Base de dados : MEDLINE
Pesquisa : Doenças and Sexualmente and Transmissíveis [Palavras]
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[PMID]:25015933
[Au] Autor:Li J; Jiang N; Yue X; Gong X
[Ad] Endereço:National Center for STD Control, Chinese Academy of Medical Sciences and Peiking Union Medical College, Institute of Dermatology, Nanjing, China....
[Ti] Título:Vaginal douching and sexually transmitted infections among female sex workers: a cross-sectional study in three provinces in China.
[So] Source:Int J STD AIDS;26(6):420-7, 2015 May.
[Is] ISSN:1758-1052
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Though vaginal douching is a common practice among female sex workers that could increase the risk of HIV and adverse reproductive health outcomes, it has drawn limited attention. From November 2010 to January 2011, a convenience sample of female sex workers was recruited in three cities in China. Face-to-face interviews were conducted to gather socio-demographic and behavioural information. Blood samples were collected for syphilis serological tests. Endo-cervical swabs were collected and tested for Neisseria gonorrhoeae and Chlamydia trachomatis by polymerase chain reaction. A logistic regression model was used to determine factors associated with vaginal douching and the association between vaginal douching and sexually transmitted infection. A total of 1032 eligible female sex workers were enrolled. The overall prevalence of any sexually transmitted infection (syphilis, Chlamydia trachomatis or Neisseria gonorrhoeae) and vaginal douching with disinfectant were 23.4% and 23.1%, respectively. Factors independently associated with douching practice included study sites, venue types, ethnicity, having regular partner and sexually transmitted infection history. No significant association was found between vaginal douching and current sexually transmitted infection. Vaginal douching with disinfectant after sex with clients seemed to be a prevalent practice among female sex workers in China. Prevention programmes targeting female sex workers should incorporate components about the adverse health outcomes associated with vaginal douching.
[Mh] Termos MeSH primário: Prostituição
Profissionais do Sexo/estatística & dados numéricos
Comportamento Sexual
Doenças Sexualmente Transmissíveis/epidemiologia
Ducha Vaginal
[Mh] Termos MeSH secundário: Adulto
China/epidemiologia
Infecções por Chlamydia/epidemiologia
Chlamydia trachomatis/isolamento & purificação
Estudos Transversais
Feminino
Gonorreia/epidemiologia
Infecções por HIV/epidemiologia
Humanos
Entrevistas como Assunto
Modelos Logísticos
Meia-Idade
Neisseria gonorrhoeae/isolamento & purificação
Reação em Cadeia da Polimerase
Vigilância da População
Prevalência
Assunção de Riscos
Parceiros Sexuais
Doenças Sexualmente Transmissíveis/prevenção & controle
Fatores Socioeconômicos
Sífilis/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1507
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:150415
[St] Status:MEDLINE
[do] DOI:10.1177/0956462414543937


  2 / 20787 MEDLINE  
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[PMID]:25006041
[Au] Autor:Lim MS; Gold J; Bowring AL; Pedrana AE; Hellard ME
[Ad] Endereço:Centre for Population Health, Burnet Institute, Melbourne, VIC, Australia Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australia lim@burnet.edu.au....
[Ti] Título:Young people's comparative recognition and recall of an Australian Government Sexual Health Campaign.
[So] Source:Int J STD AIDS;26(6):398-401, 2015 May.
[Is] ISSN:1758-1052
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:In 2009, the Australian Government's National Sexually Transmitted Infection Prevention Program launched a multi-million dollar sexual health campaign targeting young people. We assessed campaign recognition among a community sample of young people. Individuals aged 16-29 years self-completed a questionnaire at a music festival. Participants were asked whether they recognised the campaign image and attempted to match the correct campaign message. Recognition of two concurrent campaigns, GlaxoSmithKline's The Facts genital herpes campaign (targeting young women) and the Drama Downunder campaign (targeting gay men) were assessed simultaneously. Among 471 participants, just 29% recognised the National Sexually Transmitted Infection Prevention Program campaign. This compared to 52% recognising The Facts and 27% recognising Drama Downunder. Of 134 who recognised the National Sexually Transmitted Infection Prevention Program campaign, 27% correctly recalled the campaign messages compared to 61% of those recognising the Facts campaign, and 25% of those recognising the Drama Downunder campaign. There was no difference in National Sexually Transmitted Infection Prevention Program campaign recognition by gender or age. Campaign recognition and message recall of the National Sexually Transmitted Infection Prevention Program campaign was comparatively low. Future mass media sexual health campaigns targeting young people can aim for higher recognition and recall rates than that achieved by the National Sexually Transmitted Infection Prevention Program campaign. Alternative distribution channels and message styles should be considered to increase these rates.
