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

Detalhes bibliográficos
Autor(a) principal: Azevedo, Maria Joana Nunes de
Data de Publicação: 2019
Outros Autores: Nunes, Suzana dos Santos, Oliveira, Fabyanne Guimarães de, Rocha, Danielle Albuquerque Pires
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista do Instituto de Medicina Tropical de São Paulo
Texto Completo: https://www.revistas.usp.br/rimtsp/article/view/154490
Resumo: Chlamydia trachomatis (CT) infection is often silent and can lead to long-term reproductive complications in women. In this study, we determined the prevalence of CT infection and possible associations between the presence of the infection and clinicalepidemiological variables in pregnant women attended at the Basic Health Units of the Coari city, Amazonas, Brazil. From July 2016 to March 2017, 164 pregnant women undergoing prenatal care were recruited. One hundred of these women were tested for CT infection using two types of samples: cervico-vaginal and urine. The diagnosis was confirmed by PCR with primers specific for the omp1 gene of CT chromosomal DNA. Of the 100 pregnant women, 18 (18%) had CT infection, 8 (8%) of which were positive in both samples, 7 (7%) only in the urine sample and 3 (3%) only in cervical-vaginal sample. There was moderate agreement (Kappa=0.55) and no statistically significant difference between sample types (p = 0.400). The mean age of infected women was 21.1 years (SD = 4.6). Of the clinical-epidemiological variables analyzed, “more than 2 partners in the last 12 months” (p = 0.022) and gynecological complaint of “pain after intercourse” (p = 0.020) were associated with CT infection. This study showed a high prevalence (18%) of CT infection among pregnant women in Coari / Amazonas. Urine sampales were as good as cervical-vaginal ones for the screening of CT infection during the prenatal period.
id IMT-1_790efecc8735c93d470750b09b96031d
oai_identifier_str oai:revistas.usp.br:article/154490
network_acronym_str IMT-1
network_name_str Revista do Instituto de Medicina Tropical de São Paulo
repository_id_str
spelling High prevalence of Chlamydia trachomatis in pregnant women attended at Primary Health Care services in Amazon, BrazilChlamydia trachomatisPregnancyDiagnosisAmazonasChlamydia trachomatis (CT) infection is often silent and can lead to long-term reproductive complications in women. In this study, we determined the prevalence of CT infection and possible associations between the presence of the infection and clinicalepidemiological variables in pregnant women attended at the Basic Health Units of the Coari city, Amazonas, Brazil. From July 2016 to March 2017, 164 pregnant women undergoing prenatal care were recruited. One hundred of these women were tested for CT infection using two types of samples: cervico-vaginal and urine. The diagnosis was confirmed by PCR with primers specific for the omp1 gene of CT chromosomal DNA. Of the 100 pregnant women, 18 (18%) had CT infection, 8 (8%) of which were positive in both samples, 7 (7%) only in the urine sample and 3 (3%) only in cervical-vaginal sample. There was moderate agreement (Kappa=0.55) and no statistically significant difference between sample types (p = 0.400). The mean age of infected women was 21.1 years (SD = 4.6). Of the clinical-epidemiological variables analyzed, “more than 2 partners in the last 12 months” (p = 0.022) and gynecological complaint of “pain after intercourse” (p = 0.020) were associated with CT infection. This study showed a high prevalence (18%) of CT infection among pregnant women in Coari / Amazonas. Urine sampales were as good as cervical-vaginal ones for the screening of CT infection during the prenatal period.Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo2019-02-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/xmlhttps://www.revistas.usp.br/rimtsp/article/view/15449010.1590/S1678-9946201961006Revista do Instituto de Medicina Tropical de São Paulo; Vol. 61 (2019); e6Revista do Instituto de Medicina Tropical de São Paulo; Vol. 61 (2019); e6Revista do Instituto de Medicina Tropical de São Paulo; v. 61 (2019); e61678-99460036-4665reponame:Revista do Instituto de Medicina Tropical de São Pauloinstname:Instituto de Medicina Tropical (IMT)instacron:IMTenghttps://www.revistas.usp.br/rimtsp/article/view/154490/150614https://www.revistas.usp.br/rimtsp/article/view/154490/150615Copyright (c) 2019 Revista do Instituto de Medicina Tropical de São Pauloinfo:eu-repo/semantics/openAccessAzevedo, Maria Joana Nunes deNunes, Suzana dos SantosOliveira, Fabyanne Guimarães deRocha, Danielle Albuquerque Pires2019-03-07T12:45:52Zoai:revistas.usp.br:article/154490Revistahttp://www.revistas.usp.br/rimtsp/indexPUBhttps://www.revistas.usp.br/rimtsp/oai||revimtsp@usp.br1678-99460036-4665opendoar:2022-12-13T16:52:47.883776Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)true
