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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.

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