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Article
Trichomoniasis Among Females WithVaginal Discharge in Baghdad Medical City

Authors: Raja Al-Tikriti , --- Bahjat Al-Janabi --- Aroub Abdul Rahman Al-Kaisi
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2008 Volume: 50 Issue: 1 Pages: 37-41
Publisher: Baghdad University جامعة بغداد

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Abstract

Summary:
Background:
Trichomonas vaginalis is a pear shaped parasite, with a short undulating
membrane, lined with a flagellum and four anterior flagella. It is one of the most
common organisms causing infection in the female genital tract, which is normally
limited to vulva, vagina and cervix. It doesn't usually extend to the uterus. The
mucosal surface may be tender, inflamed and covered with a frothy yellow or
cream colored discharge.
Aim:
To evaluate the infection rate of Trichomonas vaginalis among females
complaining of vaginal discharge with or without pruritis vulvae, and to isolate the
parasite by different laboratory methods, such as wet mount method, culture on
special media and staining by special stains e.g. Leischman's stain, Giemsa's stain
and Papanicolaou's stain.
Fac Med Baghdad
2008; Vol.50,
No.1
Received Feb. 2007
Accepted Setp.2007
Methods:
The study was conducted in the period from November 1992 to August 1993 on
480 female patients presented with vaginal discharge with or without prurits vulvae
attended the Gynecological and Antenatal Outpatient Clinics in Medical City in
Baghdad, compared to 50 females complaining of gynecological problems other
than infection attended the same clinic.
Investigations carried out during this work include:
Wet mount examination ,Culture on artificial media ,Examination of fixed stained
smears with: Gram’s stain , Leishman's stain ,Giemsa's stain, Papanicolaou's
stained smear.
Results:
Among 480 females presented with vaginal discharge with or without pruritis
vulvae, an infection rate of (19.16%) was reported. Females subjected to this study
were classified into different groups, non-diabetics, diabetics, workers in hospital
and control group, giving an infection rates of (20.5%), (2.5%), (33.33%) and (8%)
respectively. Evaluation of the rate of infection among different age groups
revealed that the highest infection rate was in the ages of greatest sexual activities
from (14-39) years old. The signs of Trichomonas vaginalis infection were those of
vulvar, vaginal and cervical erythemae. The presenting symptoms were those of
discharge, discharge & itching, discharge & dysuria, itching, discharge & itching &
dysuria. However (12.5%) of the patients were asymptomatic. The discharge was of
different characters and the patients presented in different stages of the disease.
Conclusion:
Trichomonas vaginalis is a common cause of vaginits , most frequently seen at
the ages of greatest sexual activity where the patient usually presents with vaginal
discharge of different character which may or may not be associated with itching.
It has been noticed that clinical judgement alone is unsatisfactory for the
diagnosis of trichomoniasis and it must be aided by laboratory examination.


Article
Urethral trichomoniasis in Iraqi females

Author: Aroub Abdul Rahman Al-Kaisi, Ph.D Bahjat Al- Janabi, *Ph.D Raja Al-Tikriti Ph.D د. عروب عبد الرحمن القيسي
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2007 Volume: 49 Issue: 3 Pages: 312-314
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Trichomonas vaginalis has long been recognized as a cause of infectious vaginitis in women different studies have demonstrated a significant burden of the parasite to cause urethritis as well. It has been assumed that the localization of parasite in the urethra may be responsible for the recurrence of vaginal infection.Aim: To evaluate the infection rate of urethral trichomoniasis and to evaluate two different laboratory’ methods used in the diagnosis.Methods: The present study consisted of420female patients presented with vaginal discharge with or without itching or disorient, investigated for urethral trichomoniasis who were compared to 50 females represented the control group.Each female M’as asked to collect first 10-20 ml of urine in a sterile screw capped bottle; the deposits were examined microscopically by:. Wet mount method for Trichomonas vaginalis.2.Culture in a specific ready made culture media.At the same time high vaginal swabs were taken and examined by both wet mount and culture methods for vaginal trichomoniasis.Results: Among 420 female patients examined for both urine sediments and vaginal swabs ,80 (19.04%) females were found to be positive for T. vaginalis by vaginal SM'abs. The parasite was seen either in the vagina alone in 39 (9.28%) or in the vagina and urethra in 41(9.76%), but it M’as never isolated from urethra alone.Conclusion: Trichomonas vaginalis is a common parasite offemale urethm as well as of the vagina, the localization of this flagellate in the urethra may be responsible for the recurrence of vaginal infection, since it may survive in the urethra, possibly in the Paraurethral glands (skene's) so when the treatment is limited to the vagina, this will often fail to reach the urethra and the trichomonads may contaminate the vagina following urination or sexual intercourse, that is why systemic rather than local treatment is indicated.Keywords: Trichomonas vaginalis. Trichomoniasis. Urethritis.


