Banca de DEFESA: GIANCARLO PAIVA NICOLETTI

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : GIANCARLO PAIVA NICOLETTI
DATA : 15/03/2019
HORA: 14:00
LOCAL: Sala de Aulas da Pós Graduação
TÍTULO:

PREVALENCE AND FACTORS ASSOCIATED WITH Gardnerella vaginalis IN WOMEN ATTENDED IN A GYNECOLOGICAL CLINIC IN THE MUNICIPALITY OF NATAL-RN

PALAVRAS-CHAVES:

Gardnerella vaginalis; bacterial vaginosis; prevalence; risk factors

PÁGINAS: 67
GRANDE ÁREA: Ciências Biológicas
ÁREA: Microbiologia
SUBÁREA: Biologia e Fisiologia dos Microorganismos
ESPECIALIDADE: Bacterologia
RESUMO:

The bacterial species Gardnerella vaginalis is acquired sexually and can colonize in the female genital tract, and is closely related to the bacterial vaginosis. Therefore, the presence of this species represents a risk factor for women during the gestation period and STI acquisition. The objective of this research was to evaluate the prevalence of Gardnerella vaginalis and associated factors in women attending a gynecological clinic in the city of Natal-RN. It is a cross-sectional descriptive study, whose target population was composed of 395 patients consulted at a private gynecological clinic in the city of Natal-RN. The study was preformed with the cytological analysis of the vaginal discharge according to the Papanicolau method and afterwards, the criteria (presence of discharge, amine test, coilocytes and clue cells) were evaluated to confirm the suggestive microorganisms. Sociodemographic information of sexual behavior and clinical conditions of the participants were collected from the medical records and a 10-questions personal interview. The crude and adjusted Prevalence Ratios (PR) were calculated (Prevalence Ratios of Mantel Haenszel, according to the type of access to the health system). Pearson's Chi-square test (x2) was used to evaluate the presence of Gardnerella vaginalis and patients` associated factors. The overall prevalence of Gardnerella vaginalis was 35.4%, 51% higher in the age group of 15-44 years (p-value = 0.004), 45% higher in married women (p-value = 0.036), and 36% lower among women taking contraceptives (p-value = 0.004). The cases of G. vaginalis were 3.2 times higher among women who had a suggestive HPV diagnosis (p-value <0.001). The prevalence of G.vaginalis was 26 times greater in the group of women with vaginal discharge and 15 times greater in the group of women with a positive amine test (p-value <0.001). In this perspective, the interaction of positive amine and vaginal discharge was tested, it was observed that there was a statistically significant association with the presence of G. vaginalis (PR = 14.0; p-value <0.001). A significant prevalence of G.vaginalis colonizing the patients' vagina was found, in addition to the statistically significant association between the presence of this bacterium and some behavioral and sexual factors. The socioeconomic difference was not relevant in the study, so it is important to analyze the clinical and behavioral criteria for the diagnosis of Bacterial Vaginosis.

MEMBROS DA BANCA:
Presidente - 1452833 - MARIA CELESTE NUNES DE MELO
Interno - 348473 - JOSE VERISSIMO FERNANDES
Externa à Instituição - DALIANA CALDAS PESSOA DA SILVA - FANEC