FREQUÊNCIA DE CHLAMYDIA TRACHOMATIS, CHLAMYDIA PNEUMONIAE E TREPONEMA PALLIDUM EM PORTADORES DO VÍRUS DA IMUNODEFICIÊNCIA HUMANA 1 (HIV-1), NO ESTADO DO PARÁ

Abstract

Objective: The present study intended the description of the serum prevalence of those three agents among 430 HIV-1 infected persons residing in the State of Para, Brazil, attended at the State Reference Unit (URE-DIPE). Methods: Using an enzyme immuno assay plasma samples were tested for the detection of IgM and IgG antibodies to Chlamydia and those, which elicited positive results, were randomly selected for serotyping through a microimmunofluorescence assay. Results: Antibodies to T. pallidum were detected using a flocculation reaction (RPR) and an enzyme immunoassay. The general prevalence to Chlamydia was 64.2% (51.6% IgG reactivity and 4% to IgM). Serotyping showed 100% reactivity to C. trachomatis (for both IgG and IgM), a high prevalence to C. pneumoniae (73.5% IgG and 70.5% to IgM). Prevalence of antibodies to T. pallidum was 34.9% and those 7.3% showed laboratory evidence of syphilis. Infection with both pathogens were associated to several characteristics, which included higher prevalence among males, high number of sexual partners, anal sexual relations, homosexual/bisexual habits and use of non injecting drugs. Conclusions: It is necessary not only the individual attention for prevention, but also the continuous monitoring to block transmission and the improvement of the well-being of HIV-1 infected persons

Keywords

• HIV
• Chlamydia trachomatis
• Treponema pallidum
• Chlamydia Pneumoniae