Article
Immunological study for infected women with T.vaginalis in AL-Najaf AL-Ashraf province
دراسة مناعية للنساء المصابات بمرض T.vaginalis في محافظة النجف الأشرف

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Abstract

The study was conducted on 450 out patients and 30 healthy women, whom have visited the department of infertility at Al-Sadder medical city, Al-Zahra Hospital and in Najaf Province during the period from January till August, 2012. The infection with T.vaginalis in clinical suspected women determine by using the wet amount microscope, the infection women numbers and percent by wet mount microscope gave 49 and 10.88% respectively. The results showed significant elevation (P<0.01) in serum concentration of IgA, IgG, IgM and IgE in serum of T.vaginalis infection patients in comparison to healthy control group.

أجريت الدراسة على 450 مريضاً و 30 امرأة يتمتعون بصحة جيدة ، حيث قاموا بزيارة قسم العقم في مدينة الصدر الطبية ومستشفى الزهراء ومقاطعة النجف خلال الفترة من يناير حتى أغسطس 2012. العدوى مع ت. تحديد المهبلية في النساء المشتبه بهم السريرية باستخدام المجهر كمية الرطب ، أعطى عدد النساء العدوى ونسبة من المجهر جبل الرطب 49 و 10.88 ٪ على التوالي. أظهرت النتائج ارتفاع معنوي (P <0.01) في تركيز المصل IgA ، IgG ، IgM و IgE في مصل مرضى T.vaginalis العدوى بالمقارنة مع مجموعة السيطرة الصحية.


Article
Factors influencing the Prevalence and pathogenicity

Author: Aroub Abdul Rahman Al-Kaisi*Ph.D د. عروب عبد الرحمن
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2007 Volume: 49 Issue: 2 Pages: 271-276
Publisher: Baghdad University جامعة بغداد

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Abstract

Summary:Background: Trichomonas vaginalis is a common parasite of both male and female genital tracts. Transmission of the infection is mainly by sexual intercourse; however contaminated towels, douche equipments, examination instruments and other objects may be responsible for some infections.Aim: Is to study the influence of some factors that affect the spread of this parasite such as socioeconomic status, marital status, pregnancy and parity …….etc.Methods: The study was conducted in the period from November 1992 to August 1993 on 480 female patients presented with vaginal discharge with or without itching, compared to 50 females complaining of gynecological problems other than infections.Investigations carried out during this study include:.Wet mount examination.,.Culture on artificial media.,Examination of fixed stained smear with:a.Gram's stain.b.Leischman's stain.c.Giemsa's stain.d.Papanicolaou's stained smear.4. Measuring the PH of the vaginal discharge or the PH of the vaginal side wall.Results: The effect of some factors on the prevalence and pathology of Trichomonas vaginalis was evaluated in this study. Among different socioeconomic groups, the higher infection rate (65.22%) was seen in the low socioeconomic group. The infection rate of trichomoniasis was found to be higher among married females (19.81%), than divorced (16.66%), widowed (12.5%) or singles (11.11%). Regarding the menstrual cycle, infection with Trichomonas vaginalis was found to be increasing during the postmenstrual phase of the cycle (24.21%) compared to the infection rate obtained from patients in the premenstrual phase of the cycle (16.09%). A higher infection rate was reported among non pregnant females (20%) than pregnant (9.09%).Females using different contraceptive measures showed an infection rate of (28.88%), which was higher than that reported among those not using any contraceptive measures (18.95%). The PH values of the vaginal discharge were measured in 90 patients and the highest infection were seen at PH values 6.0 (28.88%) and 5.5 (20%) respectively.Conclusion: The spread of Trichomonas vaginalis infection may be affected by many factors such as socioeconomic status, marital status, pregnancy status and parity, phase of the menstrual cycle, the use of different contraceptive measures and the PH values of the vaginal discharge..Key words: Epidemiology of Trichomonas vaginalis. Trichomoniasis.


