Detection of sexually transmitted infections at a Brazilian gynecology center: high prevalence of co-infections
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442018000600393 |
Resumo: | ABSTRACT Introduction: Sexually transmitted infections (STI) remain a major public health problem and surveillance is crucial for prevention and control strategies. Objective: Our aim was to assess the prevalence of STI in a reference center for gynecology in Rio de Janeiro, Brazil. Materials and methods: It is a cross-sectional study conducted between August 2016 and June 2017. Whole blood and cervical cells were collected from 62 women and tested for human papillomavirus (HPV), human immunodeficiency virus (HIV), syphilis, chlamydia, gonorrhea and herpes simples virus 1 and 2 (HSV-1/2). Cervical lesions were diagnosed by cytopathology and in some patients by colposcopy (79%). Other STI were evaluated during clinical examination. Results: Cervical lesions were detected by cytopathology examinations in 46.8% of patients; those with a history of four sexual partners were at higher risk of developing them. There was moderate agreement between the cytopathology e colposcopy results (Kappa = 0.69). The prevalence of HSV (96.7%), syphilis (6.4%) and HIV (3.2%) were higher than that described in the literature, while the prevalence of chlamydia (6.4%) and gonorrhea (1.6%) were similar. HPV was detected in 53.2% of women, 32.3% of which were infected by HPV 16. In the context of co-infections, 38 women (61.3%) presented more than one STI. Conclusion: Since most of the women analyzed were affected by more than one STI, our results suggest that routine screening for these infections at health centers would help in early detection, treatment and prevention of these infections. These measures would also impact on patients’ cervical cancer control. |
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Detection of sexually transmitted infections at a Brazilian gynecology center: high prevalence of co-infectionssexual and reproductive healthco-infectionwomenpublic health surveillancesexually transmitted diseasesobstetrical and gynecological diagnostic techniquesABSTRACT Introduction: Sexually transmitted infections (STI) remain a major public health problem and surveillance is crucial for prevention and control strategies. Objective: Our aim was to assess the prevalence of STI in a reference center for gynecology in Rio de Janeiro, Brazil. Materials and methods: It is a cross-sectional study conducted between August 2016 and June 2017. Whole blood and cervical cells were collected from 62 women and tested for human papillomavirus (HPV), human immunodeficiency virus (HIV), syphilis, chlamydia, gonorrhea and herpes simples virus 1 and 2 (HSV-1/2). Cervical lesions were diagnosed by cytopathology and in some patients by colposcopy (79%). Other STI were evaluated during clinical examination. Results: Cervical lesions were detected by cytopathology examinations in 46.8% of patients; those with a history of four sexual partners were at higher risk of developing them. There was moderate agreement between the cytopathology e colposcopy results (Kappa = 0.69). The prevalence of HSV (96.7%), syphilis (6.4%) and HIV (3.2%) were higher than that described in the literature, while the prevalence of chlamydia (6.4%) and gonorrhea (1.6%) were similar. HPV was detected in 53.2% of women, 32.3% of which were infected by HPV 16. In the context of co-infections, 38 women (61.3%) presented more than one STI. Conclusion: Since most of the women analyzed were affected by more than one STI, our results suggest that routine screening for these infections at health centers would help in early detection, treatment and prevention of these infections. These measures would also impact on patients’ cervical cancer control.Sociedade Brasileira de Patologia Clínica2018-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442018000600393Jornal Brasileiro de Patologia e Medicina Laboratorial v.54 n.6 2018reponame:Jornal Brasileiro de Patologia e Medicina Laboratorial (Online)instname:Sociedade Brasileira de Patologia (SBP)instacron:SBP10.5935/1676-2444.20180060info:eu-repo/semantics/openAccessBritto,Alan Messala A.Policarpo,CíntiaPezzuto,PaulaMeirelles,Angela Rosa I.Furtado,Yara LúciaAlmeida,GutembergOliveira,Gisele dePontes,Elisama D.Lima,Fernanda Roberta S.Soares,Marcelo A.Aguiar,Renato S.Tanuri,AmilcarGiannini,Ana LúciaMachado,Elizabeth S.eng2019-01-07T00:00:00Zoai:scielo:S1676-24442018000600393Revistahttp://www.scielo.br/jbpmlhttps://old.scielo.br/oai/scielo-oai.php||jbpml@sbpc.org.br1678-47741676-2444opendoar:2019-01-07T00:00Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) - Sociedade Brasileira de Patologia (SBP)false |
dc.title.none.fl_str_mv |
Detection of sexually transmitted infections at a Brazilian gynecology center: high prevalence of co-infections |
title |
Detection of sexually transmitted infections at a Brazilian gynecology center: high prevalence of co-infections |
spellingShingle |
