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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
Isolation and Idintification of candida albicans from vagina and Study of some Virulance Factors
عزل وتشخيص المبيضات البيضاء Candida albicans من المهبل ودراسة بعض عوامل ضراوتها

Authors: Shaimaa Nghamish Mizi’l شيماء نغيمش مزعل --- Ayad F. Nakkash أياد فضيل نقاش --- Ilham Saeed Banno الهام سعيد بنو
Journal: Baghdad Science Journal مجلة بغداد للعلوم ISSN: 20788665 24117986 Year: 2010 Volume: 7 Issue: عدد خاص بمؤتمر العلمي النسوي 1 Pages: 233-240
Publisher: Baghdad University جامعة بغداد

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Abstract

197 vaginal swabs were collected from women of different ages. (60) Isolates of Candida albicans (30.4%) were obtained, and the other species of Candida represent (18.27%). Bacterial infections showed (41.11%), and infection with Trichomonas vaginalis was (2.03%).Ten isolates of C. albicans were chosen randomly for farther study which include two virulence factors tendency of adhesion wich showed a percentage of (52%) to(32%) , and the ability to produce phospholipaze enzyme and it’s activity which showed (50%) of the isolates have the ability to produce the enzyme in different degrees .

جمعت (197) مسحة مهبلية من نساء في اعمار مختلفة، وتم الحصول على (60) عزلة للمبيضات البيضاء Candida albicans أي بنسبة (%30.45) وبلغت الانواع الاخرى للمبيضات نسبة (%18.27)، اما الاصابات البكتيرية فكانت نسبتها (%41.11) في حين شكلت المشعرات المهبلية Trichomonas vaginalis (%2.03) من حالات التهاب المهبل .تم اختيار (10) عزلات عشوائياً من المبيضات البيضاء لدراسة عاملين من عوامل ضراوتها وهي الالتصاق، حيث كانت اعلى نسبة التصاق (%52) واقل نسبة (%32) ،و عامل الضراوة الاخر وهو قدرة العزلات على انتاج انزيم الفوسفولايبيز وقياس فعاليته )،فقد كانت (%50) من العزلات غير منتجة لهذا الانزيم و (%50) انتجته بدرجات مختلفة من الفعالية.


Article
A Study on Humoral Immunity and Oral Bacterial Diversity in Patients with Trichomonas Tenax Infection

Authors: Batool M. Mahdi --- Waffa Hazim --- Bassma Maki --- Ali Ghalib M. Mahdi --- et al.
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2009 Volume: 8 Issue: 4 Pages: 339-343
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Trichomonas tenax (T tenax) is a protozoan that inhabit the oral cavity of poor oral hygiene. It is found in the dental caries, tartar and periodontal area. It feed on the normal flora of the mouth. It had been found to cause pulmonary infection and respiratory diseases in immunocompromised patients and patients wi advanced cancer.thOBJECTIVE:To determine the humoral immune response to Trichomonas tenax and studying if there is any relation with specific bacteria.METHODS:Forty patients who consult Al-Kindy Teaching hospital –maxillofacial and dental department from June-2008 to January -2009.Two gingival swabs were taken from those patients, one examined directly for the presence of T tenax by light microscope and other swab was cultured on Blood, Chocolate and MacConkey's agar for isolation of oral bacteria. Blood was collected from patients for estimation of serum IgG, IgA, IgM, C3 and C4 levels by using radial immune diffusion method.RESULTS:The study group consists of forty individuals, their ages range from 6-65 years. Male more than female (22:18), thirty of them was smoker, 25% of them were positive for T tenax. The types of bacteria that were isolated are a normal flora of the mouth like Streptococcus viridans. In spite of the level of Immunoglobulins and complement in both groups lie within normal values, there was a significant increased in serum IgM level and significant decreased in serum IgG, IgA, C3 and C4 level.CONCLUSION:There was increased in the prevalence of T tenax infection due to low social class and low oral hygiene .There was no specific bacteria that was confected with it. Lastly, increased in T tenax infection when there is an immune suppression as in advanced cancer patients and on radiotherapy and or chemotherapy.


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 Diagnosis for Trichomonasis in Women in Al-Muthanna Province

Author: Noor Hashim Hawel and** Yassir Dakheel Kremsh Alasadiy*
Journal: Almuthanna Journal of Pure Science (MJPS) مجلة المثنى للعلوم الصرفة ISSN: 22263284 Year: 2017 Volume: 4 Issue: 2
Publisher: Al-Muthanna University جامعة المثنى

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Abstract

This study was carried out in Al-Muthanna province during the period from October 2015 till April 2016 to detect Trichomonas vaginalis. A total of (220) blood and vaginal swab were taken from women aged between (20-45) Years. And it examined by Microscope examination and ELISA assays. The results were divided based on age, a number of children, the residence area, education level, take contraceptives and repeat secretions .the result of the present study showed that the higher percentage of T. vaginalis infection in age group (20-25) which was36.23% while the lower percentage in age group (41-45) which was10.87% , A number of children the higher percentage in number of (3) children were (24.64%) while the lower percentage were in number of five children were (13.04%) , the residence area the higher percentage of infection in rural regions than urban regions were 77.54 % and 22.46 % respectively, The present study showed that the highest percentage in not to use contraceptive while the lowest percentage was in use contraceptive which was 85.51%,14.49% respectively, The present study showed that the highest percentage was in Unenlightened women while the lowest percentage was in Educated women at a rate was 73.19% ,26.81 %, respectively, The present study showed that the highest percentage was in repeat of the secretion while the lowest was in none of repeat of the secretion at a rate was 92.75% ,7.25% respectively. The control samples were diagnosed in the ELISA technique and no parasitic infection was recorded for all indicater.


