Chlamydia trachomatis infection among HIV-infected women attending an AIDS clinic in the city of Manaus, Brazil

Brazilian Journal of Infectious Diseases

Miranda, Angélica Espinosa²  Silva, Leila Cristina Ferreira¹  Talhari, Sinésio³  Sabino, Carolina¹  Costa, Carolina Marinho da¹  Dib, Elizabeth Cristina Dantas¹  Batalha, Rosieny Santos¹  Ramasawmy, Rajendranath¹ 

[1] Fundação de Medicina Tropical do Amazonas, Manaus, Brazil;Universidade Federal do Espírito Santo, Vitória, Brazil;Universidade Estadual Amazonas, Manaus, Brazil

关键词: Chlamydiatrachomatis;    HIV;    Women;    Amazonas;   

DOI  :  10.1016/j.bjid.2012.06.023

来源: Contexto

【 摘 要 】

This was a cross-sectional study aimed to determine the prevalence of and to identify risk factors for Chlamydiatrachomatis (CT) among human immunodeficiency virus (HIV)-infected women attending the acquired immunodeficiency syndrome (AIDS) clinic in the city of Manaus, Brazil, in 2009-2010. Participants answered a questionnaire containing demographic, epidemiological, and clinical data. A genital specimen was collected during examination to detect CT-DNA by hybrid capture, and blood samples were taken to determine CD4⁺T and HIV viral load. There were 329 women included in the study. Median age was 32 years (IQR = 27-38) and median schooling was nine years (IQR = 4-11). The prevalence of CT was 4.3% (95%CI: 2.1-6.5). Logistic regression analysis showed that age between 18-29 years [OR = 4.1(95%CI: 1.2-13.4)] and complaint of pelvic pain [OR = 3.7 (95%CI: 1.2-12.8)] were independently associated with CT. The use of condom was inversely associated with CT [OR = 0.39 (95%CI: 0.1-0.9)]. The results showed that younger women who did not use condoms are at a higher risk for CT. Screening for sexually transmitted infections must be done routinely and safe sexual practices should be promoted among this population.

【 授权许可】

CC BY-NC-ND