Detection of sexually transmitted infections at a Brazilian gynecology center: high prevalence of co-infections Britto,Alan Messala A. sexual and reproductive health co-infection women public health surveillance sexually transmitted diseases obstetrical and gynecological diagnostic techniques |
title_short |
Detection of sexually transmitted infections at a Brazilian gynecology center: high prevalence of co-infections |
title_full |
Detection of sexually transmitted infections at a Brazilian gynecology center: high prevalence of co-infections |
title_fullStr |
Detection of sexually transmitted infections at a Brazilian gynecology center: high prevalence of co-infections |
title_full_unstemmed |
Detection of sexually transmitted infections at a Brazilian gynecology center: high prevalence of co-infections |
title_sort |
Detection of sexually transmitted infections at a Brazilian gynecology center: high prevalence of co-infections |
author |
Britto,Alan Messala A. |
author_facet |
Britto,Alan Messala A. Policarpo,Cíntia Pezzuto,Paula Meirelles,Angela Rosa I. Furtado,Yara Lúcia Almeida,Gutemberg Oliveira,Gisele de Pontes,Elisama D. Lima,Fernanda Roberta S. Soares,Marcelo A. Aguiar,Renato S. Tanuri,Amilcar Giannini,Ana Lúcia Machado,Elizabeth S. |
author_role |
author |
author2 |
Policarpo,Cíntia Pezzuto,Paula Meirelles,Angela Rosa I. Furtado,Yara Lúcia Almeida,Gutemberg Oliveira,Gisele de Pontes,Elisama D. Lima,Fernanda Roberta S. Soares,Marcelo A. Aguiar,Renato S. Tanuri,Amilcar Giannini,Ana Lúcia Machado,Elizabeth S. |
author2_role |
author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Britto,Alan Messala A. Policarpo,Cíntia Pezzuto,Paula Meirelles,Angela Rosa I. Furtado,Yara Lúcia Almeida,Gutemberg Oliveira,Gisele de Pontes,Elisama D. Lima,Fernanda Roberta S. Soares,Marcelo A. Aguiar,Renato S. Tanuri,Amilcar Giannini,Ana Lúcia Machado,Elizabeth S. |
dc.subject.por.fl_str_mv |
sexual and reproductive health co-infection women public health surveillance sexually transmitted diseases obstetrical and gynecological diagnostic techniques |
topic |
sexual and reproductive health co-infection women public health surveillance sexually transmitted diseases obstetrical and gynecological diagnostic techniques |
description |
ABSTRACT Introduction: Sexually transmitted infections (STI) remain a major public health problem and surveillance is crucial for prevention and control strategies. Objective: Our aim was to assess the prevalence of STI in a reference center for gynecology in Rio de Janeiro, Brazil. Materials and methods: It is a cross-sectional study conducted between August 2016 and June 2017. Whole blood and cervical cells were collected from 62 women and tested for human papillomavirus (HPV), human immunodeficiency virus (HIV), syphilis, chlamydia, gonorrhea and herpes simples virus 1 and 2 (HSV-1/2). Cervical lesions were diagnosed by cytopathology and in some patients by colposcopy (79%). Other STI were evaluated during clinical examination. Results: Cervical lesions were detected by cytopathology examinations in 46.8% of patients; those with a history of four sexual partners were at higher risk of developing them. There was moderate agreement between the cytopathology e colposcopy results (Kappa = 0.69). The prevalence of HSV (96.7%), syphilis (6.4%) and HIV (3.2%) were higher than that described in the literature, while the prevalence of chlamydia (6.4%) and gonorrhea (1.6%) were similar. HPV was detected in 53.2% of women, 32.3% of which were infected by HPV 16. In the context of co-infections, 38 women (61.3%) presented more than one STI. Conclusion: Since most of the women analyzed were affected by more than one STI, our results suggest that routine screening for these infections at health centers would help in early detection, treatment and prevention of these infections. These measures would also impact on patients’ cervical cancer control. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442018000600393 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442018000600393 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.5935/1676-2444.20180060 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Patologia Clínica |
publisher.none.fl_str_mv |
Sociedade Brasileira de Patologia Clínica |
dc.source.none.fl_str_mv |
Jornal Brasileiro de Patologia e Medicina Laboratorial v.54 n.6 2018 reponame:Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) instname:Sociedade Brasileira de Patologia (SBP) instacron:SBP |
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Sociedade Brasileira de Patologia (SBP) |
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SBP |
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SBP |
reponame_str |
Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) |
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Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) |
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Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) - Sociedade Brasileira de Patologia (SBP) |
repository.mail.fl_str_mv |
||jbpml@sbpc.org.br |
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