Ignacio Mariana Alice de Oliveira, Andrade Juliane, Freitas Ana Paula Freneda de, Pinto Gabriel Vitor da Silva, Silva Marcia Guimarães da, Duarte Marli Teresinha Cassamassimo
Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, Botucatu, SP, Brazil.
Universidade de Brasília, Faculdade de Ciências da Saúde, Brasília, DF, Brazil.
Rev Lat Am Enfermagem. 2018 Nov 14;26:e3077. doi: 10.1590/1518-8345.2491.3077.
to describe the prevalence of bacterial vaginosis and factors associated among women who have sex with women.
cross-sectional, descriptive and analytical study with 150 women. The vaginal microbiota profile was analyzed by microscopic examination of vaginal swabs according to the Gram method. Endocervical samples were collected with cytobrush for the investigation of endocervicitis by Chlamydia trachomatis. The polymerase chain reaction was used to diagnosis Human Papillomavirus infection. Socio-demographic data, sexual behavior and clinical history were obtained through an interview. Logistic regression was performed to identify risk factors independently associated with bacterial vaginosis.
among the 150 participants, 71 (47.3%) presented some alteration in the vaginal microbiota, 54 (36.0%) bacterial vaginosis and 12 (8.0%) Flora II. The variable independently associated with bacterial vaginosis was the use of sexual accessories [2.37(1.13-4.97), p=0.022].
the high prevalence of bacterial vaginosis among women who have sex with women indicates the need for screening this population and association between use of sexual accessories and this disease suggests the possibility of transmission of sexual fluids between the partners during the sexual act, which demonstrates the need for educational actions on sexual and reproductive health.
描述与女性发生性行为的女性中细菌性阴道病的患病率及相关因素。
对150名女性进行横断面、描述性和分析性研究。根据革兰氏法通过阴道拭子显微镜检查分析阴道微生物群概况。用细胞刷采集宫颈样本以检测沙眼衣原体引起的宫颈炎。采用聚合酶链反应诊断人乳头瘤病毒感染。通过访谈获取社会人口学数据、性行为和临床病史。进行逻辑回归以确定与细菌性阴道病独立相关的危险因素。
在150名参与者中，71名（47.3%）阴道微生物群有某种改变，54名（36.0%）患细菌性阴道病，12名（8.0%）为II型菌群。与细菌性阴道病独立相关的变量是使用性用品[2.37(1.13 - 4.97)，p = 0.022]。
与女性发生性行为的女性中细菌性阴道病的高患病率表明有必要对该人群进行筛查，且使用性用品与该病之间的关联表明性行为期间性伴侣之间可能存在性液传播，这表明有必要开展性与生殖健康方面的教育行动。
