{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T22:35:13Z","timestamp":1792449313875,"version":"4.5.0"},"reference-count":26,"publisher":"FapUNIFESP (SciELO)","issue":"7","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Resumo: O objetivo deste estudo foi conhecer a opini\u00e3o dos profissionais participantes da implanta\u00e7\u00e3o-piloto de testes moleculares para detec\u00e7\u00e3o de Chlamydia trachomatis e Neisseria gonorrhoeae no Sistema \u00danico de Sa\u00fade (SUS). Determinou-se a taxa de detec\u00e7\u00e3o de C. trachomatis e\/ou N. gonorrhoeae e os fatores associados \u00e0 infec\u00e7\u00e3o. A estrat\u00e9gia contou com laborat\u00f3rios pertencentes \u00e0 rede de carga viral de HIV e hepatites virais. A testagem teve como p\u00fablico-alvo pessoas mais vulnerabilizadas \u00e0s infec\u00e7\u00f5es sexualmente transmiss\u00edveis, com coleta de amostras de urina e\/ou swabs vaginal, endocervical e\/ou uretral masculino. Question\u00e1rios foram enviados aos gestores estaduais e profissionais de laborat\u00f3rio sobre a implanta\u00e7\u00e3o-piloto. De maneira geral, as avalia\u00e7\u00f5es foram positivas. Entre as fraquezas, citou-se dificuldades na mudan\u00e7a do processo de trabalho, car\u00eancia de recursos humanos, pouca sensibilidade de profissionais da assist\u00eancia e aus\u00eancia de tubo prim\u00e1rio de urina, \u00fanico insumo n\u00e3o fornecido. Como fortaleza, destaca-se aquisi\u00e7\u00e3o centralizada de testes, compartilhamento de equipamentos e armazenamento de amostras \u00e0 temperatura ambiente. Das 16.177 pessoas testadas, 1.004 (6,21%) foram positivas para C. trachomatis, 1.036 (6,4%) para N. gonorrhoeae e 239 (1,48%) para C. trachomatis\/N. gonorrhoeae. A detec\u00e7\u00e3o de infec\u00e7\u00e3o ocorreu mais em pessoas jovens (\u2264 24 vs. &gt; 24 anos) (aOR = 2,65; IC95%: 2,38-2,96), do sexo masculino (aOR = 1,95; IC95%: 1,72-2,21), pardas\/pretas (aOR = 1,06; IC95%: 1,05-1,11), na Regi\u00e3o Sudeste (aOR = 1,08; IC95%: 1,02-1,13) e em amostras de secre\u00e7\u00e3o uretral (aOR = 1,46; IC95%: 1,41-1,52). Os resultados deste estudo demonstraram a import\u00e2ncia da disponibiliza\u00e7\u00e3o da testagem em \u00e2mbito nacional, os quais subsidiaram a implanta\u00e7\u00e3o da rede definitiva para detec\u00e7\u00e3o de C. trachomatis\/N. gonorrhoeae no SUS.<\/jats:p>","DOI":"10.1590\/0102-311xpt123023","type":"journal-article","created":{"date-parts":[[2024,7,22]],"date-time":"2024-07-22T11:03:23Z","timestamp":1721646203000},"source":"Crossref","is-referenced-by-count":3,"title":["Rede nacional de testes moleculares para detec\u00e7\u00e3o de Chlamydia trachomatis e Neisseria gonorrhoeae: experi\u00eancia de implanta\u00e7\u00e3o-piloto no Brasil"],"prefix":"10.1590","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4642-0783","authenticated-orcid":false,"given":"P\u00e2mela Cristina","family":"Gaspar","sequence":"first","affiliation":[{"name":"Minist\u00e9rio da Sa\u00fade,  Brazil; Universidade de Bras\u00edlia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5556-8379","authenticated-orcid":false,"given":"Ang\u00e9lica Espinosa","family":"Miranda","sequence":"additional","affiliation":[{"name":"Minist\u00e9rio da Sa\u00fade,  Brazil; Universidade Federal do Esp\u00edrito Santo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4794-8045","authenticated-orcid":false,"given":"Alisson","family":"Bigolin","sequence":"additional","affiliation":[{"name":"Minist\u00e9rio da Sa\u00fade,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6974-0889","authenticated-orcid":false,"given":"Amanda Alencar Cabral","family":"Morais","sequence":"additional","affiliation":[{"name":"Minist\u00e9rio da Sa\u00fade,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6631-1790","authenticated-orcid":false,"given":"Mayra Gon\u00e7alves","family":"Arag\u00f3n","sequence":"additional","affiliation":[{"name":"Minist\u00e9rio da Sa\u00fade,  Brazil; Universidade Federal do Esp\u00edrito Santo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3067-4842","authenticated-orcid":false,"given":"Jos\u00e9 Athayde Vasconcelos","family":"Morais","sequence":"additional","affiliation":[{"name":"Minist\u00e9rio da Sa\u00fade,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5057-2531","authenticated-orcid":false,"given":"Jos\u00e9","family":"Boullosa