Ample distribution of the Chlamydia trachomatis F genotype in the genital infections of women from of the city of Belém, in the amazon region of Brazil

Authors

DOI:

https://doi.org/10.33448/rsd-v11i4.27546

Keywords:

Chlamydia trachomatis; Genotyping ; Women's health; Sexually Transmitted Diseases.

Abstract

Chlamydia trachomatis uroinfection has become, in recent years, the most prevalent sexually transmitted infection worldwide, affecting quality of life and causing severe morbidity and mortality. This infection is silent and can lead to long-term reproductive complications. This study evaluates the prevalence and distribution of C. trachomatis genotypes in sexual infections of women from Belém, Amazon, Brazil. A cross-sectional, descriptive and prospective study was carried out from March 2019 to February 2020. Endocervical secretions were collected and DNA was extracted from these samples for ompA gene amplification by nested PCR and agarose gel electrophoresis. Positive samples were genotyped by nucleotide sequencing. The strains were genotyped by comparing the sequences of this study with those deposited in a public database. The Odds Ratio test was used to assess the relationship between infection and the variables investigated. A total of 230 samples were included in the analyses, of which 11 were positive for infection with a mean age of 44.18 years. We found no significant association between infection rates and the different variables investigated. One of the sequenced samples was diagnosed as genotype D, while all other samples were genotype F. The low prevalence of C. trachomatis in the sexual infections recorded in the present study, and the prevalence of genotype F, may be related to the relatively advanced age of the participants. Our results reinforce the importance of preventing late sequelae in the female population of the Amazon.

References

Azevedo, M. J. N., Nunes, S. S., Oliveira, F. G. & Rocha, D. A. P. (2019). High prevalence of Chlamydia trachomatis in pregnant women attended at Primary Health Care services in Amazon, Brazil. Rev Inst Med Trop Sao Paulo; 61: e6. Published online 2019 Feb 14. 10.1590/S1678-9946201961006.

Brasil (2016). estratégia de rastreamento do câncer do colo uterino. Ministério da saúde.

Brasiliense, D. M., Borges, B. N. & Ferreira, W. A. (2016). Genotyping and prevalence of Chlamydia trachomatis infection among women in Belém, Pará, northern Brazil. J Infect Dev Ctries. 10(2):134-7.

Center for Disease Control and Prevention. (2021) Sexually Transminted Diseases. Sexually Transmitted Infections Prevalence, Incidence, and Cost Estimates in the United States. https://www.cdc.gov/std/chlamydia/default.htm

Chen, Y., Chen, J., Yang, L., Jiang, Y., Li, L., Yi, W., Lan, L. & Zhang L. (2017) Distribution of Chlamydia trachomatis Genotypes in Infective Diseases of the Female Lower Genital Tract. Medical Science Monitor, 23:4477-4481.

Chung, Y., Han, M., Park, J. Y., Kim, I. & Kim J. S. (2021). Characterization of Chlamydia trachomatis om Hurtado ML,Tame MAE, Guerra MRE, Cruz MJH, Infante FMG. Identification of Chlamydia trachomatis genotypes in Mexican men with infertile women as sexual partners. Enferm Infecc Microbiol Clin (Engl Ed). S0213-005X(21)00043-4. 10.1016/j.eimc.2021.02.005.

Costa-Lira, E., Jacinto, A. H. V. L., Silva, L. M., Napoleão, P. F. R., Barbosa-Filho, R. A. A., Cruz, G. J. S., Astolfi-Filho, S. & Borborema-Santos, C. M. (2017). Prevalence of human papillomavirus, Chlamydia trachomatis, and Trichomonas vaginalis infections in Amazonian women with normal and abnormal cytology. Genet Mol Res.16(2). 10.4238/gmr16029626.

European Centre for Disease Prevention and Control. (2020). Chlamydia infection. https://www.ecdc.europa.eu/en/chlamydia-infection.