Article
a study on trichomonas vaginalis and comparison between the efficacy of metronidazole and secnizole on women in Kirkuk province

Authors: fayez AL-Dalableh --- suheila SH.Tahir --- Ayla Kh. Ghalib --- Mohammed A. Kadir,* Ph.D.
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2006 Volume: 48 Issue: 1 Pages: 94-97
Publisher: Baghdad University جامعة بغداد

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Article
A comparison between Trichomoniasis Infection and other Vaginal Infection among Females in Baghdad Governorate- Iraq
مقارنة بين العدوى بداء المشعرات المهبلية والعدوى بالاصابات المهبلية الاخرى بين الإناث في محافظة بغداد- العراق

Authors: Entsar J. Saheb انتصار جبار صاحب --- Rash H. Kuba رشا حسين كبة --- Khawla H. Zghair خولة حوري زغير --- Israa S. Mosa اسراء سالم موسى
Journal: Iraqi Journal of Science المجلة العراقية للعلوم ISSN: 00672904/23121637 Year: 2016 Volume: 57 Issue: 1C Pages: 545-551
Publisher: Baghdad University جامعة بغداد

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Abstract

Trichomoniasis is a parasitic disease caused by the protozoan Trichomonas vaginalis. It is the most common sexually transmitted protozoal infection. There is no estimated of infection intensity among reproductive-age females. Further studies of the infection intensity of trichomoniasis and other vaginal infection will highlight the importance of this pathogen as a public health problem. A total of 614 females from Baghdad city were screened for T. vaginalis from March 2015 to September 2015. Females aged 13–61 years old provided vaginal swab specimens. The vaginal fluids extracted from these swabs were checked for the presence of T. vaginalis and other vaginal infection using microscopic examination. Overall, 525 (85.5%) of 614 was screened positive for T. vaginalis, 89 of 614 females gave negative results for T. vaginalis instead; they were infected with other vaginal infection. In tested females, 82 (13.36%) of the females were infected with bacteria (including Haemophilus vaginalis, Escherichia coli and Pseudomonas); 7 (1.14%) of females was infected with Monilia. In addition, the main age group of infected females concentrated in (more than 30 years) which recorded a higher rate of infection. There were 122 (85.31%) of patients had (4) pus cells per field of microscope in Trichomonas infection, 29 (69.05%) of patients had (2) pus cells per field of microscope in bacterial infection, and 2 (33.33%) of patients had (2) pus cells per field of microscope in Monilia infection that was statistically significant. Taking together, the results of this study demonstrate that T. vaginalis is endemic of females in Baghdad city and has a higher intensity rate compare with females infect with bacteria or Monilia. A prevention strategy of T. vaginalis infection could control the transmission of this parasite