Alonso Neto","sequence":"additional","affiliation":[{"name":"Minist\u00e9rio da Sa\u00fade,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9520-8538","authenticated-orcid":false,"given":"Leonor Henriette de","family":"Lannoy","sequence":"additional","affiliation":[{"name":"Minist\u00e9rio da Sa\u00fade,  Brazil; Universidade Federal do Esp\u00edrito Santo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0472-1804","authenticated-orcid":false,"given":"Mauro Niskier","family":"Sanchez","sequence":"additional","affiliation":[{"name":"Universidade de Bras\u00edlia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9626-7740","authenticated-orcid":false,"given":"Draurio","family":"Barreira Cravo Neto","sequence":"additional","affiliation":[{"name":"Minist\u00e9rio da Sa\u00fade,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3771-7684","authenticated-orcid":false,"given":"Ximena Pamela Claudia D\u00edaz","family":"Berm\u00fadez","sequence":"additional","affiliation":[{"name":"Universidade de Bras\u00edlia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5789-0695","authenticated-orcid":false,"given":"Adele Schwartz","family":"Benzaken","sequence":"additional","affiliation":[{"name":"Universidade de Bras\u00edlia,  Brazil; Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2024]]},"reference":[{"key":"ref1","series-title":"Global health sector strategies on, respectively, HIV, viral hepatitis and sexually transmitted infections for the period 2022-2030."},{"key":"ref2","series-title":"Guidelines for the management of symptomatic sexually transmitted infections."},{"key":"ref3","series-title":"Protocolo cl\u00ednico e diretrizes terap\u00eauticas para aten\u00e7\u00e3o integral \u00e0s pessoas com infec\u00e7\u00f5es sexualmente transmiss\u00edveis (IST)."},{"key":"ref4","series-title":"Global action plan to control the spread and impact of antimicrobial resistance in Neisseria gonorrhoeae."},{"key":"ref5","article-title":"Antimicrobial resistance in Neisseria gonorrhoeae global surveillance and a call for international collaborative action","volume":"14","author":"Wi T","year":"2017","journal-title":"PLoS Med"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1038\/s41572-019-0128-6","article-title":"Gonorrhoea","volume":"5","author":"Unemo M","year":"2019","journal-title":"Nat Rev Dis Primers"},{"key":"ref7","series-title":"Laboratory diagnosis of sexually transmitted infections, including human immunodeficiency virus."},{"key":"ref8","article-title":"Diagnosing sexually transmitted infections in resource-constrained settings challenges and ways forward","volume":"22","author":"Wi TE","year":"2019","journal-title":"J Int AIDS Soc"},{"key":"ref9","series-title":"SIGTAP - Sistema de Gerenciamento da Tabela de Procedimentos, Medicamentos e OPM do SUS. Detec\u00e7\u00e3o de clam\u00eddia e gonococo por biologia molecular."},{"key":"ref10","article-title":"Strengthening health systems through essential diagnostic lists and diagnostic network optimization","volume":"3","author":"Kao K","year":"2023","journal-title":"PLoS Glob Public Health"},{"key":"ref11","first-page":"3e0001179","article-title":"The integration of tuberculosis and HIV testing on GeneXpert can substantially improve access and same-day diagnosis and benefit tuberculosis programmes: a diagnostic network optimization analysis in Zambia.","author":"Girdwood S","year":"2023","journal-title":"PLoS Glob Public Health"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1136\/sextrans-2013-051181","article-title":"External quality assurance with dried tube specimens (DTS) for point-of-care syphilis and HIV tests experience in an indigenous populations screening programme in the Brazilian Amazon","volume":"90","author":"Benzaken AS","year":"2014","journal-title":"Sex Transm Infect"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"810","DOI":"10.3390\/diagnostics13040810","article-title":"Assessment of the accuracy, usability and acceptability of a rapid test for the simultaneous diagnosis of syphilis and HIV infection in a real-life scenario in the Amazon Region, Brazil.","volume":"13","author":"Soares DC","year":"2023","journal-title":"Diagnostics (Basel)"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1055\/s-0043-1763493","article-title":"Cervical