High prevalence of sexual infection by Chlamydia trachomatis in university students who do not use condoms and who do not undergo gynecological examinations in Belém do Pará, North of Brazil

Authors

DOI:

https://doi.org/10.33448/rsd-v11i4.27725

Keywords:

Sexually Transmitted Infections; Students; Chlamydia trachomatis.

Abstract

Chlamydia trachomatis infection is the most prevalent bacterial Sexually Transmitted Infection (STI) worldwide. They can be asymptomatic in up to 80% of cases and lead to Pelvic Inflammatory Disease, infertility and ectopic pregnancy in a young female population. The aim of this study was to estimate the prevalence of C. trachomatis infection in endocervical samples of students from a public university in the state of Pará, and to verify the social, behavioral and associated gynecological complaints characteristics. It is a prospective cross-sectional study involving 127 female students at a public university in Belém, in the state of Pará, between October 2018 and December 2019. Endocervical samples were obtained during the cervical cancer screening. DNA extraction was performed by adapting the protocol of the “GE Healthcare illustra™ blood genomicPrep Mini Spin Kit” Kit. A 270bp amplification of the human β-globin gene was performed for quality control of the extraction. For the detection of C. trachomatis, the nested-PCR Polymerase Chain Reaction (PCR) was used to amplify 327bp of the ompA gene. The overall prevalence was 10.2%. There was a significant association in the lack of condom use during sexual intercourse (p=0.02); and not performing the PCCU annually (p=0.05). The high prevalence of this infection may be a consequence of the lack of condom use and the lack of periodicity in the gynecological examination. National studies are necessary to understand the epidemiology of this infection and to build public policies aimed at gynecological health.

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.

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

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

Brasil. Ministério Da Saúde. (2006). Secretaria de Vigilância em Saúde. Saúde e prevenção nas escolas. Guia para a formação de profissionais de saúde e de educação. Ministério da Saúde. Brasília. 2006.

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

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

Campos, R. G., Santillán, E. A. G., Aguirre, D. E. B., Martínez, M. D. C. R., Mier, C. D. C. & Cabral, A. R. (2020). Association between early miscarriage and Chlamydia trachomatis infection in Aguascalientes, Mexico. Rev Med Inst Mex Seguro Soc. Jan 1;58(1):21-27.

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.

Elshiekh, H. F., Hoving, C. & Vries H. (2020). Exploring Determinants of Condom Use among University Students in Sudan. Arch Sex Behav. 49(4): 1379–1391.

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, J. C. (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.

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.

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

Kassie, B. A., Yenus, H., Berhe, R. & Kassahun, E. A. Prevalence of sexually transmitted infections and associated factors among the University of Gondar students, Northwest Ethiopia: a cross-sectional study. Reprod Health. 2019 Nov 8;16(1):163. 10.1186/s12978-019-0815-5.

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.

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. 10.3390/v13050855.

Martins, B. G., Silva, W. R., Marôco, J. & Campos, J. A. D. B. (2021). Eating Behavior of Brazilian College Students: Influences of Lifestyle, Negative Affectivity, and Personal Characteristics. Percept Mot Skills. 128(2):781-799. 10.1177/0031512520983082.

Nigussie, T &Yosef, T. (2020). Knowledge of sexually transmitted infections and its associated factors among polytechnic college students in Southwest Ethiopia. Pan Afr Med J. 37: 68. 10.11604/pamj.2020.37.68.22718.

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

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 trachomatis, Neisseria gonorrhoeae, and Mycoplasma genitalium Among Women in Pelotas, Southern Brazil. Int J STD AIDS.

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), 8, 27-33. dx.doi.org/10.5123/s2176-62232017000300004.

Santos, L. M., Souza, I. R. A., Holanda, L. H. C., Vaz, J. O., Tsutsumi, M. Y., Ishikawa, E. A. Y. & Sousa, M. S. (2016). Alta incidência da infecção urogenital por Chlamydia trachomatis em mulheres parturientes de Belém, Estado do Pará, Brasil. Revista Pan-Amazônica de Saúde (Online), 7, 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, M. S. (2018). High prevalence of sexual Chlamydia trachomatis infection in young women from Marajó Island, in the Brazilian Amazon PLoS One, 13: e0207853.

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.

Tang, W., Mao, J., Li, K. T., Walker, J. S., Chou, R., Fu, R., Chen, W., Darville, T., Klausner, J. & Tucker, J. D. (2020). Pregnancy and fertility-related adverse outcomes associated with Chlamydia trachomatis infection: a global systematic review and meta-analysis. Sex Transm Infect. 96(5):322-329. 10.1136/sextrans-2019-053999.

Travassos, A. G., Eveline, 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.

Torrado, M., Nicolau, L. B., Skryabin, V., Teixeira, M., Eusébio, S. & Ouakinin, S. Emotional dysregulation features and problem gambling in university students: a pilot study. J Addict Dis. 38(4):550-566. 10.1080/10550887.2020.1800889.

Wu, L., Wang, J., Gao, Y. & Zhu, L. (2020). Different patterns of perceived barriers to psychological treatment among Chinese depressed college students: Preliminary findings. J Clin Psychol. 76(7):1339-1352. 10.1002/jclp.22938. PMID: 32020638 10.1002/jclp.22938.

Zizza, A., Guido, M., Recchia, V., Grima, P., Banchelli, F. & Tinelli, A. (2021). Knowledge, Information Needs and Risk Perception about HIV and Sexually Transmitted Diseases after an Education Intervention on Italian High School and University Students. nt J Environ Res Public Health. 18(4): 2069.

Published

27/03/2022

How to Cite

SANTOS, L. M. dos; SILVA, K. C. S.; ROCHA, W. G. C.; VIRGOLINO, R. R. .; SILVA, D. R. da .; MACEDO, G. M. M. de; ISHIKAWA, E. A. Y.; SOUSA, M. S. de . High prevalence of sexual infection by Chlamydia trachomatis in university students who do not use condoms and who do not undergo gynecological examinations in Belém do Pará, North of Brazil. Research, Society and Development, [S. l.], v. 11, n. 4, p. e45611427725, 2022. DOI: 10.33448/rsd-v11i4.27725. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/27725. Acesso em: 27 apr. 2024.

Issue

Section

Health Sciences