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Volume 4
Journal of HIV & Retro Virus
STD 2018
December 03-04, 2018
Sexually Transmitted Diseases
December 03-04, 2018 Toronto, Canada
2
nd
International Conference on
Infections sexually transmitted and HIV: Knowledge, attitudes and practices as risk factors of transmission
in pregnant women patients at health center in Xai-Xai City, Mozambique
Izaidino Jaime Muchanga
Pedagogical University, Mozambique
S
exually transmitted infections, including vaginal infections are among the most common public health problems worldwide.
Female and male infertility, mother to child transmission, causing miscarriages or congenital disease and increased risk for
Human Immunodeficiency Virus infection (HIV) are some of their consequences. In Sub-Saharan Africa countries, such as
Mozambique, the prevalence of these infections is high, women being those who carry the higher burden. Thus, we developed this
cross-sectional study with objective of characterizing some sexually transmitted infections, HIV infection, syphilis, trichomoniasis,
bacterial vaginosis and candidiasis in pregnant women, verifying if their management was in accordance with guidelines and
recommendations in the country and identifying associated risk factors. Samples were collected from 253 pregnant women attending
Centro de Saúde de Maxixe. Vaginal samples were obtained and observed microscopically by wet mount and direct microscopic
examination (
Trichomonas vaginalis
) and Gram stain (bacterial vaginosis and
Candida sp
). HIV antibody testing was performed
with the tests determine HIV-1/2 and Uni-Gold™ and against,
T. pallidum
by RPR, SD BIOLINE Syphilis 3.0 and determine TP
tests in plasma samples. In this study, 11.1% of the pregnant women were infected with HIV, 2.8% with active syphilis, 12.3% with
bacterial vaginosis, 5.1% with
Trichomonas vaginalis
and 9.1% with yeast. Antibodies against
T. pallidum
were identified in 8, 3%
of these women. In relation to HIV, 7, 5% of them were new cases. The highest prevalence of these infections was found in the
age groups: 27-31 for HIV infection and
Trichomonas vaginalis
while 17-21 for
Treponema pallidum
,
Candida sp
. and bacterial
vaginosis infections. Samples were taken from 253 pregnant women attending ante-natal outpatient consultation at the health center,
who were informed about the nature of the study and submitted to a semi-structured interview after signing the free informed
consent. In this study, the inconsistency on condoms use and the existence of multiple partners by the participants contributing for
these infections transmission. Participants have shown that they had infections about these infections modes of transmission, as also
which measures to use to prevent them. A significant number of women present with any symptom related to infections that were
diagnosed to them, proving that the use of syndromic approach in vaginal discharge must be given some thought in relation to its
value in this situation. The data obtained in this study shows that some gaps also exist in the prenatal care clinics of this center, from
routine procedures that are not performed in accordance with Ministério da Saude de Moçambique (MISAU) recommendations.
The high prevalence of some STI found in this population, their risk behavior, together with the non-observance of some guidelines
in the management of those infections by the health personal very worrying. The implementation of a teaching program on quality
control, prevention and management of these infections by the health professional seems to us to be of utmost importance, so these
can act in accordance with the present guidelines and transmit correct information to the pregnant women who attend prenatal care.
izaidino@yahoo.comJ HIV Retrovirus 2018, Volume 4
DOI: 10.21767/2471-9676-C2-006