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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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
The prevalence of trichomonas vaginalis in association with other micro-organisms among women with vaginal discharge in Mosul

Authors: Ghada A. Al-Daheen غادة الدهين --- Nawfal Y. Al-Dabbagh نوفل ياسين الدباغ --- Haytham M. Al-Habib هيثم محمد الحبيب
Journal: Annals of the College of Medicine Mosul مجلة طب الموصل ISSN: 00271446 23096217 Year: 2005 Volume: 31 Issue: 1 Pages: 37-44
Publisher: Mosul University جامعة الموصل

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objective: To screen women with vaginal discharge for Trichomonas vaginalis as well as other pathogens and to follow them up.Setting: outpatient Gynaecologic Clinic, Family Planning Clinic, and Antenatal Clinic at Al- Batool Teaching Hospital for Gynaecology and Obstetrics. Participants: a 440 women with vaginal discharge (July 1997 to June 1999).Intervention: Full medical, gynaecological, sexual and social history was recorded. Clinical examination was carried out. Laboratory investigations including vaginal, cervical and urethral swabs for direct examination, gram-stained smear, as well as culture on appropriate media.Results: The total number of Trichomonas vaginalis infection was 68 (15.5%). The isolated microorganisms in association with Trichomonas vaginalis were candida albicans in 19 women (27.9%), Staphylococcus epidermidis in 10 women ( 14.7%), and Lactobacilli in six women constituting (8.8 %) . Both Diphtheroids and Neisseria ganorrheae showed lower incidences, as only eight women were positive (5.9 %) for each. Escherichia. Coli was present in one patient (1.5%).24 patients were positive for Trichomonas vaginalis only (35.3 %).The remaining 372 women who were negative Trichomohas vaginalis showed a high rate of infection with Candida species (21.5%),followed by Staphylococcus epictermidis(18.3%) and lactobacilli (15.3%).other isolates included Streptococcus species (8.6%)., E.coli (5.9%), Klebsiella ( 3.8%) ,Enterococcus fecalis (3.0%), Gardnerella vaginalis (2.6%), Neissenria gonorrheae (2.4%), Proteus (2.2), Diphtheroid (1.9%), staphylococcrus aureus(1.3%) and Pseudomonas aeruginosa (0.8%). Moreover, 46 (10.5%) of women showed no growth. 50.0% of infection with Trichomonas vaginalis was at age 26-35 years Considering marital status, the highest rate (76.4 %) of infection was among married women followed by divorced (14.7 %), widows (5.8 %) and singles ( 2.9%). Pregnant women positive for Trichomonas vaginalis represented (45 .6 %) of cases. 61.7% of infection was among illiterate women.Metronidazole (flagyl) was given to all in a dose of 250mg orally thrice daily for seven days.Metronidazole was prescribed at the same time to husbands of infected women. other specific medications (antifungal, antimicrobial agents) were given when indicated either alone or in combination with metronidazole.Two weeks later only 112 women came for reassessment clinically and by repeating direct smear and culture, that showed fifteen positive cases. Five of them still having Trichomonas vaginalis, eight were having Candida albicans, and two showed normal smears. Further courses of treatment were given as indicated.conclusion: Vaginal discharge is common among women in reproductive life.Culture is indicated for precise diagnosisKey words: Trichomonas vaginalis. Vaginal discharge, Metronidazole.


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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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
HISTOLOGICAL STUDY OF THE EFFECT OF THE PARASITE Trichomonas vaginalis ON SOME ORGANS OF THE WHITE SWISS MICE STRAIN BALB/C
دراسة نسيجية لتأثير طفيلي المشعرات المهبلية Trichomonas vaginalis على بعض اعضاء الفأر الابيض السويسري Mus musculus سلالة (Balb/c)

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The study showed that the effect of experimental Trichomonasis caused histological change to some of organs under investigation (prostate and testes and penis) in albino rats .In our study, albino rats were divided into three groups [Group I (Single infected within Albritton –Intrapereationial by use the concentration 106), group II (Single infected under the skin – Subcutaneous by use 106 as concentration for the infected solution ),and group III (double infected for Intrapereationial and Subcutaneous by use 106 as concentration for the infected solution)].The result showed that the prostate and penis more effect by the infection than testes , In which the histological changes were appears as congestion , necrosis , vaculation , infiltration of inflammatory cells and deposition of fibrin in some locations in addition to an increase in these changes bleeding with tearing of the tissue of a member of the penis while shown testes less impact of these changes was to happen necrosis with vaculation and fibrin deposition in some locations tissue.

تم اجراء دراسة تجريبية لتاثير الاصابة بداء المشعرات المهبلية على احداث تغيرات نسيجية لبعض اعضاء الفأر الابيض السويسري المنتخبة (البروستات و الخصى والقضيب ) ,حيث قسمت الفئران بواقع ثلاث مجاميع [المجموعة الأولى (إصابة مفردة داخل البريتون (Intrapereationial) بتركيز106), المجموعة الثانية (اصابة مفردة تحت الجلد (Subcutaneous) بتركيز106), المجموعة الثالثة (أحدثت إصابة مزدوجة 106 داخل البريتون و 106 تحت الجلد), أبدت أعضاء البروستات والقضيب تأثرا كبيرا تمثل بتغيرات نسيجية بشكل أحتقان وتنخر وتفجي وارتشاح الخلايا الالتهابية مع ترسب الليفين في بعض المواقع أضافة لزيادة في هذه التغيرات بنزف مع تمزق لنسيج عضو القضيب , في حين ابدت الخصى تأثيرا أقل من هذه التغيرات تمثلت بحدوث تنخر مع تفجي وحدوث ترسب الليفين في بعض المواقع النسجية.


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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