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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.

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