Dados do Trabalho

Title

The incidence of sexually transmitted infections in WOMEN OF REPRODUCTIVE AGE IN THE HOSPITAL OUTPATIARY WLADIMIR ARRUDA SCHOOL (HEWA)

Objective

To estimate the incidence of sexually transmitted infections in women of reproductive age, between 15 and 45 years old, attending the outpatient clinic of Hospital Escola Wladimir Arruda (HEWA).

Methods

The research was conducted with 107 women between 15 and 45 years old, who underwent oncotic cytology and real-time Polymerase Chain Reaction (PCR) with specific primers from November 2020 to December 2021 for screening and diagnosis of urogenital infections caused by the bacterium Chlamydia trachomatis, according to sexual frequency, number of partners in the last 6 months, frequency of sexually transmitted infections, and the number of pregnancies.

Results

Out of the 107 interviewed women, 17 (18.19%) tested positive for Chlamydia trachomatis. All positive cases were sexually active, with only 1 (0.17%) having sexual relations with 4 partners in the last 6 months of the collection period, 5 (0.85%) had not been pregnant, and all positive cases (18.19%) reported using contraceptive methods, with only 1 (0.17%) having had other sexually transmitted infections. According to current literature, we know that the occurrence of conjugal infertility due to tubo-peritoneal factors is approximately 30% to 40% of the causes of this pathology, and that tubal damage can be induced by a Sexually Transmitted Infection (STI), where the main infectious agent is Chlamydia trachomatis.

Conclusion

Based on the results, we conclude that 17 women of reproductive age, or 18.19% of the total studied, were infected with Chlamydia trachomatis by the PCR method. The frequency of infection indicates that even with a fixed partner, the risk of contamination without contraceptive methods is high, and the association with other STIs does not facilitate contamination by this infectious agent. Early diagnosis and treatment with antibiotics reduce the risks of developing infection and inflammation of the upper genital tract, being a subclinical disease, thereby reducing the occurrence of conjugal infertility due to tubal obstruction.

Keywords

Chlamydia trachomatis, Sexually Transmitted Infections, PCR, conjugal infertility, tubo-peritoneal factors.