Santos Marina de Paula Salomé Dos, Ramos Bruna Ribeiro de Andrade, Oliveira Maria Luiza Cotrim Sartor de, Tristão Andréa da Rocha, Silva Márcia Guimarães da
São Paulo State University, Unesp, Botucatu Medical School, Botucatu 18618-687, SP, Brazil.
Jaú Medical School, Western São Paulo University-UNOESTE, Jaú 17213-700, SP, Brazil.
Microorganisms. 2024 Oct 8;12(10):2032. doi: 10.3390/microorganisms12102032.
infection is one of the most prevalent curable STIs. Although treatments are available, infections pose a significant challenge, especially in resource-limited regions, as the prevalence of this STI is often unknown. We aimed to determine the prevalence of infection in women screened for cervical cancer precursor lesions in Botucatu in São Paulo, Brazil. We conducted a descriptive and retrospective study that included 23,735 women who attended the cervical cancer screening program at health units in 2019 and 2022. Clinical and sociodemographic data were collected from the cancer information system (SISCAN) and test requisition forms. Descriptive analysis was conducted, and comparisons were performed using the X2 Test and Student's -test (SigmaPlot version 13.0). The prevalence of infection was 0.84% in 2019 and 0.57% in 2022. The mean age of patients with trichomoniasis was 42 (±11.2) years; 75% self-reported as white, 43% were married or in a stable relationship, and 40% had not completed primary education. Regarding the vaginal microbiota, only 15.3% of the cytology exams with infection by showed a predominance of lactobacilli species, while inflammation was present in 82% of the smears. Cytological analysis revealed precursor lesions of cervical cancer in 0.05% of patients with trichomoniasis, including ASC, LSIL, and HSIL. The study showed a low prevalence of infection with in low-risk women screened for precursor lesions of cervical cancer in Botucatu in São Paulo, Brazil.
滴虫感染是最常见的可治愈性传播感染之一。尽管有可用的治疗方法，但滴虫感染带来了重大挑战，尤其是在资源有限的地区，因为这种性传播感染的患病率往往未知。我们旨在确定在巴西圣保罗州博图卡图接受宫颈癌前病变筛查的女性中滴虫感染的患病率。我们进行了一项描述性回顾性研究，纳入了2019年和2022年在卫生单位参加宫颈癌筛查项目的23735名女性。从癌症信息系统（SISCAN）和检查申请单中收集临床和社会人口学数据。进行描述性分析，并使用X2检验和学生t检验（SigmaPlot 13.0版本）进行比较。2019年滴虫感染的患病率为0.84%，2022年为0.57%。滴虫病患者的平均年龄为42（±11.2）岁；75%的人自我报告为白人，43%已婚或处于稳定关系，40%未完成小学教育。关于阴道微生物群，在滴虫感染的细胞学检查中，只有15.3%显示乳酸杆菌属占优势，而82%的涂片存在炎症。细胞学分析显示，0.05%的滴虫病患者有宫颈癌前病变，包括非典型鳞状细胞（ASC）、低度鳞状上皮内病变（LSIL）和高度鳞状上皮内病变（HSIL）。该研究表明，在巴西圣保罗州博图卡图接受宫颈癌前病变筛查的低风险女性中，滴虫感染的患病率较低。