[Mh] Termos MeSH primário: Promoção da Saúde/métodos
Rememoração Mental
Avaliação de Programas e Projetos de Saúde/métodos
Recognição (Psicologia)
Doenças Sexualmente Transmissíveis/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Adulto
Austrália
Feminino
Programas Governamentais
Infecções por HIV/prevenção & controle
Educação em Saúde/métodos
Conhecimentos, Atitudes e Prática em Saúde
Inquéritos Epidemiológicos
Humanos
Masculino
Questionários
Comportamento Sexual
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1507
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:150415
[St] Status:MEDLINE
[do] DOI:10.1177/0956462414542259


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[PMID]:24912538
[Au] Autor:Chanakira E; Goyder EC; Freeman JV; O'Cathain A; Kinghorn G; Jakubovic M
[Ad] Endereço:University of Sheffield, School of Health and Related Research, Sheffield, UK E.Chanakira@sheffield.ac.uk....
[Ti] Título:Social and psychosocial factors associated with high-risk sexual behaviour among university students in the United Kingdom: a web-survey.
[So] Source:Int J STD AIDS;26(6):369-78, 2015 May.
[Is] ISSN:1758-1052
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:In the UK there are limited data about university students' risky sexual behaviour. A cross-sectional web-survey was conducted to investigate factors associated with high-risk sex among students at two UK universities. High-risk sex was reported by 25% of 1108. High personal sexually transmitted infection (STI) risk perception and permissive attitudes towards casual sex were associated with high-risk sex for both men (odds ratio [OR]: 12.12; 95% confidence interval [CI]: 4.10-35.81; OR: 2.49; 95%CI: 1.11-5.56, respectively) and women (OR: 22.31; 95% CI: 9.34-53.26; OR: 3.02; 95% CI: 1.82-5.01, respectively). For men, drinking alcohol (OR: 17.67; 95% CI: 1.90-164.23) and for women age and frequent drinking (OR: 2.02; 95% CI: 1.05-3.89; OR: 1.89; 95% CI: 1.08-3.31, respectively) were associated with high-risk sex. However, perceiving an average student as more likely to contract STIs (men, OR: 0.34; 95% CI: 0.16-0.75) or HIV (men, OR: 0.44; 95% CI: 0.20-0.96; women, OR: 0.42; 95% CI: 0.28-0.63) and finding it difficult to discuss sexual matters (women, OR: 0.60; 95% CI: 0.39-0.91) were negatively associated with high-risk sex. Most of the factors found were similar to other populations, but some psychosocial factors showed complex patterns of association that require further investigation.
[Mh] Termos MeSH primário: Assunção de Riscos
Comportamento Sexual/psicologia
Doenças Sexualmente Transmissíveis/epidemiologia
Estudantes/psicologia
Universidades
[Mh] Termos MeSH secundário: Adolescente
Adulto
Consumo de Bebidas Alcoólicas/epidemiologia
Estudos Transversais
Feminino
Reino Unido/epidemiologia
Conhecimentos, Atitudes e Prática em Saúde
Inquéritos Epidemiológicos
Humanos
Internet
Modelos Logísticos
Masculino
Questionários
Comportamento Sexual/estatística & dados numéricos
Parceiros Sexuais
Doenças Sexualmente Transmissíveis/prevenção & controle
Apoio Social
Sexo sem Proteção
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1507
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:150415
[St] Status:MEDLINE
[do] DOI:10.1177/0956462414538950


  4 / 20787 MEDLINE  
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[PMID]:24912535
[Au] Autor:Wood M; Ellks R; Grobicki M
[Ad] Endereço:Centre for Sexual Health and Contraception, Mid-Cheshire Hospitals NHS Foundation Trust, Leighton Hospital, Crewe, UK martyn.wood@nhs.net.
[Ti] Título:Outreach sexual infection screening and postal tests in men who have sex with men: are they comparable to clinic screening?
