Prevalence of sexually transmitted infections among HIV-infected women in Brazil

Brazilian Journal of Infectious Diseases

Brites, Carlos³  Fernandes, Sheyla de Almeida²  Queiroz, Conceição Maria³  Netto, Eduardo M.³  Rutherford, George W.¹  Travassos, Ana Gabriela Álvares² 

[1] University of California, San Francisco, USA;Centro Especializado em Diagnóstico, Assistência e Pesquisa, Salvador, Brazil;Universidade Federal da Bahia, Salvador, Brazil

关键词: HIV;    Sexually transmitted infections;    Pregnancy;    Prevalence;   

DOI  :  10.1016/j.bjid.2012.08.016

来源: Contexto

【 摘 要 】

This study aimed to evaluate the prevalence of sexually transmitted infections (STIs) and associated risk factors in HIV-infected pregnant women followed for prenatal care in Salvador, Bahia. This was a cross-sectional study of 63 women seeking prenatal care at a reference center. Participants were interviewed regarding socio-epidemiological and clinical history, and were tested for HBsAg, anti-HCV, anti HTLV I/II, VDRL, Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma hominis, Ureaplasma urealyticum, CD4 count, and HIV plasma viral load. The main outcome variable was the presence of any STI. The mean age of patients was 28.2 years (16-40 years). 23 (36.5%) were diagnosed with at least one STI. The frequency of diagnoses was: HBV, 3.2%; HCV, 8.1%; HTLV I/II, 3.4%; syphilis, 9.5%; Chlamydia trachomatis, 11.1%; HPV, 15.0%; Mycoplasma hominis, 2.1%, and Ureaplasma urealyticum, 2.1%. No case of Neisseria gonorrhoeae was identified. No association was found between socio-epidemiological variables and the presence of an STI. CD4 T lymphocyte < 500 cells/µl (p = 0.047) and plasma viral load >1,000 copies (p = 0.027) were associated with the presence of sti. stis are frequent in pregnant women infected with hiv, and all hiv-infected pregnant women should be screened to decrease transmission of these pathogens and to protect their own health.

【 授权许可】

CC BY-NC-ND