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Preval?ncia da infec??o genital pelo v?rus herpes simples tipo 1 e 2 em mulheres gr?vidas e n?o gr?vidas de Natal/RN

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Previous issue date: 2012-09-27 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / Herpes simplex is a virus that can be transmitted sexually and is potentially associated with vertical transmission. This study evaluated the prevalence of genital infection by herpes simplex virus (HSV) types 1 and 2 in pregnant and nonpregnant care in the city of Natal / RN, including a total of 222 women, 92 pregnant and 130 nonpregnant. The participants answered a questionnaire to obtain data and socio-demographic characteristics, as well as potential risk factors for sexually transmitted diseases. After the interview, we collected two cervical specimens, one for the Pap test and the other for DNA extraction and analyzed by polymerase chain reaction (PCR) to detect both virus serotypes. Then the women underwent a clinical examination by colposcopy. For statistical analysis, we used the chi-square and logistic regression by SSPS 17.0 Statistic. Most women were up to 30 years of age, nonwhite ethnicity, married, elementary education, family income below the poverty level; initiated sexual activity with age up to 18 years; had more than one sexual partner lifelong and was not pregnant, but has had at least one child. The HSV-1 showed a prevalence of 26.1% among pregnant women and 30.0% in non-pregnant women. While HSV-2 prevalence was found with 10.9% and 19.2% in pregnant and nonpregnant women, respectively. The largest proportion of morphological changes of the uterine cervix was detected among nonpregnant women, both in cytology and in colposcopy. The women were nonwhite ethnicity, married, became pregnant aged less than or equal to 18 years and who had one to two pregnancies had a lower risk of acquiring genital HSV infection. There was a high prevalence of genital HSV infection, HSV-1 is more prevalent than HSV-2. No association was found between morphological changes of the uterine cervix and the presence of the virus in pregnant and nonpregnant women, nor between genital HSV infection and the classic risk factors for sexually transmitted diseases / O herpes simples ? um dos v?rus que pode ser transmitido sexualmente e est? potencialmente associado ? transmiss?o vertical. Este estudo avaliou a preval?ncia da infec??o genital pelo v?rus herpes simples (HSV) tipos 1 e 2 em mulheres gr?vidas e n?o gr?vidas atendidas no munic?pio de Natal/RN, incluindo um total de 222 mulheres, sendo 92 gr?vidas e 130 n?o gr?vidas. As participantes responderam um question?rio para a obten??o de dados e caracter?sticas s?cio-demogr?ficas, al?m de potenciais fatores de risco para doen?as sexualmente transmiss?veis. Ap?s a entrevista, foram coletados dois esp?cimes cervicais, um destinado ao exame citol?gico de Papanicolaou e o outro, para extra??o de DNA e analisado pela rea??o em cadeia da polimerase (PCR) para detectar os dois sorotipos do v?rus. Em seguida, as mulheres foram submetidas a um exame cl?nico por meio de colposcopia. Para an?lise estat?stica dos dados, utilizou-se o teste de qui-quadrado e de regress?o log?stica pelo programa SSPS Statistic 17.0. A maioria das mulheres tinha at? 30 anos de idade, etnia n?o branca, casada, grau de instru??o elementar, renda familiar de at? um sal?rio m?nimo; iniciou a atividade sexual com idade at? 18 anos; teve mais de um parceiro sexual ao longo da vida e n?o estava gr?vida, mas j? teve no m?nimo um filho. O HSV-1 apresentou preval?ncia de 26,1% nas mulheres gr?vidas e 30,0% nas n?o gr?vidas. Enquanto que o HSV-2 foi encontrado com preval?ncia de 10,9% e 19,2% nas mulheres gr?vidas e n?o gr?vidas, respectivamente. A maior propor??o de altera??es morfol?gicas da c?rvice uterina foi detectada entre as mulheres n?o gr?vidas, tanto no exame citol?gico quanto na colposcopia. As mulheres de etnia branca, casadas, que engravidaram com idade menor ou igual a 18 anos e que tiveram de uma a duas gesta??es apresentaram menor risco de adquirir infec??o genital pelo HSV. Constatou-se uma alta preval?ncia infec??o genital pelo HSV, sendo HSV-1 mais prevalente que o HSV-2. N?o se observou associa??o entre altera??es morfol?gicas da c?rvice uterina e a presen?a do v?rus nas mulheres gr?vidas e n?o gr?vidas, nem entre a infec??o genital pelo HSV e os fatores de risco cl?ssicos para doen?as sexualmente transmiss?veis

Identiferoai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/13089
Date27 September 2012
CreatorsMiranda, Cleine Aglacy Nunes
ContributorsCPF:09457135415, http://lattes.cnpq.br/7078820975978056, Ara?jo, Joselio Maria Galv?o de, CPF:01016476469, http://lattes.cnpq.br/6430774978643765, Carvalho, Maria Goretti Freire de, CPF:05601592420, http://lattes.cnpq.br/8934375314306198, Fernandes, Jos? Ver?ssimo
PublisherUniversidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Ci?ncias Biol?gicas, UFRN, BR, Biodiversidade; Biologia Estrutural e Funcional.
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
Formatapplication/pdf
Sourcereponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN
Rightsinfo:eu-repo/semantics/openAccess

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