[So] Source:Int J STD AIDS;26(6):428-31, 2015 May.
[Is] ISSN:1758-1052
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Men who have sex with men (MSM) have higher rates of poor sexual health. The National Institute for Health and Care Excellence has produced guidance on increasing the uptake of HIV testing to reduce undiagnosed infection in MSM. We report the results of a pilot outreach sexually transmitted infection service using nurse-delivered screening and self-sampled postal testing at a sex on premises venue with comparison made against a sexual health clinic service. Thirty men were included in each group. Users of the nurse-delivered and postal services were older (nurse service median age 57.5 years vs. postal kit service 47 years vs. clinic 35.5 years, p ≤ 0.001). Outreach groups were less likely to have undertaken sexually transmitted infection testing previously than the clinic group (53.3% and 60% vs. 93.3%, p ≤ 0.001). Chlamydia trachomatis and Neisseria gonorrhoeae testing uptake was comparable across groups (nurse outreach 86.6%, 'do it yourself' postal kit 100% vs. clinic 100%, p = 0.032), but uptake for blood tests was lower in the postal kit group (nurse outreach 83.3%, postal kit 53.3% vs. clinic 100%, p ≤ 0.001). No significant difference in active sexually transmitted infection positivity across the groups was observed. This combination outreach screening approach is effective in targeting MSM who use sex on premises venues.
[Mh] Termos MeSH primário: Instituições de Assistência Ambulatorial/estatística & dados numéricos
Infecções por Chlamydia/diagnóstico
Gonorreia/diagnóstico
Homossexualidade Masculina/estatística & dados numéricos
Programas de Rastreamento/métodos
Autocuidado
Doenças Sexualmente Transmissíveis/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Análise de Variância
Infecções por Chlamydia/epidemiologia
Infecções por Chlamydia/microbiologia
Chlamydia trachomatis/isolamento & purificação
Gonorreia/epidemiologia
Gonorreia/microbiologia
Pesquisas sobre Serviços de Saúde
Humanos
Masculino
Programas de Rastreamento/estatística & dados numéricos
Meia-Idade
Neisseria gonorrhoeae/isolamento & purificação
Projetos Piloto
Serviços Postais
Prevalência
Avaliação de Programas e Projetos de Saúde
Doenças Sexualmente Transmissíveis/prevenção & controle
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1507
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:150415
[St] Status:MEDLINE
[do] DOI:10.1177/0956462414539668


  5 / 20787 MEDLINE  
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[PMID]:23611111
[Au] Autor:Paul P; Tanner AE; Gravitt PE; Vijayaraghavan K; Shah KV; Zimet GD; Study Group C
[Ad] Endereço:a Department of Epidemiology, Graduate School of Public Health , University of Pittsburgh , Pittsburgh , Pennsylvania ; and Johns Hopkins University Bloomberg School of Public Health , Baltimore , Maryland , USA.
[Ti] Título:Acceptability of HPV vaccine implementation among parents in India.
[So] Source:Health Care Women Int;35(10):1148-61, 2014.
[Is] ISSN:1096-4665
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Due to high cervical cancer rates and limited research on human papillomavirus (HPV) vaccine acceptability in India, the research team examined parental attitudes toward HPV vaccines. Thirty-six interviews with parents were conducted to assess sexually transmitted infection (STI)-related knowledge and HPV-specific vaccine awareness and acceptability. Despite limited knowledge, parents had positive views toward HPV vaccines. Common barriers included concerns about side effects, vaccine cost, and missing work to receive the vaccine. Parents were strongly influenced by health care providers' recommendations. Our findings suggest that addressing parental concerns, health worker training and polices, and efforts to minimize cost will be central to successful HPV vaccine implementation.
[Mh] Termos MeSH primário: Conhecimentos, Atitudes e Prática em Saúde
Infecções por Papillomavirus/prevenção & controle
Vacinas contra Papillomavirus/administração & dosagem
Pais
Aceitação pelo Paciente de Cuidados de Saúde
Neoplasias do Colo do Útero/prevenção & controle
[Mh] Termos MeSH secundário: Adulto
Feminino
Humanos
Entrevistas como Assunto
Masculino
Meia-Idade
Pesquisa Qualitativa
Questionários
Doenças Sexualmente Transmissíveis/prevenção & controle
Fatores Socioeconômicos
Vacinação/utilização
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T; RESEARCH SUPPORT, U.S. GOV'T, NON-P.H.S.
