Clinical and Sociodemographic Features of Trichomonas Vaginalis and Comparison of Methods Used in the Diagnosis

Year 2023, Volume: 16 Issue: 3, 228 - 236, 30.12.2023

Sevgi Akman , Yunus Emre Beyhan

https://doi.org/10.52976/vansaglik.1298251

Abstract

Objective: Trichomonas vaginalis is one of the most common non-viral sexually transmitted infection in the world. The aim of this study is to determine the prevalence of T. vaginalis, the social, demographic and clinical features that affect it, and to compare the sensitivity of diagnostic methods.
Material and Method: The study was conducted on 150 female patients aged 18–65. Samples were taken from the posterior vaginal fornix during the pelvic examination, and the parasite was searched by direct microscopic examination, Giemsa staining, cysteine-peptone-liver-maltose, and Trichomonas Broth culture methods.
Results: T. vaginalis was detected in 25 (16.6%) patients. While the best sensitivity was found in the TB culture, the lowest sensitivity was found in DM. The highest positivities were found in the age group of 36–50 (26.1%) and in uneducated women (26.5%). The risk of T. vaginalis increased 3.21 times in people who wore white cotton underwear. The majority of positive cases had aqueous or purulent discharge, and 22.2% of the patients had complaints of discharge and itching.
Conclusion: Trichomoniasis is still an important public health problem. By using different diagnostic methods together, it will be possible to prevent cases that cannot be detected with a single method from being missed

Keywords

Trichomonas vaginalis, Diagnosis, Culture, Clinic, Türkiye

Supporting Institution

YYU BAP

Project Number

TYL-2019-7902

Thanks

This study was supported by Yüzüncü Yıl University Scientific Research Project Office as the TYL-2019-7902 number.

Trichomonas Vaginalis'in Klinik ve Sosyodemografik Özellikleri ve Tanıda Kullanılan Yöntemlerin Karşılaştırılması

Abstract

Amaç: Trichomonas vaginalis dünyada en sık görülen viral olmayan cinsel yolla bulaşan enfeksiyonlardan biridir. Bu çalışmanın amacı T. vaginalis prevalansını, bunu etkileyen sosyal, demografik ve klinik özellikleri belirlemek ve tanı yöntemlerinin duyarlılığını karşılaştırmaktır.
Materyal ve Metot: Çalışma 18-65 yaş arası 150 kadın hasta üzerinde gerçekleştirildi. Pelvik muayene sırasında posterior vajinal forniksten örnekler alındı ve direkt mikroskobik inceleme, Giemsa boyama, sistein-pepton-karaciğer-maltoz ve Trichomonas Broth kültür yöntemleri ile parazit arandı.
Bulgular: Yirmi-beş (%16,6) hastada T. vaginalis saptandı. En iyi duyarlılık TB kültür yönteminde bulunurken, en düşük duyarlılık DM’de tespit edildi. En yüksek pozitiflikler 36-50 yaş grubunda (%26,1) ve eğitim seviyesi düşük kadınlarda (%26,5) görüldü. Beyaz pamuklu iç çamaşırı giyen kişilerde T. vaginalis riskinin 3,21 kat daha fazla olduğu tespit edildi. Pozitif vakaların çoğunda sulu veya purulent akıntı vardı ve hastaların %22,2'sinde akıntı ve kaşıntı şikayeti mevcuttu.
Sonuç: Trichomoniasis halen önemli bir halk sağlığı sorunudur. Farklı teşhis yöntemlerinin bir arada kullanılması ile tek bir yöntemle tespit edilemeyen vakaların gözden kaçmasının önüne geçilebilecektir.

Keywords

Trichomonas vaginalis, Tanı, Kültür, Klinik

Project Number

TYL-2019-7902

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