Fernandes Arlete Maria Dos Santos, Daher Gustavo, Nuzzi Rafael Ximenes Do Prado, Petta Carlos Alberto
Departamento de Tocoginecologia, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brasil.
Rev Bras Ginecol Obstet. 2009 May;31(5):235-40. doi: 10.1590/s0100-72032009000500006.
to study infection prevalence by Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG), among adolescent and young women in a family planning outpatient clinic.
a total of 230 women up to 24 years old and history of up to four sexual partners have been followed-up for 48 months, with urine collection to search CT and NG, by the polymerase chain reaction method at the 1st, 12nd, 24th, 36th and 48th months. The variables studied were age group, schooling, marital status, number of gestations, abortions and children alive, age at the onset of sexual life, previous and present use of condom, previous use of intrauterine device, number of sexual partners in the previous six months and follow-up time. Bivariate analysis of variables according to positive tests for CT and NG, and multiple analyses by logistic regression were done.
the ratio of infections by CT was 13.5% and by NG, 3%. Two women presented both tests as positive. The previous intrauterine device use was associated with positive tests for NG.
the prevalence of infections by CT and NG was higher among the age group studied and the screening of young women must be taken into consideration in our services, to control the dissemination of sexually transmitted diseases and prevention of sequels.
研究计划生育门诊中青少年及年轻女性沙眼衣原体（CT）和淋病奈瑟菌（NG）的感染率。
对230名年龄在24岁及以下、性伴侣数最多为4人的女性进行了48个月的随访，在第1、12、24、36和48个月收集尿液，采用聚合酶链反应法检测CT和NG。研究的变量包括年龄组、受教育程度、婚姻状况、妊娠次数、流产次数和存活子女数、首次性生活年龄、既往和目前使用避孕套情况、既往使用宫内节育器情况、前六个月的性伴侣数以及随访时间。根据CT和NG检测阳性情况对变量进行双变量分析，并通过逻辑回归进行多因素分析。
CT感染率为13.5%，NG感染率为3%。两名女性两项检测均为阳性。既往使用宫内节育器与NG检测阳性相关。
在所研究的年龄组中，CT和NG感染率较高，我们的服务中必须考虑对年轻女性进行筛查，以控制性传播疾病的传播并预防后遗症。