[Nm] Nome de substância:
0 (Papillomavirus Vaccines)
[Em] Mês de entrada:1412
[Cu] Atualização por classe:150716
[Lr] Data última revisão:
150716
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:141003
[St] Status:MEDLINE
[do] DOI:10.1080/07399332.2012.740115


  6 / 20787 MEDLINE  
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[PMID]:26094282
[Ti] Título:Hormones affect woman's susceptibility to HIV.
[So] Source:AIDS Policy Law;30(5):1, 2015 Apr.
[Is] ISSN:0887-1493
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Suscetibilidade a Doenças
Gonadotropinas Hipofisárias/fisiologia
Infecções por HIV/transmissão
Ciclo Menstrual/fisiologia
[Mh] Termos MeSH secundário: Feminino
Humanos
Doenças Sexualmente Transmissíveis/transmissão
[Pt] Tipo de publicação:NEWSPAPER ARTICLE
[Nm] Nome de substância:
0 (Gonadotropins, Pituitary)
[Em] Mês de entrada:1507
[Sb] Subgrupo de revista:X
[Da] Data de entrada para processamento:150619
[St] Status:MEDLINE


  7 / 20787 MEDLINE  
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[PMID]:26050384
[Au] Autor:Folayan MO; Haire B; Harrison A; Fatusi O; Brown B
[Ti] Título:Beyond informed consent: ethical considerations in the design and implementation of sexual and reproductive health research among adolescents.
[So] Source:Afr J Reprod Health;18(3 Spec No):118-26, 2014 Sep.
[Is] ISSN:1118-4841
[Cp] País de publicação:Nigeria
[La] Idioma:eng
[Ab] Resumo:Interest in addressing the ethical issues related to adolescents' engagement in research, especially sexual and reproductive health and rights (SRHR) research is increasing in view of the need to design and implement research that address peculiar SRHR needs of adolescents. These needs include issues of sexually transmitted infections, HIV, AIDS, adverse pregnancy outcomes, community, family and relationship violence and mental health. Unfortunately, adolescents' voluntary participation in research has been limited due to their perceived potential to be coerced into participation, and concerns that they may not fully comprehend the issues related to research risks. As such, many of the regulations for engaging research participants have been defined by age rather than due consideration of psychological development. This paper examines the various potential ethical issues that may impact on decision making when adolescents are engaged in research. These include the need to minimise therapeutic misconception, considerations for recruitment and retention, types and amounts for reimbursement, and engagement of communities of adolescents on advisory boards of studies that involve their population. The potential challenges associated with recruitment of adolescents in early child marriages were also highlighted.
[Mh] Termos MeSH primário: Consentimento Livre e Esclarecido/ética
Seleção de Pacientes/ética
Saúde Reprodutiva
Sujeitos da Pesquisa
Comportamento Sexual
[Mh] Termos MeSH secundário: Adolescente
Criança
Participação Comunitária
Comportamento Cooperativo
Família
Humanos
Saúde Mental
Projetos de Pesquisa
Doenças Sexualmente Transmissíveis
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1507
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150608
[St] Status:MEDLINE


  8 / 20787 MEDLINE  
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[PMID]:26050377
[Au] Autor:Haire BG; Folayan MO; Brown B
[Ti] Título:Standards and guidelines for HIV prevention research: considerations for local context in the interpretation of global ethical standards.
[So] Source:Afr J Reprod Health;18(3 Spec No):55-65, 2014 Sep.
[Is] ISSN:1118-4841
[Cp] País de publicação:Nigeria
[La] Idioma:eng
[Ab] Resumo:While international standards are important for conducting clinical research, they may require interpretation in particular contexts. Standard of care in HIV prevention research is now complicated, given that there are now two new biomedical prevention interventions - 'treatment-as-prevention', and pre-exposure prophylaxis--in addition to barrier protection, counselling, male circumcision and treatment of sexually transmissible infections. Proper standards of care must be considered with regard to both normative guidance and the circumstances of the particular stakeholders--the community, trial population, researchers and sponsors. In addition, the special circumstances of the lives of participants need to be acknowledged in designing trial protocols and study procedures. When researchers are faced with the dilemma of interpretation of international ethics guidelines and the realities of the daily lives of persons and their practices, the decisions of the local ethics committee become crucial. The challenge then becomes how familiar ethics committee members in these local settings are with these guidelines, and how their interpretation and use in the local context ensures the respect for persons and communities. It also includes justice and the fair selection of study participants without compromising data quality, and ensuring that the risks for study participants and their community do not outweigh the potential benefits.