Feodorova, V., Konnova, S. S., Saltykov, Y. V., Zaitsev, S. S., Subbotina, I. A, Polyanina, T. I., Ulyanov, S. S., Lamers, S. L, Gaydos, C. A., Quinn, T. C. & Motin, V. L. (2018). Urogenital Chlamydia trachomatis multilocus sequence types and genovar distribution in chlamydia infected patients in a multi-ethnic region of Saratov, Russia. PLoS One. 13(4): e0195386. 10.1371/journal.pone.0195386.

Galvão, T. F., Tiguman, G. M. B., Roa, M. C. & Silva, M. T. (2019). Inequity in utilizing health services in the Brazilian Amazon: A population-based survey, 2015. Int J Health Plann Manage. 34(4):e1846-e1853. 10.1002/hpm.2902.

Garnelo, L., Parente, R. C. P., Puchiarelli, M. L. R., Correia, P. C., Torres, M. V. & Herkrath, F. J. (2020). Barriers to access and organization of primary health care services for rural riverside populations in the Amazon. Int J Equity Health. 1;19(1):54. 10.1186/s12939-020-01171-x.

García, L. M., Domínguez, M. R., Lejarraga, C., Jiménez, M. C. R., Alba, J. M. G., Puerta, T., Conde, M. S., Hermida, J. M., Hernández, B. R. & Galán JC. (2021). The silent epidemic of lymphogranuloma venereum inside the COVID-19 pandemic in Madrid, Spain, March 2020 to February 2021 Euro SurveilL. 26(18):2100422. 10.2807/1560-7917.ES.2021.26.18.2100422.

Gonullu, D. C., Huang, X. M., Robinson, L. G., Walker, C. A., Adeola, M. A., Jameson, R., Yim, D. & Awonuga A. (2021). Tubal Factor Inferti-lity and its Impact on Reproductive Freedom of African American Women. Am J Obstet Gynecol. S0002-9378(21)00615-3. 10.1016/j.ajog.2021.06.002.

Greer, C. E., Peterson, S. L., Kiviat, N. B. & Manos, M. M. (1991). PCR amplification from paraffin-embedded tissues. Effects of fixative and fixation time. Am J Clin Pathol. 95(2):117-24. 10.1093/ajcp/95.2.117.

Huai, P., Li, F., Chu, T., Liu, D., Liu, J. & Zhang, F. (2020). Prevalence of genital Chlamydia trachomatis infection in the general population: a meta-analysis. BMC Infect Dis. 20(1):589. 10.1186/s12879-020-05307-w.

Hoenderboom, B. M., van, Benthem, B. H. B., van, Bergen, J. E. A. M., Dukers-Muijrers, N. H. T. M., Götz, H. M., Hoebe, C. J. P. A, Hogewoning, A. A., Land, J. A., van, der Sande, M. A. B., Morré, S. A. & van, den Broek, I. V. F. (2019). Relation between Chlamydia tracho-matis infection and pelvic inflammatory disease, ectopic pregnancy and tubal factor infertility in a Dutch cohort of women previously tested for chlamydiain a chlamydia screening trial Sexually Transmitted Infections, 95:300-306.

Hurtado, M. L., Tame, M. A. E., Guerra, M. R. E., Cruz, M. J. H. & Infante FMG. (2021). Identification of Chlamydia trachomatis genotypes in Mexican men with infertile women as sexual partners. Enferm Infecc Microbiol Clin (Engl Ed). 9; S0213-005X(21)00043-4. 10.1016/j.eimc.2021.02.005.

Jalal, H., Stephen, H., Alexander, S., Carne, C. & Sonnex C. (2007). Development of real-time PCR assays for genotyping of Chlamydia tracho-matis. Journal of Clinical and Microbiology, 45:2649-53.

Jordá, G. B., Hanke, S. E., Ramos-Rincón, J. M., Mosmann, J., Lopéz, M. L., Entrocassi, A. C. & Cuffini C. (2018) Revista española de quimiote-rapia. 31:21-26.

