P475 Chlamydia trachomatisandNeisseria gonorrhoeae:prevalence and factors associated among women with HIV in São Paulo, Brazil

Background Our goal was to estimate the prevalences of and risk factors for Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) among women with HIV. Methods Cross-sectional study of women with HIV, who were receiving care from sixteen public health services in Sao Paulo (October/2013 to March/2014). Participants answered a questionnaire including demographic, behavioral, and clinical data. An urine sample was tested for CT and NG, using a polimerase chain reaction. The chi-square test and a logistic regression model were used to test the associations with CT or NG infections. Results 836 women were included. The mean age was 40.5±0.34 years, and the prevalences of CT and NG infections were 1.8% and 0.5%, respectively. The highest prevalences of CT infection were among who were 18–25 years old (15.9%), had black skin color (2.6%), had ≥2 sexual partners during the last year (7.3%), had a partner who had been imprisoned (3.3%), and not used condoms during the last 6 months (4%). According to clinical characteristics, the highest prevalences were among who had a spontaneous abortion (3.5%), prior STD (3.7%), had been diagnosed with HIV infection during the last year (4.8%), had a CD4+ Conclusion Although we observed a low prevalence of CT infection among women with HIV, younger age was associated with a strong risk of infection. Therefore, it may be appropriate to include screening for CT as part of the routine care for this population. Disclosure No significant relationships.