Bacterial sexually transmitted infections among men who have sex with men and transgender women using oral pre-exposure prophylaxis in Latin America (ImPrEP): a secondary analysis of a prospective, open-label, multicentre study (Q29293): Difference between revisions

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Bacterial sexually transmitted infections among men who have sex with men and transgender women using oral pre-exposure prophylaxis in Latin America (ImPrEP): a secondary analysis of a prospective, open-label, multicentre study
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Bacterial sexually transmitted infections among men who have sex with men and transgender women using oral pre-exposure prophylaxis in Latin America (ImPrEP)

Latest revision as of 20:35, 6 November 2024

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  • Bacterial sexually transmitted infections among men who have sex with men and transgender women using oral pre-exposure prophylaxis in Latin America (ImPrEP): a secondary analysis of a prospective, open-label, multicentre study.
  • Bacterial sexually transmitted infections among men who have sex with men and transgender women using oral pre-exposure prophylaxis in Latin America (ImPrEP)
Language Label Description Also known as
English
Bacterial sexually transmitted infections among men who have sex with men and transgender women using oral pre-exposure prophylaxis in Latin America (ImPrEP): a secondary analysis of a prospective, open-label, multicentre study
No description defined
  • Bacterial sexually transmitted infections among men who have sex with men and transgender women using oral pre-exposure prophylaxis in Latin America (ImPrEP): a secondary analysis of a prospective, open-label, multicentre study.
  • Bacterial sexually transmitted infections among men who have sex with men and transgender women using oral pre-exposure prophylaxis in Latin America (ImPrEP)

Statements

Bacterial sexually transmitted infections among men who have sex with men and transgender women using oral pre-exposure prophylaxis in Latin America (ImPrEP): a secondary analysis of a prospective, open-label, multicentre study. (English)
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The global burden of sexually transmitted infections (STIs) poses a challenge in the context of HIV pre-exposure prophylaxis (PrEP) programmes. (English)
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We aimed to explore factors associated with prevalent, incident, and recurrent STIs in men who have sex with men (MSM) and transgender women on PrEP in Brazil, Mexico, and Peru. (English)
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ImPrEP was a prospective, single-arm, open-label, multicentre study that enrolled MSM and transgender women in the context of the public health systems of Brazil (14 sites), Mexico (four sites), and Peru (ten sites) between February, 2018, and June, 2021. (English)
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Eligibility criteria followed regional PrEP guidelines at the study start, including participants aged 18 years and older, not living with HIV, and reporting at least one of the following in the previous 6 months: condomless anal sex (CAS), anal sex with partner(s) living with HIV, any bacterial STI, or transactional sex. (English)
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Eligible participants were screened and enrolled on the same day to receive daily oral PrEP (tenofovir disoproxil fumarate 300 mg and emtricitabine 200 mg). (English)
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We assessed three outcomes: prevalent bacterial STIs, incident bacterial STIs, and recurrent bacterial STIs. (English)
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Testing occurred at baseline and quarterly for syphilis, anorectal chlamydia, and anorectal gonorrhoea. (English)
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Among all 9509 participants included in the ImPrEP study (3928 [41·3%] in Brazil, 3288 [34·6%] in Mexico, and 2293 [24·1%] in Peru), 8525 (89·7%) had available STI results at baseline and were included in the prevalent STI analysis, and 7558 (79·5%) had available STI results during follow-up and were included in the incident and recurrent STI analyses. (English)
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STI incidence during follow-up was 31·7 cases per 100 person-years (95% CI 30·7-32·7), with the highest rate for anorectal chlamydia (11·6 cases per 100 person-years, 95% CI 11·0-12·2), followed by syphilis (10·5 cases per 100 person-years, 9·9-11·1) and anorectal gonorrhoea (9·7 cases per 100 person-years, 9·2-10·3). (English)
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Although only 2391 (31·6%) of 7558 participants had at least one STI during follow-up, 915 (12·1%) participants had recurrent diagnoses, representing 2328 (61·2%) of 3804 incident STI diagnoses. (English)
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Characteristics associated with prevalent, incident, and recurrent STIs included younger age, multiple sex partners, receptive CAS, substance use, and previous STI diagnoses at baseline (incident or recurrent only). (English)
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Our findings underscore the nuanced dynamics of STI transmission among MSM and transgender women across Latin America, highlighting an urgent need for tailored interventions to mitigate STI burden effectively, especially among the most susceptible individuals. (English)
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For the Portuguese and Spanish translations of the abstract see Supplementary Materials section. (English)
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October 2024
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October 2024
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ImPrEP Study Group (English)
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Paulo Ricardo (English)
Alencastro (English)
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Raquel Keiko de Luca (English)
Ito (English)
RKL
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Mônica Dos Santos (English)
Valões (English)
MDS
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Cynthia Ferreira Lima (English)
Falcão (English)
CFL
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Fernanda Falcão (English)
Riberson (English)
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Talita Andrade (English)
Oliveira (English)
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Agnaldo Moreira (English)
Oliveira Júnior (English)
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Leonor Henriette (English)
Lannoy (English)
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Ludymilla Anderson Santiago (English)
Carlos (English)
LAS
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Sonia Maria de Alencastro (English)
Coracini (English)
SMA
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Thiago Oliveira (English)
Rodrigues (English)
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Emília Regina Scharf (English)
Mettrau (English)
ERS
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Ana Paula Nunes Viveiros (English)
Valeiras (English)
APNV
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Taiane Miyake Alves de Carvalho (English)
Rocha (English)
TMAC
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Julia Soares da Silva (English)
Hansen (English)
JSDS
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Neuza Uchiyama (English)
Nishimura (English)
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Jaime Eduardo Flygare Razo Prereira (English)
Santos (English)
JEFRP
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Willyam Magnum Telles (English)
Dias (English)
WMT
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Eloá Dos Santos (English)
Rodrigues (English)
EDS
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Maria das Dores Aires (English)
Carneiro (English)
MDDA
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Centli (English)
Guillen-Diaz-Barriga (English)
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Maria Elena (English)
Medina-Mora (English)
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Araczy Martinez (English)
Davalos (English)
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Luis Obed Ocampo (English)
Valdez (English)
LOO
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Fernanda Ramírez (English)
Barajas (English)
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Verónica Ruiz (English)
González (English)
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Galileo Vargas (English)
Guadarrama (English)
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Juan Pablo Osuna (English)
Noriega (English)
JPO
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Jorge M Bernal (English)
Ramírez (English)
JMB
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Víctor Dante Galicia (English)
Juarez (English)
VDG
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Francisco Javier (English)
Arjona (English)
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Cesar Vidal (English)
Osco Tamayo (English)
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Hector Javier (English)
Salvatierra Flores (English)
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Yovanna Margot (English)
Cabrera Santa Cruz (English)
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Ricardo Martín (English)
Moreno Aguayo (English)
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11
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10
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e670-e679
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e670
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e679
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S2352-3018(24)00211-X
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Declaration of interests We declare no competing interests. (English)
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