Trichomonas vaginalis and associated factors among women living with HIV/AIDS in Amazonas, Brazil

Our goal was to determine the prevalence of Trichomonas vaginalis and its associated factors among women living with HIV attending an AIDS clinic in Manaus, Amazonas, Brazil. Cross-sectional study among women attending an AIDS clinic in Manaus between March and December 2010 for gynecological examin...

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Bibliographic Details
Published in:The Brazilian journal of infectious diseases 2013-11, Vol.17 (6), p.701-703
Main Authors: Silva, Leila Cristina Ferreira, Miranda, Angélica Espinosa, Batalha, Rosieny Santos, Monte, Rossicléia Lins, Talhari, Sinésio
Format: Article
Language:English
Subjects:
Adult
AIDS-Related Opportunistic Infections - epidemiology
Amazonas
Associated factors
Brazil - epidemiology
Brief Communication
Care and treatment
CD4 Lymphocyte Count
Cross-Sectional Studies
Distribution
Female
Health aspects
HIV
HIV patients
Humans
INFECTIOUS DISEASES
Physiological aspects
Prevalence
Risk Factors
Sexual Behavior
Socioeconomic Factors
Trichomonas vaginalis
Trichomonas Vaginitis - epidemiology
Trichomoniasis
Viral Load
Women patients
Young Adult
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Summary:Our goal was to determine the prevalence of Trichomonas vaginalis and its associated factors among women living with HIV attending an AIDS clinic in Manaus, Amazonas, Brazil. Cross-sectional study among women attending an AIDS clinic in Manaus between March and December 2010 for gynecological examination were invited to participate. Enrolled patients answered a face-to-face interview including demographic, behavioral and clinical data. They also underwent a gynecological evaluation and cervical scrape samples were collected for wet mount, Gram stain, culture and cytological analysis. A blood sample was obtained to determine TCD4+ lymphocytes and viral load. A total of 341 (91.2%) women participated in the study. The prevalence of T. vaginalis was 4.1% (95% CI: 2.0–6.2%). Median age was 32 (interquartile range 27–38) years and median years of schooling was 9.0 (interquartile range 4–11). A total of 165 (53.2%) HIV women were classified as patients with AIDS. In multivariate analyses, squamous intraepithelial lesions in cytology [OR=2.46 (95% CI: 1.31–4.63, p=0.005)] and anal sex practice [OR=3.62 (95% CI: 1.08–12.19, p=0.037)] were associated with T. vaginalis. These results highlight that HIV-infected women should be screened for T. vaginalis. The control of this infection may have an impact on preventing reproductive complications among these women.
ISSN:1413-8670
1678-4391
1678-4391
DOI:10.1016/j.bjid.2013.03.006