داء المشعرات المهبلية هو مرض يسببه طفيلي Trichomonas vaginalis وهذا المرض هو الأكثر شيوعا من بين الطفيليات الابتدائية التي تنتقل بالاتصال الجنسي. لا توجد دراسة وافية عن شدة الإصابة بين النساء في سن الإنجاب وإجراء المزيد من الدراسات لشدة الإصابة من داء المشعرات والعدوى المهبلية الأخرى سوف تسلط الضوء على أهمية هذا العامل الممرض كمشكلة صحية عامة. تم فحص ما مجموعه 614 امرأة من مدينة بغداد للفترة من اذار2015 الى ايلول 2015. تم فحص عينات المسحة المهبلية في النساء الذين تتراوح أعمارهم بين 13-61 عاما باستخدام الفحص المجهري. (85.5%) 525من 614 إمرأه اعطت نتيجه إيجابية للمشعرات المهبلية، 89 من 614 امرأة اعطت نتيجه سلبية للمشعرات المهبلية بدلا من ذلك، كانت مصابة بانواع اخرى من العدوى المهبلية, 82 (13.36%) إمرأه كانت مصابة بعدوى بكتيرية تشمل Haemophilus vaginalis, Pseudomonas, Escherichia coli ,7 نساء(1.14%) كانت مصابة بالمونيللا. بالإضافة إلى ذلك فقد تركزت الاصابة في الفئة العمرية (أكثر من 30 عاما) التي سجلت أعلى معدل واعلى شدة للإصابة. كان هناك 122 (85.31٪) من المرضى لديهم (4) خلايا صديد في مجال المجهر الضوئي ضمن المرضى المصابين للمشعرات المهبلية، 29 (69.05٪) من المرضى كان لديهم (2) خلايا صديد ضمن المرضى المصابين بعدوى بكتيرية، و2 (33.33٪) من المرضى كان لديهم (2) خلايا صديد في المرضى المصابين بالمونيللا. نتائج هذه الدراسة تثبت أن المشعرات المهبلية منتشره بشكل وبائي بين النساء في مدينة بغداد ومعدل شدة الاصابة بها أعلى مقارنة مع معدل شدة اصابة بالبكتيريا أو عدوى المونيللا. وعليه فأن هناك حاجة الى استراتيجية للوقاية من العدوى بالمشعرات المهبلية للتحكم في انتقال هذا الطفيلي الممرض.


Article
PREPARATION AND EVALUATION OF LOCAL MEDIUM FOR CULTURE AND GROWTH OF Trichomonas vaginalis ISOLATED FROM PATIENTS IN MOSUL, IRAQ
تحضير وتقييم وسط محلي لزرع ونمو طفيلي المشعرات المهبلية المعزول من المرضى في الموصل / العراقTrichomonas vaginalis

Authors: وحدة عبد الرزاق خروفة --- نوفل ياسين الدباغ
Journal: Iraqi Journal of Biotechnology المجلة العراقية للتقانات الحياتية ISSN: 18154794 Year: 2007 Volume: 6 Issue: 2 Pages: 110-119
Publisher: Baghdad University جامعة بغداد

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Abstract

ABSTRACTThis study was conducted to prepare a local culture medium from orangeleaves for cultivation of Trichomonas vaginalis. Five culture media, namely:Oxide Trichomonas media (CM 161), CPLM, Barbarowski, Protose pepton andPavlova, which are used for clinical diagnosis of vaginal trichomoniasis werecompared in vitro to this new medium. Growth studies using fresh clinicalisolates from different patients showed clear ability of Trichomonas to grow onthis medium. The organisms inoculated initially (25´l04 cm-3) into this mediareached a population of (78´l04 cm3) organism in 72 hours. Although (CM 161)and (CPLM) media allows more prolific growth over a shorter period of time(24 hours). It was obvious that the orange leaves media (OLM) was suitable fordetecting T. vaginalis in patients with vaginitis.

