Potential clinical and sexual factors associated with Actinomyces spp. in a service of Pap smear, Medellin 2013-2014

Potenciales factores clínicos y sexuales asociados con Actinomyces spp. en un servicio de citología cérvico-uterina de Medellín 2013-2014

Objective: To determine the potential clinical and sexual factors associated with infection by Actinomyces spp., in patients service of Pap smear of a social enterprise of state of subsidized regime of Medellin. Methods: Cross-sectional study conducted with 27,576 cytological records collected from 2013 to 2014. Data were analyzed in SPSS 22, with summary measures, frequencies, and nonparametric statistic, a p value less than 0.05 was considered statistically significant. The confounding factors were controlled with binary logistic regression models. Results: The overall prevalence of Actinomyces spp., was 0.4%. Specific prevalences were higher in the group of women aged between 21 and 50 years. The factors that presented statistical association with infection were the planning method, smoking and cytology findings of inflammation. The odds ratio of infection among women who used IUD was 268 times higher and using a barrier method users was 7 times higher, in compared to women who do not used any planning method; in women who was not smoke 1.8 times higher compared to those who smoke, and 2.5 in women without atrophy in the oncological evaluation compared those who did not present this finding. Conclusion: The prevalence of Actinomyces spp. it was higher in adult women between 21 and 50 years, and potential clinical and sexual factors found were: being IUD user, do not present atrophy, do not consume snuff and use the barrier method. These Findings therefore require analytical studies that may account for these results, in addition to address and strengthen education programs and health care front to infection by this organism, this reveals the importance of descriptive research the formulation of new hypotheses.