Epidemiological profile and genetic resistance of Neisseria gonorrhoeae infection in women in a poor region of Sao Paulo, Brazil
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Tipo de produção
article
Data de publicação
2024
Título da Revista
ISSN da Revista
Título do Volume
Editora
ELSEVIER
Autores
TAVARES, Gabriela Martinez Moura
ALVERGA, Hannar Angelica de Melo
FELIX, Estela Moraes
DICHMAN, Giovana de Oliveira
PINHEIRO, Gabriel Monteiro
JULIANO, Yara
PARUCI, Priscila
NEVES, Lucas Melo
SHIO, Marina Tiemi
Citação
ACTA TROPICA, v.249, article ID 107047, 5p, 2024
Resumo
Background and aim: Gonorrhea is a bacterial infection in the urogenital tract, transmitted by sexual or perinatal contact, caused by Neisseria gonorrhoeae, a gram-negative diplococcus. The present study evaluates the frequency of N. gonorrhoeae in women treated at Hospital Wladimir Arruda in poor area of Sa similar to o Paulo and also verifies the presence of genetic resistance against three antimicrobials of different classes: Tetracycline, Azithromycin and Ciprofloxacin. Methods: This is an observational and descriptive study with a quantitative approach. Samples were collected at Hospital Escola Wladimir Arruda. The volunteers are women from 16 to 65 years of age. Sociodemographic, gynecological, sexual and health data are collected through a questionnaire, their symptoms/clinical manifestation were requested by the medical records, and then the participant is referred for collection of samples of cervical vaginal smear. The samples were screened for N. gonorrhoeae (dcmH gene) and tested for resistance genes to Tetracycline, Azithromycin and Ciprofloxacin through PCR. Results: In the total of 127 samples analyzed by Real-Time PCR, 23 were positive and correspond to a general prevalence of a gonococcal infection in the studied population of 17% (CI:95%), and the participants were married (43.4%), had active sexual life (56.5%) and did not use any type of condom during sexual intercourse (52.1%). The resistance to the tetM ribosomal gene was found in 14 samples, prevalence of 60% (CI= 95%). Conclusions: We have described a concerning frequency of N. gonorrhoeae infection in females attended in an outcare patient. Also, most of the strains detected presented resistance to one or more antimicrobials.
Palavras-chave
Neisseria gonorrhoeae, Infection, Sexually transmitted infections, Genetic resistance, Antimicrobials
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