High prevalence of Chlamydia trachomatis in pregnant women attended at Primary Health Care services in Amazon, Brazil
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , |
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. |
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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 |
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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) |
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