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Prevalence and risk factors associated with Chlamydia trachomatis, Neisseria gonorrhoeae, and Mycoplasma genitalium among women in Pelotas, Southern Brazil
Maternal and Child Department, School of Medicine, Federal University of Pelotas (UFPel), Pelotas, Brazil.
Post Graduate Program in Parasitology, Biology Institute, Federal University of Pelotas (UFPel), Pelotas, Brazil.
Maternal and Child Department, School of Medicine, Federal University of Pelotas (UFPel), Pelotas, Brazil.
Örebro University, School of Medical Sciences. WHO Collaborating Centre for Gonorrhoea and other STIs, Department of Laboratory Medicine.ORCID iD: 0000-0002-0688-2521
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2020 (English)In: International Journal of STD and AIDS (London), ISSN 0956-4624, E-ISSN 1758-1052, Vol. 31, no 5, p. 432-439Article in journal (Refereed) Published
Abstract [en]

The frequently asymptomatic sexually transmitted infections (STIs) caused by Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), and Mycoplasma genitalium (MG) are poorly diagnosed in Brazil and can lead to severe complications/sequelae without timely detection and treatment. We investigated prevalence of CT, NG, and MG infections and associated demographic, behavioral, and clinical factors in consecutive women attending a gynecology and obstetrics outpatient clinic in Pelotas, Southern Brazil. Vaginal swab samples were prospectively obtained from asymptomatic and symptomatic women (n = 498) from August 2015 to December 2016 and tested with Aptima Combo2 and Aptima M. genitalium assays (Hologic). The prevalence of CT, NG, and MG was 6.8% (34/498), 1.0% (5/498), and 4.2% (21/498), respectively. Three (0.6%) cases of CT and NG co-infection and one (0.2%) case of CT and MG co-infection were identified. The risk factors associated with these bacterial STIs were youth (<30 years), no steady sexual partner, infection with additional STI, and lack of income. Bacterial STIs, particularly CT and MG, were prevalent among women, including pregnant women (60% of positive cases), in Pelotas, Brazil. Sensitive and specific diagnostic testing and early treatment are essential to control STIs, limit transmission chains, avoid future complications/sequelae, and reduce health and cost burdens on the population.

Place, publisher, year, edition, pages
Sage Publications, 2020. Vol. 31, no 5, p. 432-439
Keywords [en]
Brazil, Sexually transmitted infections, diagnosis, screening, women
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:oru:diva-80805DOI: 10.1177/0956462419898982ISI: 000523042200006PubMedID: 32192370Scopus ID: 2-s2.0-85082177278OAI: oai:DiVA.org:oru-80805DiVA, id: diva2:1416418
Available from: 2020-03-23 Created: 2020-03-23 Last updated: 2020-12-01Bibliographically approved

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Golparian, DanielUnemo, Magnus

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