الخلاصةلغرض نمو (OLM) أجريت هذه الدراسة لتحضير وسط زرعي محلي يعتمد على أوراق البرتقالطفيلي المشعرات المهبلية وأستعملت لهذه الدراسة خمسة أنواع من الأوساط الزرعية وهي:Protose و Barbarwski و CPLM و Oxide Trichmonas Medium (CM 161)لغرض تشخيص هذا الطفيلي. تمت مقارنة هذه الأوساط الخمسة في الزجاج Palvova و Peptoneإذ أظهرت دراسة النمو لهذا الطفيلي والمأخوذة من عدة عينات (OLM) مع الوسط الجديد (In vitro)104× مرضية أن طفيلي المشعرات المهبلية قد نما في الوسط الجديد. إن عدد الطفيليات الابتدائي ( 25104 /سم 3) خلال 72 ساعة. × /سم 3) التي تم استخدامها لغرض الزرع في الوسط الجديد قد نمت الى ( 78قد أظهرت نمو الطفيلي بوقت أقصر ( CPLM و CM على الرغم من أن الأوساط الآخرى مثل ( 161خلال 24 ساعة, إلا أن هذه الدراسة أظهرت أيضاً ملائمة هذا الوسط الجديد لغرض الكشف عن الطفيليفي المرضى الذين يعانون من الالتهاب المهبلي


Article
IMMUNOGLOBULIN LEVELS IN SERUM AND CERVICOVAGINAL SECRETIONS OF PATIENTS INFECTED WITH TRICHOMONAS VAGINALIS

Authors: Ekhlas Mushrif --- Azhar Hatif Al-Kuraishi --- Ali H. Ad´hiah
Journal: Al-Nahrain Journal of Science مجلة النهرين للعلوم ISSN: (print)26635453,(online)26635461 Year: 2010 Volume: 13 Issue: 2 Pages: 147-151
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background: Trichomoniasis caused by Trichomonas vaginalis, is one of the most commonsexually transmitted parasites in the world, accounting for approximately 170 millioninfections annually. Although the factor behinds such incidence is still not clear,local and systemic host immune response is involved.Objectives: Accordingly, the present research was planned to determine the level ofimmunoglobulins (IgA, IgG and IgM) in sera and vaginal washes of women infectedwith T. vaginalis.Materials and Methods: Fifteen women infected with T. vaginalis (culture confirmed) and15 healthy females were inspected for total level of IgA, IgG and IgM in their seraand vaginal washes by means of single radial immunodiffusion.Results: The total level of IgA, IgG and IgM in serum and vaginal wash of patients and controlsshowed no significant difference, with the exception of IgG, which showed asignificant increased mean in the sera of patients.Conclusion: Humoral immune response is important in controlling T. vaginalis, with a specialreference to IgG

خلفية: داء المشعرات المهبلية الذي يسببه طفيلي المشعراتوهو من Trichomonas vaginalis المهبليةأحد الطفيليات التي تنتقل جنسيا في العالم والذييتسبب في اصابة ما يقارب 170 مليون شخضسنوياً وعلى الرغم من أن العوامل التي تقف خلفحدوث هذا المرض ما زالت غير واضحة الا انالاستجابة المناعية الموضعية و العامة تدخل ضمنهذه العوامل .الهدف: وفقا لذلك فان هذا البحث خطط لمعرفة مستوىفي IgM و IgG و IgA الكلوبيولينات المناعيةمصول و الغسول المهبلية لنساء مصاباتبالمشعرات المهبلية.و IgA طرائق العمل: قيس مستوى الكلوبيولينات المناعيةفي مصول و الغسول المهبلية IgM و IgGلخمسة عشر امرأة مصابة بالمشعرات المهبلية(مؤكدة بتنمية الطفيلي) و خمسة عشر امرأة سليمةبواسطة اختبار الانتشار المناعي المنفرد.IgG و IgA النتائج: اظهر مستوى الكلوبيولينات المناعيةفي مصول و الغسول المهبلية للمصابات IgM وفي المصل IgG دلالة غير نوعية ما عدا مستوىو الذي اظهر دلالة نوعية .الأستنتاج: أن الاستجابة المناعية الخلطية لها اهمية في. IgGً السيطرة على المشعرات المهبلية خصوص


