Chlamydia trachomatis infection among HIV-infected women attending an AIDS clinic in the city of Manaus, Brazil
Silva, L.C.F.; Miranda, A.él.E.; Batalha, R.S.; Sabino, C.C.D.; Dib, E.; Costa, C.M.d.; Ramasawmy, R.; Talhari, S.és.
Brazilian Journal of Infectious Diseases An Official Publication of the Brazilian Society of Infectious Diseases 16(4): 335-338
2012
ISSN/ISBN: 1678-4391 PMID: 22846120 DOI: 10.1016/j.bjid.2012.06.023Document Number: 572242
This was a cross-sectional study aimed to determine the prevalence of and to identify risk factors for Chlamydia trachomatis (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.
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