cancer screening with DNA-HPV testing and precancerous lesions detection a Brazilian population-based demonstration study","volume":"45","author":"Teixeira JC","year":"2023","journal-title":"Rev Bras Ginecol Obstet"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1258\/096914107781261936","article-title":"Lessons learnt from a population-based pilot programme for colorectal cancer screening in Catalonia (Spain)","volume":"14","author":"Peris M","year":"2007","journal-title":"J Med Screen"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"2303","DOI":"10.1038\/s41436-019-0499-9","article-title":"From diagnostic yield to clinical impact: a pilot study on the implementation of prenatal exome sequencing in routine care.","volume":"21","author":"Koning MA","year":"2019","journal-title":"Genet Med"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"1412","DOI":"10.1186\/s12913-022-08735-3","article-title":"Supporting the implementation of new healthcare technologies by investigating generalizability of pilot studies using area-level statistics","volume":"22","author":"Doorbar JA","year":"2022","journal-title":"BMC Health Serv Res"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"2777","DOI":"10.3390\/ijerph19052777","article-title":"A pilot study on the feasibility of developing and implementing a mobile app for the acquisition of clinical knowledge and competencies by medical students transitioning from preclinical to clinical years.","volume":"19","author":"Prados-Carmona A","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"ref19","first-page":"A158","article-title":"Estimating adult gonorrohea prevalence in Brazil","volume":"97","author":"Gaspar P","year":"2021","journal-title":"Sex Transm Infect"},{"key":"ref20","series-title":"Global progress report on HIV, viral hepatitis and sexually transmitted infections, 2021."},{"key":"ref21","first-page":"931","article-title":"Diagnosis and management of gonococcal infections","volume":"86","author":"Mayor MT","year":"2012","journal-title":"Am Fam Physician"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"1","DOI":"10.15585\/mmwr.rr7004a1","article-title":"Sexually transmitted infections treatment guidelines, 2021","volume":"70","author":"Workowski KA","year":"2021","journal-title":"MMWR Recomm Rep"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1590\/S0037-86822010000500005","article-title":"Prevalence of Neisseria gonorrhoeae and Chlamydia trachomatis infection in men attending STD clinics in Brazil","volume":"43","author":"Barbosa MJ","year":"2010","journal-title":"Rev Soc Bras Med Trop"},{"key":"ref24","article-title":"Racial vulnerability and individual barriers for Brazilian women seeking first care following abortion","volume":"36","author":"Goes EF","year":"2020","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"29","DOI":"10.11606\/s1518-8787.2023057004548","article-title":"Association among race\/color, gender, and intrinsic capacity results from the ELSI-Brazil study","volume":"57","author":"Pl\u00e1cido J","year":"2023","journal-title":"Rev Sa\u00fade P\u00fablica"},{"key":"ref26","doi-asserted-by":"crossref","DOI":"10.1590\/0037-8682-633-2020","article-title":"Brazilian protocol for sexually transmitted infections, 2020: infections that cause urethral discharge.","volume":"54","author":"Lannoy LH","year":"2021","journal-title":"Rev Soc Bras Med Trop"}],"container-title":["Cadernos de Sa\u00fade P\u00fablica"],"original-title":["A national network of molecular tests to detect Chlamydia trachomatis and Neisseria gonorrhoeae: a pilot implementation experience in Brazil"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0102-311X2024000701403&tlng=pt","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,22]],"date-time":"2024-07-22T11:03:32Z","timestamp":1721646212000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-311X2024000701403&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":26,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2024]]}},"alternative-id":["S0102-311X2024000701403"],"URL":"https:\/\/doi.org\/10.1590\/0102-311xpt123023","relation":{},"ISSN":["1678-4464","0102-311X"],"issn-type":[{"value":"1678-4464","type":"electronic"},{"value":"0102-311X","type":"print"}],"subject":[],"published":{"date-parts":[[2024]]},"article-number":"e00123023"}}