Article
Serum Levels of Prolactin and Complement Components (C3 and C4) in Women Infected with Trichomonas vaginalis

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Abstract

Trichomonas vaginalis (TV) is a sexually transmitted anaerobic protozoan parasite. In women, the infection frequently associated with infertility. However, the exact effect of the parasite that leads to infertility is a debate issue. This study aimed to determine the impact of TV infection on serum levels of prolactin (PRL), C3 and C4 and the correlation of these parameters with the infertility. A total of 142 women were investigated for TV infection and infertility. Serum levels of PRL, and complement (C3 and C4) were estimated using mini Vidas and single radial immune diffusion assay respectively. Infertile women positive for TV had significantly higher serum levels of PRL than infertile women negative for TV, while serum levels of C3 decreased significantly in both fertile and infertile TV-infected women compared with their counterparts of non-infected women. Thus, it can be concluded that increased serum levels of PRL could be incriminated as a cause of infertility in TV-infected women.


Article
Histological changes of mice testis infected with Trichomonas vaginalis in Vivo

Author: Wahda Abdul Razik Kharofa
Journal: Tikrit Journal of Pure Science مجلة تكريت للعلوم الصرفة ISSN: 18131662 Year: 2010 Volume: 15 Issue: 2 Pages: 11-16
Publisher: Tikrit University جامعة تكريت

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Abstract

Background: This study concerned with the effect of Trichomonas vaginalis parasite on the histology of Mice testis. Objective: many histological changes in the mice testis infected with this parasite.Design and Setting: 25 experimental mice were used (10) as a control group and (15) mice of one month age .The parasite was taken from the vaginal swab of the female consult AL-Battol teaching hospital and after (15) days of inoculation of the parasite in the mice the testis was taken which showed many histological changes while no such changes in the testis of the control group. Results: The testis of the second group showed the presence of the Trichomonas vaginalis together with intense inflammatory cellular infiltration, edema and congestion of blood vessels. Cessation in the process of spermatogesis with destruction of ledig cells. Conclusion: All these changes indicated that the infection with the Trichomonas vaginalis parasite could affect all organs in the body especially the male and female genital organs.The aim: This study was to show the effect of Trichomonas vaginalis in Vivo infection on the genital tissue of mice through histological section examinations

تتعلق هذه الدراسة بتأثير طفيلي المشعرات المهبلية في التركيب النسجي لخصية الفئران، إذ أستخدمت خمس و عشرين فأرة عشر منها كعينة سيطرة و الباقي حقنت بهذا الطفيلي و تتراوح أعمار الفئران ما بين شهر إلى شهرين. أخذت الطفيليات من مسحة مهبلية لنساء مراجعات لمستشفى البتول التعليمي في مدينة الموصل و بعد خمسة عشر يوم من الإصابة شرحت الفئران و أخذت الخصى و مررت بمراحل تحضير المقاطع النسجية و وجد ان هناك تغيرات نسجية واضحة عند مقارنتها مع عينة السيطرة و لوحظ وجود الطفيلي في خصى الفئران المصابة مع وجود خلايا ألتهابية و احتقان في الأوعية الدموية مع توقف في عملية تكوين النطف مع موت في خلايا الـ (ledig cells) و التي تعد مصدراً مهما لتكوين هرمون الشحمون الخصوي الذي يلعب دورا أساسيا في تكوين النطف، لذلك فإن الكشف المبكر عن وجود الطفيلي يعد خطوة مهمة لإيقاف المضاعفات الناجمة عنه.الهدف: هذه الدراسة بينت تأثير طفيلي المشعرات المهبلية داخل الجسم الحي من خلال فحص المقاطع النسجية لأنسجة الأعضاء التناسلية للفئران المصابة.

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