Microbicides 2004 Microbicides 200428-31 March 2004, Hilton London MetropoleThe conference42 million men, women and children worldwide were living with HIV by the end of December 2002 (source: UNAIDS), including five million newly-infected during that year alone. Another 45 million people will become infected between 2002 and 2010, unless the current transmission rates can be vastly reduced. Of the 42 million, 29.4 million live in sub-Saharan Africa and 58% of them are women. Not only are women more susceptible to HIV infection, many are powerless to insist on the use of condoms or other methods of protecting themselves. In this context, and with the knowledge that an effective HIV vaccine is unlikely to be available for several years, the need for an effective topical microbicide grows ever more urgent. 2004 should prove to be a landmark year in the field of microbicide development as the first Phase III trials of novel products are due to start – the next step along the road to making a microbicide available to the millions worldwide in desperate need of protection.The aims of the Microbicides 2004 conference are to:Report novel or innovative work in the microbicides fieldProvide updates on recent microbicides research, divided into three tracks: basic science, clinical science, and behavioural science (including public health and the microbicide marketplace)Provide a forum for the discussion of new developments in microbicide research including ethical, clinical, behavioural and methodological issuesPresent opportunities for knowledge-sharing between microbicide researchers, public-health workers and advocacy organisations.There will be an opening ceremony on the evening of Sunday 28 March at which politicians, policy makers and the international media are expected. The conference will run for a full three days, each of which will contain:Scientific overviews and presentations with plenary sessions, invited lecturers and presentations of original researchWorkshops to review issues unique to microbicides such as trial design and outcome measures, and ethical issues in the clinical trials of microbicidesPoster sessions. Focus on LondonFollowing the successful Microbicides conferences in Washington in 2000 and Antwerp in 2002, March 2004 sees the focus move to London.The venue is the Hilton Metropole Hotel, two minutes by taxi from Paddington station and the Heathrow Express, with a journey time from the airport of 15 minutes. The hotel is in walking distance of Hyde Park and London’s main shopping streets, and close to Imperial College. Accommodation will be available at the venue and other hotels in the vicinity.London in March offers a variety of diversions for out-of-conference relaxation, including sight-seeing and shopping; the arts and the theatre; and pubs, clubs and restaurants to suit every taste. Conference staff will be on hand to help delegates plan their spare time.To book your place or find out more information, e-mail info@microbicides2004.org.uk or telephone the Event Office on +44 (0) 20 7720 4411
Oral: invited speaker Oral: Track A Oral: Track B Oral: Track C Poster: Track A Poster: Track B Poster: Track C Abstract only Authors

02454 THE EFFECT OF THE UNPROTECTED INTERCOURSE ON THE VAGINAL ENVIRONMENT: COLPOSCOPY AND OTHER MARKERS

Amaral, Eliana
Perdigao A**, Sousa MH **, Villarroel M*, Faundes A**, Waller D****, Zaneveld L****
*Unicamp/Brazil, ** Cemicamp/Brazil, ***University of Illinois/USA, **** TOPCAD-Rush University/USA

OBJECTIVE: To evaluate the effect of unprotected intercourse on the vaginal environment through colposcopy and other laboratory markers. METHODS: During the control cycle of a phase I blinded, randomized, clinical study with ACIDFORM, 20 women were evaluated on the 12-14o day of a cycle through vaginal colposcopy (CONRAD-WHO), pH, Gram stained smear (Nugent criteria), H2O2 producer lactobacillus growth, and leucocytes counts and IL-6 (Biotrak®) in vaginal lavage. Colposcopy was re-evaluated 2-3 hs, and other parameters 72hs after an unprotected intercourse. Women were asked not to duch during the evaluation period. Only women with a regular partner, not pregnant, having tubal ligation, regular menstrual cycles, not using hormones, the couple having no current or previous STI, and using condoms in all previous intercourse were selected for participation. Wilcoxon’s test (means) and McNemar tests (proportions) for paired samples were used for data analysis. RESULTS: No differences on defined colposcopic findings, neither in vaginal pH (4.35 x 4.28), Nugent score (1.4 x 1.5), IL-6 (1.44 x 2.15 pg/mL), H2O2 lactobacillus growth (30 x 25%) were observed. There was a significant difference in leucocyte’s means (53.8 x 155.7, p=0.048). CONCLUSION: In regular, monogamous partners, unprotected sex does not altered vaginal environment, except for an increase in inflammatory cells in vaginal lavage which is possibly due to the ejaculate.

Eliana Amaral
Rua Alexander Fleming 101 - Campinas/SP/Brasil - CEP 13083-970
(Telephone) 55-19-37889334 (Fax) 55-19-37889304 (E-mail) elianaa@unicamp.br