dc.title.none.fl_str_mv High prevalence of Chlamydia trachomatis in pregnant women attended at Primary Health Care services in Amazon, Brazil
title High prevalence of Chlamydia trachomatis in pregnant women attended at Primary Health Care services in Amazon, Brazil
spellingShingle High prevalence of Chlamydia trachomatis in pregnant women attended at Primary Health Care services in Amazon, Brazil
Azevedo, Maria Joana Nunes de
Chlamydia trachomatis
Pregnancy
Diagnosis
Amazonas
title_short High prevalence of Chlamydia trachomatis in pregnant women attended at Primary Health Care services in Amazon, Brazil
title_full High prevalence of Chlamydia trachomatis in pregnant women attended at Primary Health Care services in Amazon, Brazil
title_fullStr High prevalence of Chlamydia trachomatis in pregnant women attended at Primary Health Care services in Amazon, Brazil
title_full_unstemmed High prevalence of Chlamydia trachomatis in pregnant women attended at Primary Health Care services in Amazon, Brazil
title_sort High prevalence of Chlamydia trachomatis in pregnant women attended at Primary Health Care services in Amazon, Brazil
author Azevedo, Maria Joana Nunes de
author_facet Azevedo, Maria Joana Nunes de
Nunes, Suzana dos Santos
Oliveira, Fabyanne Guimarães de
Rocha, Danielle Albuquerque Pires
author_role author
author2 Nunes, Suzana dos Santos
Oliveira, Fabyanne Guimarães de
Rocha, Danielle Albuquerque Pires
author2_role author
author
author
dc.contributor.author.fl_str_mv Azevedo, Maria Joana Nunes de
Nunes, Suzana dos Santos
Oliveira, Fabyanne Guimarães de
Rocha, Danielle Albuquerque Pires
dc.subject.por.fl_str_mv Chlamydia trachomatis
Pregnancy
Diagnosis
Amazonas
topic Chlamydia trachomatis
Pregnancy
Diagnosis
Amazonas
description Chlamydia trachomatis (CT) infection is often silent and can lead to long-term reproductive complications in women. In this study, we determined the prevalence of CT infection and possible associations between the presence of the infection and clinicalepidemiological variables in pregnant women attended at the Basic Health Units of the Coari city, Amazonas, Brazil. From July 2016 to March 2017, 164 pregnant women undergoing prenatal care were recruited. One hundred of these women were tested for CT infection using two types of samples: cervico-vaginal and urine. The diagnosis was confirmed by PCR with primers specific for the omp1 gene of CT chromosomal DNA. Of the 100 pregnant women, 18 (18%) had CT infection, 8 (8%) of which were positive in both samples, 7 (7%) only in the urine sample and 3 (3%) only in cervical-vaginal sample. There was moderate agreement (Kappa=0.55) and no statistically significant difference between sample types (p = 0.400). The mean age of infected women was 21.1 years (SD = 4.6). Of the clinical-epidemiological variables analyzed, “more than 2 partners in the last 12 months” (p = 0.022) and gynecological complaint of “pain after intercourse” (p = 0.020) were associated with CT infection. This study showed a high prevalence (18%) of CT infection among pregnant women in Coari / Amazonas. Urine sampales were as good as cervical-vaginal ones for the screening of CT infection during the prenatal period.
publishDate 2019
dc.date.none.fl_str_mv 2019-02-07
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rimtsp/article/view/154490
10.1590/S1678-9946201961006
url https://www.revistas.usp.br/rimtsp/article/view/154490
identifier_str_mv 10.1590/S1678-9946201961006
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rimtsp/article/view/154490/150614
https://www.revistas.usp.br/rimtsp/article/view/154490/150615
dc.rights.driver.fl_str_mv Copyright (c) 2019 Revista do Instituto de Medicina Tropical de São Paulo
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2019 Revista do Instituto de Medicina Tropical de São Paulo
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/xml
dc.publisher.none.fl_str_mv Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo
publisher.none.fl_str_mv Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo
dc.source.none.fl_str_mv Revista do Instituto de Medicina Tropical de São Paulo; Vol. 61 (2019); e6
Revista do Instituto de Medicina Tropical de São Paulo; Vol. 61 (2019); e6
Revista do Instituto de Medicina Tropical de São Paulo; v. 61 (2019); e6
1678-9946
0036-4665
reponame:Revista do Instituto de Medicina Tropical de São Paulo
instname:Instituto de Medicina Tropical (IMT)
instacron:IMT
instname_str Instituto de Medicina Tropical (IMT)
instacron_str IMT
institution IMT
reponame_str Revista do Instituto de Medicina Tropical de São Paulo
collection Revista do Instituto de Medicina Tropical de São Paulo
repository.name.fl_str_mv Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)
repository.mail.fl_str_mv ||revimtsp@usp.br
_version_ 1798951652229644288