Lysén, M., Osterlund, A., Rubin, C.J., Persson, T., Persson, I. & Herrmann B. (2004). Characterization of ompA Genotypes by Sequence Analy-sis of DNA from All Detected Cases of Chlamydia trachomatis Infections during 1 Year of Contact Tracing in a Swedish County. Journal of Clinical Microbiology, 42:1641-1647.

Machado, L. F. A., Fonseca, R. R. S., Queiroz, M. A. F., Oliveira-Filho, A. B., Vallinoto, I. M. V. C., Vallinoto, A. C. R., Ishak, M. O. G. I. & Ishak I. (2021). The Epidemiological Impact of STIs among General and Vulnerable Populations of the Amazon Region of Brazil: 30 years of Surveillance. Viruses. 2021 May; 13(5): 855. Published online. 10.3390/v13050855.

Ndisabiye, D., Gahungu, A., Kayugi, D. & Waters, E.K. (2020). Association of environmental risk factors and trachoma in Gashoho Health District, Burundi. Afr Health Sci. 20(1):182-189. 10.4314/ahs. v20i1.23.

Nuradilova, D., Kaliyeva, L., Vaitkiene, D., Kalimoldayeva, S. & Issenova S. (2021). Urogenital mixed infections in reproductive aged women with Pelvic Inflammatory Disease. Georgian Med News. (312):114-118.

Odonkor, M., Naufal, F., Munoz B., Mkocha, H., Kasubi, M., Wolle, M. & West S. (2021). Serology, infection, and clinical trachoma as tools in prevalence surveys for re-emergence of trachoma in a formerly hyperendemic district. PLoS Negl Trop Dis. 16;15(4):e0009343. 10.1371/journal.pntd.0009343

Puchant, O., Touati, A., Nadalié, C.L., Hénin, N., Cazanave, C., Bébéar, C. & Barbeyrac, B. (2020). Prevalence of lymphogranuloma venereum among anorectal Chlamydia trachomatis-positive MSM using pre-exposure prophylaxis for HIV. Sex Transm Infect.96(8):615-617. 10.1136/sextrans-2019-054346.

Rawre, J., Dhawan, B., Khanna, N., Sreenivas, V., Broor, S. & Chaudhry R. (2019). Distribution of Chlamydia trachomatis omp A genotypes in patients attending a sexually transmitted disease outpatient clinic in New Delhi. India. Indian J Med Res. 149(5):662-670. 10.4103/ijmr.IJMR_1171_17.

Ribeiro, A. A., Saddi, V. A., Carneiro, M. A., Alves, R. R. F., Barros, N. K. S., Carvalho, K. P. A. C., Tavares, S. B. N., Teles, S. A., D'Alessandro, W. B. & Santos S. H. R. (2020). Human Papillomavirus and Chlamydia Trachomatis Infections in Adolescents and Young Women: Prevalence and Risk Factors. Diagn Cytopathol. 10.1002/dc.24460.

Rodrigues, L. L. S., Hardick, J., Nicol, A. F., Morgado, M. G., Martinelli, K. G., Paula, V. S., Pilotto, J. H. & Gaydos, C. A. (2019). Sexually transmitted infections among HIV-infected and HIV-uninfected women in the Tapajós region, Amazon, Brazil: Self-collected vs. clinician-collected samples. PLoS One. 14(4):e0215001. 10.1371/journal.pone.0215001.

Silveira, M. F., Bruni, M. P., Stauffert, D., Golparian, D. & Unemo. M. (2020). Prevalence and Risk Factors Associated With Chlamydia tracho-matis, Neisseria gonorrhoeae, and Mycoplasma genitalium Among Women in Pelotas, Southern Brazil. Int J STD AIDS.

Rocha, D. A. P., Barbosa-Filho, R. A. A., Mariño, J. . M & Santos, C. M. B. (2014). Hidden” sexually transmitted infections among women in primary care health services, Amazonas, Brazil. International Journal of STD & AIDS. 25:878-86.