[Mh] Termos MeSH primário: Guias como Assunto
Infecções por HIV/quimioterapia
Infecções por HIV/prevenção & controle
Pesquisa sobre Serviços de Saúde/ética
Pesquisa sobre Serviços de Saúde/normas
[Mh] Termos MeSH secundário: Síndrome de Imunodeficiência Adquirida/prevenção & controle
Circuncisão Masculina
Aconselhamento/organização & administração
Acesso aos Serviços de Saúde/organização & administração
Homossexualidade Masculina/psicologia
Humanos
Consentimento Livre e Esclarecido/ética
Masculino
Nigéria
Educação de Pacientes como Assunto/organização & administração
Profilaxia Pré-Exposição/métodos
Sujeitos da Pesquisa
Doenças Sexualmente Transmissíveis/quimioterapia
Doenças Sexualmente Transmissíveis/prevenção & controle
Estigma Social
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1507
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150608
[St] Status:MEDLINE


  9 / 20787 MEDLINE  
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[PMID]:25314928
[Au] Autor:Frost JJ; Sonfield A; Zolna MR; Finer LB
[Ad] Endereço:Guttmacher Institute.
[Ti] Título:Return on investment: a fuller assessment of the benefits and cost savings of the US publicly funded family planning program.
[So] Source:Milbank Q;92(4):696-749, 2014 Dec.
[Is] ISSN:1468-0009
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:UNLABELLED: Policy Points: The US publicly supported family planning effort serves millions of women and men each year, and this analysis provides new estimates of its positive impact on a wide range of health outcomes and its net savings to the government. The public investment in family planning programs and providers not only helps women and couples avoid unintended pregnancy and abortion, but also helps many thousands avoid cervical cancer, HIV and other sexually transmitted infections, infertility, and preterm and low birth weight births. This investment resulted in net government savings of $13.6 billion in 2010, or $7.09 for every public dollar spent. CONTEXT: Each year the United States' publicly supported family planning program serves millions of low-income women. Although the health impact and public-sector savings associated with this program's services extend well beyond preventing unintended pregnancy, they never have been fully quantified. METHODS: Drawing on an array of survey data and published parameters, we estimated the direct national-level and state-level health benefits that accrued from providing contraceptives, tests for the human immunodeficiency virus (HIV) and other sexually transmitted infections (STIs), Pap tests and tests for human papillomavirus (HPV), and HPV vaccinations at publicly supported family planning settings in 2010. We estimated the public cost savings attributable to these services and compared those with the cost of publicly funded family planning services in 2010 to find the net public-sector savings. We adjusted our estimates of the cost savings for unplanned births to exclude some mistimed births that would remain publicly funded if they had occurred later and to include the medical costs for births through age 5 of the child. FINDINGS: In 2010, care provided during publicly supported family planning visits averted an estimated 2.2 million unintended pregnancies, including 287,500 closely spaced and 164,190 preterm or low birth weight (LBW) births, 99,100 cases of chlamydia, 16,240 cases of gonorrhea, 410 cases of HIV, and 13,170 cases of pelvic inflammatory disease that would have led to 1,130 ectopic pregnancies and 2,210 cases of infertility. Pap and HPV tests and HPV vaccinations prevented an estimated 3,680 cases of cervical cancer and 2,110 cervical cancer deaths; HPV vaccination also prevented 9,000 cases of abnormal sequelae and precancerous lesions. Services provided at health centers supported by the Title X national family planning program accounted for more than half of these benefits. The gross public savings attributed to these services totaled approximately $15.8 billion-$15.7 billion from preventing unplanned births, $123 million from STI/HIV testing, and $23 million from Pap and HPV testing and vaccines. Subtracting $2.2 billion in program costs from gross savings resulted in net public-sector savings of $13.6 billion. CONCLUSIONS: Public expenditures for the US family planning program not only prevented unintended pregnancies but also reduced the incidence and impact of preterm and LBW births, STIs, infertility, and cervical cancer. This investment saved the government billions of public dollars, equivalent to an estimated taxpayer savings of $7.09 for every public dollar spent.
