIGUES, Luana L. S. et al. Sexually transmitted infections among HIVinfected and HIV-uninfected women in the Tapajós region, Amazon, Brazil: self-collected vs. clinician-collected samples. Plos One, v. 14, n. 4, p. 1-21, Apr. 23, 2019.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/33354
dc.identifier.issn.pt_BR.fl_str_mv 1932-6203
dc.identifier.doi.none.fl_str_mv 10.1371/journal.pone.0215001
dc.identifier.eissn.none.fl_str_mv 1932-6203
identifier_str_mv RODRIGUES, Luana L. S. et al. Sexually transmitted infections among HIVinfected and HIV-uninfected women in the Tapajós region, Amazon, Brazil: self-collected vs. clinician-collected samples. Plos One, v. 14, n. 4, p. 1-21, Apr. 23, 2019.
1932-6203
10.1371/journal.pone.0215001
url https://www.arca.fiocruz.br/handle/icict/33354
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Public Library of Science
publisher.none.fl_str_mv Public Library of Science
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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