Santos, L. M, Ulian, W. L., Trindade, J. Q., Sousa, F. D. M., Oliveira, J. F. G., Pereira, C. C. C., Brasiliense, D. M., Prazeres, B. A., Tsutsumi, M.Y ., Ishikawa, E. A. Y. & Sousa M. S. (2017). Prevalência da infecção endocervical de Chlamydia trachomatis em universitárias do Estado do Pará, região Amazônica, Brasil. Revista Pan-Amazônica de Saúde (Online), V. 8, P. 27-33. Doi:dx.doi.org/10.5123/s2176-62232017000300004.

Santos, L. M., Souza, I. R. A., Holanda, L. H. C., Vaz, J. O., Tsutsumi MY, Ishikawa EAY, Sousa MS. (2016). Alta incidência da infecção urogenital por Chlamydia trachomatis em mulheres parturientes de Belém, Estado do Pará, Brasil. Revista Pan-Amazônica de Saúde (Online), v. 7, p. 101-106. dx.doi.org/10.5123/s2176-62232016000400012

Santos, L. M., Vieira, M. R. M. D. S., Oliveira, J. F. G., Trindade, J. Q., Brasiliense, D. M., Ferrari, S. F., Tsutsumi, M. Y., Fuzii, H. T., Sousa Junior, E. C., Ishikawa, E. A. Y., Ishak, R. & Sousa MS. (2018). High prevalence of sexual Chlamydia trachomatis infection in young women from Marajó Island, in the Brazilian Amazon PLoS One, 13: e0207853.

Somayaji, R., Naugler, C., Guo, M. & Church D. L. (2017). Examining sociodemographic risk factors for Chlamydia trachomatis infection: a population-based cohort study. Future Microbiology, 12:1363-1370.

Suehiro, T. T., Gimenes, F., Souza, R. P., Taura, S. K. I., Cestari, R. C. C., Irie, M. M. T., Boer, C. G., Consolaro, M. E. L. & Silva, V. R. S. D. (2021). High molecular prevalence of HPV and other sexually transmitted infections in a population of asymptomatic women who work or study at a Brazilian university. Rev Inst Med Trop Sao Paulo. 63: e1. 10.1590/S1678-9946202163001.

Tavares, M. C. M., Macêdo, J. L., Lima Júnior, S. F., Heráclio, S. A., Amorim, M. M., Maia, M. M. D. & Souza, P. R. E. (2021). Chlamydia trachomatis infection and human papillomavirus in women with cervical neoplasia in Pernambuco-Brazil. Molecular Biology Reports. 41:865–874.

Travassos, A. G., Xavier-Souza, E., Netto, E., Dantas, E. V., Timbó, M., Nóbrega, I., Haguihara, T., Neumeyer, J., Lisboa, N., Soidan, M. A., Ferreira, F. & Brites C. (2016). Anogenital Infection by Chlamydia Trachomatis and Neisseria Gonorrhoeae in HIV-infected Men and Women in Salvador, Brazil. Braz J Infect Dis. 20(6):569-575. 10.1016/j.bjid.2016.09.004.

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Published

22/03/2022

How to Cite

TRINDADE , J. Q. .; SILVA, A. R. da .; MBAKWA, H. A. .; BRASILIENSE, D. M. .; SOUZA JÚNIOR, E. C.; GONÇALVES, E. C. .; SOUSA, M. S. de .; SANTOS, L. M. dos; AGUIAR , D. C. F. . Ample distribution of the Chlamydia trachomatis F genotype in the genital infections of women from of the city of Belém, in the amazon region of Brazil. Research, Society and Development, [S. l.], v. 11, n. 4, p. e42211427546, 2022. DOI: 10.33448/rsd-v11i4.27546. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/27546. Acesso em: 19 apr. 2024.

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Health Sciences