[Mh] Termos MeSH primário: Redução de Custos
Análise Custo-Benefício
Serviços de Planejamento Familiar
Financiamento Governamental
[Mh] Termos MeSH secundário: Sorodiagnóstico da AIDS/economia
Aborto Induzido/economia
Aborto Induzido/estatística & dados numéricos
Aborto Espontâneo/economia
Aborto Espontâneo/prevenção & controle
Redução de Custos/economia
Redução de Custos/estatística & dados numéricos
Análise Custo-Benefício/economia
Análise Custo-Benefício/estatística & dados numéricos
Serviços de Planejamento Familiar/economia
Serviços de Planejamento Familiar/métodos
Serviços de Planejamento Familiar/organização & administração
Feminino
Financiamento Governamental/economia
Financiamento Governamental/organização & administração
Humanos
Masculino
Vacinas contra Papillomavirus/economia
Vacinas contra Papillomavirus/uso terapêutico
Gravidez
Gravidez não Planejada
Doenças Sexualmente Transmissíveis/economia
Doenças Sexualmente Transmissíveis/prevenção & controle
Estados Unidos
Neoplasias do Colo do Útero/economia
Neoplasias do Colo do Útero/prevenção & controle
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Papillomavirus Vaccines)
[Em] Mês de entrada:1502
[Cu] Atualização por classe:150715
[Lr] Data última revisão:
150715
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141210
[St] Status:MEDLINE
[do] DOI:10.1111/1468-0009.12080


  10 / 20787 MEDLINE  
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[PMID]:25950255
[Au] Autor:Christie A; Davies-Wayne GJ; Cordier-Lasalle T; Blackley DJ; Laney AS; Williams DE; Shinde SA; Badio M; Lo T; Mate SE; Ladner JT; Wiley MR; Kugelman JR; Palacios G; Holbrook MR; Janosko KB; de Wit E; van Doremalen N; Munster VJ; Pettitt J; Schoepp RJ; Verhenne L; Evlampidou I; Kollie KK; Sieh SB; Gasasira A; Bolay F; Kateh FN; Nyenswah TG; De Cock KM; Centers for Disease Control and Prevention (CDC)
[Ti] Título:Possible sexual transmission of Ebola virus - Liberia, 2015.
[So] Source:MMWR Morb Mortal Wkly Rep;64(17):479-81, 2015 May 8.
[Is] ISSN:1545-861X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:On March 20, 2015, 30 days after the most recent confirmed Ebola Virus Disease (Ebola) patient in Liberia was isolated, Ebola was laboratory confirmed in a woman in Monrovia. The investigation identified only one epidemiologic link to Ebola: unprotected vaginal intercourse with a survivor. Published reports from previous outbreaks have demonstrated Ebola survivors can continue to harbor virus in immunologically privileged sites for a period of time after convalescence. Ebola virus has been isolated from semen as long as 82 days after symptom onset and viral RNA has been detected in semen up to 101 days after symptom onset. One instance of possible sexual transmission of Ebola has been reported, although the accompanying evidence was inconclusive. In addition, possible sexual transmission of Marburg virus, a filovirus related to Ebola, was documented in 1968. This report describes the investigation by the Government of Liberia and international response partners of the source of Liberia's latest Ebola case and discusses the public health implications of possible sexual transmission of Ebola virus. Based on information gathered in this investigation, CDC now recommends that contact with semen from male Ebola survivors be avoided until more information regarding the duration and infectiousness of viral shedding in body fluids is known. If male survivors have sex (oral, vaginal, or anal), a condom should be used correctly and consistently every time.
[Mh] Termos MeSH primário: Ebolavirus/isolamento & purificação
Doença pelo Vírus Ebola/diagnóstico
Doença pelo Vírus Ebola/transmissão
Doenças Virais Sexualmente Transmissíveis
[Mh] Termos MeSH secundário: Adulto
Surtos de Doenças
Feminino
Doença pelo Vírus Ebola/epidemiologia
Humanos
Libéria/epidemiologia
Masculino
Meia-Idade
RNA Viral
Sêmen/virologia
Sobreviventes
Sexo sem Proteção
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (RNA, Viral)
[Em] Mês de entrada:1507
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150508
[St] Status:MEDLINE



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