Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/773
Title: Assessing sexually transmitted infections in a cohort of women living with HIV/AIDS, in Rio de Janeiro, Brazil
Authors: Grinsztejn, Beatriz Gilda Jegerhorn
Bastos, Francisco Inácio Pinkusfeld Monteiro
Santos, Valdiléa Gonçalves Veloso dos
Friedman, Ruth Khalili
Pilotto, Jose Henrique da Silva
Schechter, Mauro
Derrico, Monica
Andrade, Angela Cristina Vasconcelos de
Lourenço, Maria Cristina da Silva
Moreira, Ronaldo Ismerio
Russomano, Fabio
Morgado, Mariza Gonçalves
Currier, Judith S.
Affilliation: Evandro Chagas Clinical Research Institute/FIOCRUZ
Center of Scientific and Tecnological Information /FIOCRUZ
Evandro Chagas Clinical Research Institute/FIOCRUZ
Evandro Chagas Clinical Research Institute/FIOCRUZ
Evandro Chagas Clinical Research Institute/FIOCRUZ
Federal University of Rio de Janeiro
Evandro Chagas Clinical Research Institute/FIOCRUZ
Evandro Chagas Clinical Research Institute/FIOCRUZ
Evandro Chagas Clinical Research Institute/FIOCRUZ
Evandro Chagas Clinical Research Institute/FIOCRUZ
Fernandes Figueira Institute/FIOCRUZ
Oswaldo Cruz Institute/FIOCRUZ, Rio de Janeiro, Brazil
Center for Clinical AIDS Research and Education/UCLA, Los Angeles, California, USA
Abstract: Summary: A cohort of 458 HIV-positive women under antiretroviral therapy has been followed at a reference hospital in Rio de Janeiro, Brazil. Most of them belong to impoverished social strata. Patients were screened for sexually transmitted infections (STIs) and gynaecologic conditions. Some STIs were found to be uncommon (e.g. chlamydial and gonococcal infections), while some conditions (bacterial vaginosis) and STIs, e.g. hepatitis B and human papilloma virus (HPV) infection, were found to be quite prevalent. The latter is of special concern, due to the high prevalence of HIV/HPV co-infection (~51%) and its association with severe immunodeficiency, in a context of unacceptable high levels of uterine cancer and uneven gynaecological care. HIV-positive women are in need of comprehensive health services, including high-quality, regular, gynaecologic care in order to diagnose and treat lower genital tract infections and prevent the evolution of HPV-related lesions. Reproductive counselling should be a part of this approach.
Keywords: HIV/AIDS
sexually transmitted infections (STIs)
human papilloma virus (HPV)
co-infection
Brazil
Issue Date: 2006
Publisher: The Royal Society of Medicine Press
Citation: International Journal of STD & AIDS 2006; 17: 473–478
ISSN: 1758-1052
Copyright: open access
Appears in Collections:INI - Artigos de Periódicos
ICICT - Artigos de Periódicos

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