TRICHOMONAS VAGINALIS AND ASSOCIATED FACTORS AMONG WOMEN LIVING WITH HIV/AIDS IN AMAZONAS, BRAZIL

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

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

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OBJECTIVES: 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.METHODS: Cross-sectional study among women attending an AIDS clinic in Manaus RESPRIT 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.

RESULTS: 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 Asbestos Vacuums [OR = 3.62 (95% CI: 1.08-12.19, p = 0.037)] were associated with T.

vaginalis.CONCLUSIONS: 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.

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