Infecção por Papilomavírus Humano entre gestantes atendidas na atenção primária de saúde: um estudo transversal
Resumo
Objetivo: verificar a prevalência de Papilomavírus Humano em gestantes e a concordância da detecção entre amostras de urina e cérvico-vaginais. Métodos: foram colhidas amostras de 110 mulheres no segundo trimestre de gestação no município de Coari, Amazonas. A detecção do vírus foi feita através de Reação em Cadeia da Polimerase, utilizando-se o conjunto de iniciadores PGMY09/11. Resultados: 24,6% das gestantes estavam infectadas, estando o vírus presente em 11,8% das amostras de urina e em 23,6% das amostras cérvico-vaginais. Houve concordância de 86,4% e índice de concordância moderado entre as amostras biológicas (kappa = 0,543). Foi encontrada associação estatisticamente significativa entre a infecção pelo Papilomavírus Humano e as variáveis: idade das gestantes (p= 0,014), primigestação (p= 0,027) e nuliparidade (p= 0,046). Conclusões: a amostra cérvico-vaginal mostrou-se mais adequada para detecção do vírus e a alta prevalência encontrada reforça a necessidade de acompanhar com mais atenção esta infecção na fase gestacional.Referências
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